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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.

Medicaid Basics To Know

Medicaid Basics To Know

Medicaid is a health insurance program administered by the state and federal government, to provide health coverage for those who meet income restrictions or have qualifying medical needs. Medicaid can also be used alongside other health insurance coverages such as private health insurance, Medicare, etc.

What is Tier Pricing With Prescription Medications?

What is Tier Pricing With Prescription Medications?

Your health insurance company’s formulary is a list of all the different drugs that their plans cover. Within the formulary, there are drug tiers. These tiers determine the level of coverage your prescription drug plan offers for a specific type of medication.

Health Insurance with a Preexisting Condition

Health Insurance with a Preexisting Condition

You may assume that since you have a preexisting condition, you’ll pay a higher premium than someone who is in perfect health. However, an insurer cannot reject you, refuse to pay for health benefits pertaining to your illness or injury, or charge you a higher premium because of your condition.

 

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#1) Health Insurance Subsidy Chart

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By page visits (this month)

 

#1) Health Insurance Subsidy Chart

#2) Health Insurance

#3) Health Insurance WITH a Subsidy

#4) Insurance Blog Posts

#5) Request a Quote

Medicaid Basics To Know

Medicaid is a health insurance program administered by the state and federal government, to provide health coverage for those who meet income restrictions or have qualifying medical needs. Medicaid can also be used alongside other health insurance coverages such as private health insurance, Medicare, etc.

What is Tier Pricing With Prescription Medications?

Your health insurance company’s formulary is a list of all the different drugs that their plans cover. Within the formulary, there are drug tiers. These tiers determine the level of coverage your prescription drug plan offers for a specific type of medication.

Health Insurance with a Preexisting Condition

You may assume that since you have a preexisting condition, you’ll pay a higher premium than someone who is in perfect health. However, an insurer cannot reject you, refuse to pay for health benefits pertaining to your illness or injury, or charge you a higher premium because of your condition.

Is Physical Therapy Covered Under Health Insurance?

Whether you have recently been injured or you are experiencing chronic pain or limited mobility, going to a physical therapist can greatly improve your quality of life. For many people, concerns about how much regular sessions cost is a big roadblock to getting much needed care. Fortunately, if you have an ACA-compliant health insurance plan, rehabilitative services like physical therapy are listed among the essential health benefits.

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