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Medicaid Redetermination
What You Need To Know
During the Public Health Emergency (PHE), nearly all Medicaid, Children's Health Insurance Program (CHIP), and Expansion members kept their coverage, regardless of changes in eligibility or status. Legislation signed on December 29, 2022, allows states to begin removing ineligible members from their Medicaid programs starting April 1, 2023.
You May Lose Coverage If You No Longer Qualify For Medicaid
When yearly Medicaid renewals start again, millions of individuals will need to take action to keep their current Medicaid coverage or, if they no longer qualify, find a new health plan that’s right for them. We can help you with your options, should you lose coverage and need a Marketplace plan.
How Do I Enroll In A Marketplace Insurance Plan?
We can help guide you through the application process to find an Individual and Family Marketplace insurance plan that fits your specific needs and budget.
Call us 804-500-9960 or email at contact@vahealthagent.com
You can also shop plans or enroll online here:
Frequently Asked Questions About Medicaid Renewal
What Is Medicaid Renewal?
Medicaid renewal is a yearly review completed by your state to check if you’re still eligible for your coverage. In most states, you have to renew your coverage every year to keep it. Missing the deadline, not completing paperwork, or forgetting a step in the renewal process all put you at risk of losing Medicaid coverage.
If you’ve had a change in income, age, or other qualifying factors since you enrolled in Medicaid, it’s possible you will no longer qualify. The only way to know for sure is to renew on time.
When it’s time for you to renew, you’ll get a notice telling you what to do. Be sure to follow the steps to renew quickly. If you have questions, call the Member Services number on your insurance ID card.
What Can People Do Now To Prepare For Their Medicaid Renewal?
Check if your state agency has your current mailing address and contact information. If you’ve moved or your contact information has changed, contact your state now. Important updates about your coverage come through the mail, including a notice when it’s time for you to renew. If your contact information isn’t up to date with your state agency, you may miss these notices.
Understand your health coverage options. If you’ve had major changes in your income, or household, it’s a good idea to explore other health plans now in case you no longer qualify for Medicaid coverage. You may even be eligible for a free or low-cost Individual and Family Marketplace plan. Call us today!
We are here to assist you with the process to help you find the right plan to meet your needs.
If I Am Working, Can I Get Health Coverage Through My Job?
If you lose Medicaid, but are working, you may have access to health coverage through your job. You typically have 60 days from the date you lose Medicaid to enroll in coverage through your job. Ask your employer what your options are.
However, if you or your family members are not covered under a health plan offered through your job, Individual and Family Marketplace insurance plans may be an option. With the new IRS rule to make health coverage more affordable, you and your family members may now be eligible to receive financial help on a Marketplace insurance plan. You typically have 60 days to apply for a Marketplace insurance plan or to enroll in coverage through your job, from the date you lose Medicaid.
How Can I Find Affordable Health Coverage If I No Longer Qualify For Medicaid?
How much does Marketplace Health Insurance Cost
Individual and Family Marketplace health insurance plans are available to anyone who does not have health insurance, including those no longer eligible for Medicaid coverage. Marketplace plans are available in Bronze, Silver, and Gold metal levels and offer benefits like doctor visits, prescriptions, hospital care, and mental health care. You also may be eligible for financial help (a subsidy) that could lower your premium (monthly payment) - or even reduce it to $0 a month.
When Can I Enroll In Marketplace Health Insurance After Losing Medicaid Coverage?
Open Enrollment to enroll in an Individual and Family Marketplace plan runs every year from November 1 to January 15. If you no longer qualify for Medicaid coverage, you are eligible for a special enrollment period. You typically have 60 days to apply for a Marketplace insurance plan or to enroll in coverage through your job, from the date you lose Medicaid.
Are There Marketplace Insurance Plan Options with $0 Monthly Premiums?
Yes. While you may earn too much to remain eligible for Medicaid coverage, you may qualify for an Individual and Family Marketplace insurance plan that has a monthly premium payment as low as $0 (after subsidy applied).
What Are Cost-Sharing Reductions?
Along with a subsidy that can lower your monthly premium, cost-sharing reductions (CSRs) are extra savings that can reduce your out-of-pocket costs when you get medical care. If your income is within the range that qualifies you for a CSR, you must enroll in a plan in the Silver tier to receive the extra savings.
How Do I Enroll In A Marketplace Insurance Plan?
We can help guide you through the application process to find an Individual and Family Marketplace insurance plan that fits your specific needs and budget.
Call us 804-500-9960 or email at contact@vahealthagent.com
You can also shop plans or enroll online here: