Health Insurance Enrollment Period 2023: All You Need To Know

Updated: November 9, 2022
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The health insurance enrollment period is a year when you can register for or adjust your health insurance coverage.  Until you’ve had a qualifying life event, that triggers a special enrollment period for a health plan, the only period you can switch health insurance. Here’s everything you should know about the next enrollment period for health insurance 2023.

Key Takeaways

Things you will be able to learn after reading this entire article about the enrollment period for health insurance:

  • What Is Open Enrollment?
  • What is the purpose of the open enrollment period?
  • When is open enrollment in 2023?
  • What is the purpose of the open enrollment period?
  • Health Insurance Enrollment Period: What You Should Know About?
  • Open enrollment by state
  • What kind of insurance and benefits are available?
  • Is there going to be a healthcare mandate in 2023?
  • How to Maximize Open Enrollment Period needs for the next year
  • What other advantages and policies should you check during open enrollment?

Health insurance enrollment period: What is it?

The open enrollment period is when you can purchase health insurance or switch your benefits package for certain types of coverage. People can study their health insurance alternatives and select the best plan for them during this time. The particular open enrollment period varies according to the type of insurance coverage:

Medicare The yearly enrollment period for Medicare is typically from October 15 to December 7.
ACA marketplace Most states’ ACA marketplace open enrollment period runs from November 1 to January 15.
Employers  Operate their own commercial health insurance open enrollment periods.
Medicare Advantage  The yearly enrollment period for Medicare Advantage is from January 1 to March 31.

Health insurance enrollment period: What is the purpose of that?

  • Medical care coverage includes an open enrollment period to discourage consumers from getting health insurance just when they are sick.
  • Suppose you have a qualifying life event, such as marrying, having children, losing other health insurance, or relocating to a new state. In that case, you can acquire coverage during different times of the year.
  • If people only took health coverage when they required it and then canceled it when their health condition improved, there would be insufficient healthy people who pay premiums to cover the costs of sicker members.
  • Health insurance companies require healthy individuals to pay premiums while not necessitating extensive care. This contributes to the cost of treating the sickest individuals.

When is open enrollment in 2023?

Individual and family insurance plans purchased through the Affordable Care Act (ACA) marketplace, popularly known as Obamacare, are eligible for open enrollment beginning Tuesday, November 1, 2022, and ending Sunday, January 15, 2023. If you get your Medical coverage through your job, your employer decides when you can enroll. 

However, with ACA plans, some states have slightly different open enrollment dates for Healthcare coverage. Massachusetts, California, New Jersey, Rhode Island, New York, and Washington, D.C. have extended open enrollment periods. 

On the other hand, Maryland and Idaho have declared that their open enrollment periods will end on December 15. Your location also determines whether you enroll in health insurance through HealthCare.gov or a state marketplace.

Health insurance enrollment period: What you should know about?

Open enrollment ends January 15 Sign up before December 15 for plans that begin on January 1. The deadline for enrolling in the 2023 plan is January 15, with coverage beginning February 1.
Expanded tax credit If your salary was too high in previous years to qualify for a tax credit, check once more this year. You might qualify for a reimbursement which will lower your monthly premium.
Start with Healthcare.gov Whether you choose Medicaid, Marketplace coverage, or the Children’s Health Insurance Program, your Healthcare.gov application will link you to the appropriate program.

