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What is a Special Enrollment Period?

by | Oct 22, 2024 | Health Insurance

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Purchasing Health Insurance During a Special Enrollment Period

Enrolling in a health insurance plan can be a daunting task, and if you aren’t aware of deadlines and “Open Enrollment” guidelines you may have missed your chance altogether. Before worrying too much, you may want to see if you could still be eligible for a special enrollment period. The special enrollment period is always within 60 days of a life event. A “Life Event” is an event such as the birth of a baby, losing group coverage through an employer, losing coverage due to a move to Nevada, marriage, any many other scenarios.

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What is a (SEP) Special Enrollment Period (mobile vertical)

Don’t Go Without Health Insurance

Missing Open Enrollment or finding yourself in need of health insurance outside of the Open Enrollment period does not always mean you have to be uninsured for the entire year. A health insurance agent can help guide you through the process of determining if you are still eligible to apply for health insurance in Nevada. If you’re not, perhaps a short-term health insurance plan may get you by until the next open enrollment period which is yearly starting November 1st through December 15th. (End dates of Open Enrollment can change year to year, please call us for this year’s end date).

How Can Life Changes Affect Your Health Insurance?

To receive a health insurance policy that is affordable and viable for your family, you need to promptly report all life and income changes to your health insurance agent. This allows your agent to continuously match you with an insurance plan that offers the best coverage at the best price for your family. Plus, it helps keeps you out of trouble with the IRS!

If your income decreases or increases, or you welcome a new family member, your health insurance premiums will change. This could affect your eligibility for other cost savings programs. Any time you have a change in family size, or income changes, it’s very important you report these to your agent as soon as possible! There are deadlines and coverage consequences with changes. Therefore, it is SO important to keep your health insurance agent up to date on family, income, and life changes.​

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Life Changes That Make Your Health Insurance Plan SEP Eligible

There are several different life events that will allow you to make changes and/or enroll into a health insurance plan. Loss of health insurance due to a change in jobs, loss of eligibility for Medicaid, ending of your Group Coverage, plus many other changes that result in a loss of health insurance, can be considered a life change. Changes to your family “household” (members on your tax return) may also be qualifying life changes. If you got married, divorced, and lost health insurance, had a child, or lost a family member due to death, you may qualify for a special enrollment period (SEP). Remember though, you only have 60 days to contact your health insurance agent and make a change.

Contact Nevada Insurance Enrollment to Find Out if You Qualify for a SEP

Unsure of whether your life change or income change qualifies you for a special enrollment period? If you need to report a life change or purchase health insurance during an SEP, call Nevada Insurance Enrollment today and speak to one of our health insurance agents. We specialize in getting you the very best rate you are entitled to, creating custom health insurance solutions for individuals and families in Las Vegas, Northern Nevada, or Statewide Nevada.

Telemedicine Benefits

Telemedicine Benefits

Telemedicine puts healthcare within reach of those who would otherwise have a difficult time visiting a doctor. If you have a severe sinus infection, the last thing you want to do is spend the afternoon in the doctor’s office.

What Happens If You Forget To Pay Your Premium By The Due Date?

What Happens If You Forget To Pay Your Premium By The Due Date?

Life happens, and while you should make every effort to pay your health insurance premium on time, health insurance plans generally will have grace periods. You may have a grace period of 30 days, or if your insurance plan is through Nevada Health Link (on-exchange), it may be up to 90 days.

Medical Loss Ratio

Medical Loss Ratio

This Medical Loss Ratio states that when a family or individual buys a medical plan, 80% of every dollar collected and paid to an insurance company MUST pay medical claims/research. So that leaves the insurance company to pay ALL of their expenses with the remaining 20%. .20 cents on the dollar for their employees, buildings, broker costs, etc.

 

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#1) Health Insurance Subsidy Chart

#2) Health Insurance

#3) Health Insurance WITH a Subsidy

#4) Insurance Blog Posts

#5) Request a Quote

Can You File for Medical Bankruptcy?

The short answer is yes; medical debt is considered non-priority unsecured debt and can be discharged in bankruptcy. While you cannot target medical debt in bankruptcy, this process can help lower payments or eliminate the debt altogether.

Understanding Your New Health Insurance Plan

If you’ve recently enrolled in a health insurance plan, there are several things that you can do while you’re waiting for your coverage to begin. Being proactive while you’re waiting for coverage can ensure that you receive quality healthcare.

Get The Most From Your Health Insurance Plan

Today’s Health Insurance plans may offer benefits above and beyond just doctors and hospitals, such as free preventive services, fitness programs, teledoc/telehealth, and so much more!

Filing An Appeal To A Health Insurance Company

If your health insurance company refuses to cover a claim, you have the right to appeal the decision and have it reviewed by a third party. Your policy should outline how to appeal a denial.

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