A qualifying experience is a significant life change that makes it possible to enroll in an alternative health plan outside the open enrollment periods. A qualifying event can include adopting a kid, having a newborn, or moving to a different residence.
A new baby is a big step for a newly-minted parent. You should also consider what kind of coverage is best for your family. If you have a high-deductible health insurance plan, adding a newborn to your coverage is an easy way to lower your out-of-pocket costs.
This is because major life transitions can trigger special enrollment windows, which allow you to select a policy with more freedom. These special enrollment periods can occur anytime during the year and usually allow you to choose a plan up to 60 days before a qualifying event occurs, such as birth or marriage.
Loss or cancellation of coverage qualifies for a qualifying incident
The most common qualifying event that sparks a special enrollment period is losing minimum essential health coverage. When you lose coverage (such as when you divorce), you must provide proof in order to enroll into a new health plan.
Other qualifying events, such as if you turn 26 and lose coverage from your parent's plan, can also result in special enrollment periods. Turning 26 marks the point at which you no longer qualify to receive the same kinds of coverage as a younger person.
A new job is a qualifying event
You can expect to get a special enrollment window if you start a new position. This will allow you to enroll in employer-based insurance. If you opt to pick your own coverage instead, you'll need to wait till the next open-enrollment period to have your current employer coverage take effect.
A change in residence is a qualifying event
Gwen and her children may be able enroll in a different plan after moving from Miami. The new plan will cover her health as well as that of her family. This could be a great way to save money, as she'll no longer be paying the premiums that would have been required had she stayed in her old home.
Divorce Is a Qualifying Events
Max, 25-year-old Brooklyn man who is divorced from his spouse, can enroll in another plan in order to make sure that he, his children, and their health care needs are met. You should review your Anthem options as many carriers of health insurance offer plans that can adapt to changing circumstances.
You may have a special period of enrollment if, for example, you are a new student without dependents. A special enrollment period may be available if you're part of a religion congregation.