Qualifying Life Events for Special Enrollment in Health Insurance | Ambetter
Qualifying Life Events for Special Enrollment
We’re on a mission to make it easier for everyone to get the healthcare coverage they deserve – no matter how their life changes.
If you’ve experienced one of these life events in the last 60 days, you may be eligible for a Special Enrollment period.
Life Events
CHANGE IN RESIDENCE
This includes moving to a new zip code, county, or state.*
EMPLOYMENT CHANGE
You may qualify if you lose health coverage through your employer or the employer of a family member.
NEW DEPENDENTS
Maybe you’ve had a baby, adopted a child, or placed a child for foster care. Your coverage can start the day of that event, even if you enroll in the plan up to 60-days afterward.
INCARCERATION RELEASE
If you’ve left incarceration in the last 60 days, you qualify for Special Enrollment.
CHANGE IN MARITAL STATUS
If you were recently married, pick a plan by the last day of the month and your coverage can start the first day of the next month.
CHANGE IN CITIZENSHIP OR IMMIGRATION STATUS
Includes moving to the US from a foreign country or US territory, becoming a citizen, or a change in your immigration status.
AGING OUT OF PARENTS’ INSURANCE
If you’ve turned 26 (or the maximum dependent age allowed in your state), you can no longer be on a parent’s health plan.
LOSS OF COVERAGE**
This means you’ve lost healthcare coverage as a result of an individual or marketplace plan being discontinued, loss of eligibility for Medicaid or CHIP, or expiration of COBRA coverage.
OTHER LIFE CHANGES
Learn more.
*In order to qualify, you must also have had minimum essential coverage for one or more days in the 60 days prior to the move, unless you are moving from a foreign country, a United States territory, or you are a member of a federally recognized tribe or a shareholder in an Alaska Native Corporation.
**NOTE: Voluntarily quitting other health coverage or being terminated from health coverage for not paying your premiums are not considered loss of coverage. Losing coverage that is not minimum essential coverage is also not considered loss of coverage.
Your Plan. Your Benefits.
If you qualify for Special Enrollment, you'll be able to enroll in an affordable Health Insurance plan with access to benefits like Ambetter Telehealth Services+, Prescription Delivery Services, and the My Health Pays®++Rewards Program.
+$0 cost share applies for in-network telehealth services through Ambetter Telehealth. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Ambetter Health does not provide medical care.
++Funds expire immediately upon termination of insurance coverage.