Health insurance enrollment period by state

State Name Open enrollment dates Where to Buy
Colorado November 1, 2022 – January 15, 2023, Health Colorado
Alaska November 1, 2022 – January 15, 2023, HealthCare.gov
Alabama November 1, 2022 – January 15, 2023, HealthCare.gov
Connecticut November 1, 2022 – January 15, 2023, Health CT
California November 1, 2022 – January 31, 2023 (renewals begin October 1) Covered California
Arizona November 1, 2022 – January 15, 2023, HealthCare.gov
Delaware November 1, 2022 – January 15, 2023, HealthCare.gov
Idaho November 1, 2022 – January 15, 2023, Your Health Idaho
New York  November 1, 2022 – January 15, 2023, New York State of Health
Arkansas November 1, 2022 – January 15, 2023, HealthCare.gov
Florida November 1, 2022 – January 15, 2023, HealthCare.gov
Kentucky November 1, 2022 – January 15, 2023, Kynect
Maryland November 1, 2022 – January 15, 2023, Maryland Health Connection
Minnesota November 1, 2022 – January 15, 2023, MNsure
Georgia November 1, 2022 – January 15, 2023, HealthCare.gov
Maine November 1, 2022 – January 15, 2023, CoverMe
Massachusetts November 1, 2022 – January 15, 2023, Health Connector
New Jersey November 1, 2022 – January 15, 2023, Get Covered NJ
South Dakota November 1, 2022 – January 15, 2023, HealthCare.gov
Washington, D.C. November 1, 2022 – January 15, 2023, (can enroll anytime if uninsured) DC Health Link
Wisconsin November 1, 2022 – January 15, 2023, HealthCare.gov
Wyoming November 1, 2022 – January 15, 2023, HealthCare.gov
Washington November 1, 2022 – January 15, 2023, Washington Healthplanfinder
Texas November 1, 2022 – January 15, 2023, HealthCare.gov
Rhode Island November 1, 2022 – January 31, 2023, HealthSource RI
West Virginia November 1, 2022 – January 15, 2023, HealthCare.gov
Mississippi November 1, 2022 – January 15, 2023, HealthCare.gov
Missouri November 1, 2022 – January 15, 2023, HealthCare.gov
Nebraska November 1, 2022 – January 15, 2023, HealthCare.gov
Montana November 1, 2022 – January 15, 2023, HealthCare.gov
Pennsylvania November 1, 2022 – January 15, 2023, HealthCare.gov
Ohio November 1, 2022 – January 15, 2023, HealthCare.gov
Oklahoma November 1, 2022 – January 15, 2023, HealthCare.gov
Tennessee November 1, 2022 – January 15, 2023, HealthCare.gov
Vermont November 1, 2022 – January 15, 2023, Vermont Health Connect
Virginia November 1, 2022 – January 15, 2023, HealthCare.gov
South Carolina November 1, 2022 – January 15, 2023, HealthCare.gov
Oregon November 1, 2022 – January 15, 2023, HealthCare.gov
Michigan November 1, 2022 – January 15, 2023, HealthCare.gov
Nevada November 1, 2022 – January 15, 2023, Nevada Health Link
North Dakota November 1, 2022 – January 15, 2023, HealthCare.gov
Utah November 1, 2022 – January 15, 2023, HealthCare.gov
Hawaii November 1, 2022 – January 15, 2023, HealthCare.gov
Kansas November 1, 2022 – January 15, 2023, HealthCare.gov
Louisiana November 1, 2022 – January 15, 2023, HealthCare.gov
Illinois November 1, 2022 – January 15, 2023, HealthCare.gov
New Mexico November 1, 2022 – January 15, 2023, beWellnm
Iowa November 1, 2022 – January 15, 2023, HealthCare.gov
Indiana November 1, 2022 – January 15, 2023, HealthCare.gov

What kind of insurance and benefits are available?

Take advantage health insurance of open enrollment to learn more about the health insurance plans available to you. Affordable Care Act requires health plans to cover essential health benefits such as

  • Emergency care
  • Hospitalization
  • Outpatient care
  • mental health and substance abuse services
  • Prescription drugs
  • Lab tests
  • Rehabilitation services
  • Preventive and wellness services
  • Children’s dental and vision care

Although the ACA requires that level of coverage, health insurance policies still vary in the following ways:

  • Copays for specialists, emergency treatment, and emergency room visits, as well as prescribed medications,
  • Premium costs
  • Deductibles
  • Coinsurance
  • Prescription drug benefits
  • Plan design
  • Provider networks

Here are some things to consider while shopping for health insurance during open enrollment.

Is there going to be a healthcare mandate in 2023?

State In California, Vermont, Massachusetts, Rhode Island, New Jersey, and the District of Columbia, residents are required to have health insurance.
Our recommendation Despite the lack of a federal mandate, having health care is a worthwhile cost-cutting measure. As many uninsured Americans are aware, the cost of a single emergency room visit can outweigh the annual cost of health insurance, and a lack of preventative treatment can have long-term effects.
Federal No, most states do not require individual insurance because the former mandate was eliminated by federal government regulations approved in 2017 & 2019.

What is the cost of insurance during open enrollment?

The total monthly cost of health insurance in 2022 will range between $313 and $678, depending on the amount of coverage. Rates for 2023 plans are expected to increase.

