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Loss of Insurance and Qualifying for a Special Enrollment Period

Mar 27, 2020
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If you are concerned about job loss and potentially losing access to health coverage, find out if you qualify for coverage through the Affordable Care Act’s Marketplace with a Special Enrollment Period (SEP) or expanded Medicaid (MaineCare in Maine).  You may avoid a gap in coverage by applying as soon as you know your current coverage is ending.

You can complete one application at www.healthcare.gov, the Health Insurance Marketplace, to determine your eligibility for either type of coverage.

If you need help, call Consumers for Affordable Healthcare at 1-800-965-7476 or visit enroll207.com.

More about Special Enrollment Periods

A Special Enrollment Period (SEP) is time outside of the annual Open Enrollment when you can sign up for health insurance if you have experienced a qualifying life event. The enrollment window is generally up to 60 days prior to the qualifying life event through 60 days after it.

The following circumstances may trigger a Special Enrollment Period:

  • Loss of other qualifying coverage
  • Change in household size
  • Changes in primary place of living
  • Change in eligibility for financial help
  • Enrollment or plan error
  • Other qualifying changes:
  • Being determined ineligible for Medicaid or CHIP
  • Exceptional circumstances
  • Survivors of domestic violence, abuse or spousal abandonment
  • AmeriCorps service member

You may also visit HealthCare.gov for more information about the qualifying criteria for a Special Enrollment Period.

Questions?  Give us a call at (855) 624-6463, Monday through Friday from 8 AM to 6 PM.

SEE ALSO

Each day, we strive to improve the lives of Mainers and positively impact our local economies. The 2018 report highlights the positive impact we are having on our Members, providers, and employer groups.  It also provides our 2018 financials which demonstrate our stability and staying power.