In accordance with the executive order signed by President Biden, on Feb. 15 the Centers for Medicare & Medicaid Services opened a special enrollment period for the Health Insurance Marketplace® to consumers in the 36 states that use the HealthCare.gov platform.
The SEP will continue through May 15.
At least 13 states plus the District of Columbia, which operate their own Marketplace platforms, have decided to offer a similar opportunity.
The SEP will allow uninsured or underinsured individuals and families affected by the COVID-19 public health emergency to access health coverage.
During the SEP, consumers can also find out if they qualify for financial assistance to help pay for health insurance.
Currently, 9 out of 10 consumers enrolled in coverage through HealthCare.gov receive financial help, and 75% of consumers can purchase a plan for $50 or less per month after financial assistance.
All of the plans at HealthCare.gov cover essential health benefits, such as primary care visits, and cover many preventive care services with no out-of-pocket costs to the consumer.
CMS will communicate with current enrollees to let them know they can also take advantage of this opportunity.
Consumers who want to access the SEP to enroll in coverage and see if they qualify for financial help to reduce the cost of monthly premiums can visit HealthCare.gov or CuidadoDeSalud.gov to view 2021 plans and prices and enroll in a plan that best meets their needs.
Additionally, consumers can call the Marketplace Call Center at (800) 318-2596, which provides assistance in over 150 languages. TTY users should call (855) 889-4325.
Consumers can also find a local assister or agent/broker in their area by visiting localhelp.healthcare.gov.