Health Insurance Special Enrollment Period

Even though open enrollment ended months ago, health insurance for 2022 through the federal marketplace is still available to people with very low incomes! A few weeks ago, the government opened a special enrollment period for those whose incomes are below 150% of the poverty line: that’s $19,320 for a single individual: $26,130 for a household of two; and $39,750 for a household of four. I know those income limits exclude a lot of folks, but for those who are included, this can be important news. No ending date has been announced for the special enrollment period; it appears to be continuing throughout 2022.

This new special enrollment period is especially important for those whose income is near the top of the income range for their family size. Why? Because Iowa families with incomes below ~135% of poverty are eligible for free health coverage through the expanded Medicaid program. It is those who are above the Medicaid level who may especially need this opportunity. Here’s why:

During the COVID emergency, some households have been allowed to remain on the free Medicaid coverage even if their incomes grew beyond the authorized levels. When the COVID emergency designation ends, those families will likely lose that coverage. These are folks who will benefit from the new special opportunity for families with lower incomes.

Keep in mind that anyone can have a Special Enrollment Period in the health insurance Marketplace if they have a qualifying life event. The special enrollment period extends up to 60 days after the life event occurs. Examples of qualifying life events include:

  • Loss of health coverage (e.g. due to job loss, divorce, or other reason)
  • Change in household composition (e.g. birth or adoption, divorce or marriage, death of household member)
  • Change in residence
  • Other events (e.g. change in income, release from incarceration, and more)

Do you need health insurance? Find out today if you are eligible for a Special Enrollment Period! You can also inquire and apply by phone through the official Marketplace help line: 800-318-2596.

Barb Wollan

Barb Wollan's goal as a Family Finance program specialist with Iowa State University Extension and Outreach is to help people use their money according to THEIR priorities. She provides information and tools, and then encourages folks to focus on what they control: their own decisions about what to do with the money they have.

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