Those with low to moderate earnings, on the other hand, will be protected from the rate hike due to a subsidy scheme that adjusts health insurance costs as a proportion of income. A Bronze plan, for instance, costs an average of $30 monthly for someone earning $30,000 and $214 per month for someone earning $45,000.

These reductions, also known as health insurance tax credits or subsidies, are generally available in 2023 for persons earning one to four times the federal poverty threshold. Individuals earn between $13,590 and $54,360, while families earn between $27,750 and $111,000. 

Those making more may still be eligible for lower-cost insurance through the marketplace, depending on the ratio of health insurance expenditures to income. The Inflation Reduction Act, a significant government measure, has extended these benefits until 2025.

Health insurance enrollment period: Check out the health plan’s provider network

Examine the provider network of the coverage to ensure that your providers are included. Check to determine if the provider market has many specialists and other caregivers in your area. 

You don’t have to drive vast regions if you need to see other healthcare professionals. If a physician isn’t in your plan’s area, you may be required to pay more or bear the entire costs bill based on your health program.

Bronze and Silver plans in the ACA marketplace have cheaper insurance and high premiums, while Gold and Platinum plans have lower but higher deductibles. Related: Gold, Silver, Bronze, or Platinum Medical Insurance

health insurance enrollment period

Health insurance enrollment period: Cheap or Free health insurance in 2023

  • Even if open enrollment is not in effect, you can apply for Medicaid, the Children’s Program for Health Insurance (CHIP), or other low-income health coverage choices.
  • Because of expanded tax credits, most applicants will be able to obtain a policy for $10 or less per month in 2023.
  • Because of the American Rescue Plan, some people may be eligible for free medical insurance through the marketplace.

How to Maximize Open Enrollment Periods needs for the next year

You can’t always forecast your future medical demands, but you might know that you’ll need knee surgery within the following year for that definitely you have to have the best insurance for surgery

Perhaps you’re beginning a family or taking medicine that costs many dollars a month. All of these factors may have an impact on your health insurance premiums. 

The amount of health care you may require in the coming year may influence your plan. If you anticipate a good year with few healthcare difficulties, a high-deductible health plan (HDHP) may be the right choice for you in the future. 

However, if you are having a child or have health care demands, a program with higher premiums and a lower deductible may also be a preferable choice.

What other advantages and policies should you check during open enrollment?

When enrolling for healthcare insurance, it’s a good idea to think about different types of insurance that can be valuable to you. 

Vision Although vision coverage is not available through the marketplace, coverage can purchase directly from an insurance carrier. Another option to save money on vision treatment is through vision discount programs.
Dental A few marketplace health plans will cover adult dental insurance for care, and many will include kid dental care. Separate dental and medical insurance can also be purchased through the marketplace or directly from an insurer.
Life Experts recommend you take five to ten times your yearly earnings in term life insurance. However, we suggest calculating your liabilities and your family’s long-term financial needs to determine how much life insurance you require.
Employer programs The enrollment period for health insurance may also be when you need to sign up for any benefits packages offered by your employers, such as wellness programs, commuter discounts, or childcare programs.
FSA or HSA savings account You may be eligible to enroll depending on your circumstances, in a health savings account (HSA) or a flexible spending account (FSA). Situation the type of health insurance plan you select (FSA). These accounts allow you to save pre-tax money for medical expenses such as copayments for specialist appointments, deductibles, medications, and even vision and dental services.

Suppose you are so confused about where to begin. In that case, our blog post under newhealthinsurance.com for selecting the right insurance policy breaks down the policy and cost variables to assist you in choosing the best plan for your healthcare requirements.

FAQs:  

Why does health insurance have enrollment periods?

The annual Open Enrollment Period was established to avoid adverse selection, which occurs when sick individuals sign up for health insurance, and healthy ones do not. It significantly impacts the level of financial risk that medical insurance faces when insuring members.

Can I get health insurance outside of the enrollment period?

If you’ve experienced a qualifying life event, you may have a special enrollment chance to sign up for buying private coverage, and non-group coverage throughout the year other than during Open Enrollment.

When is the next enrollment period for health insurance?

In most states, the 2023 Open Enrollment Period (OEP) starts November 1, 2022, and concludes January 15, 2023.

Why is there an enrollment period for health insurance? 

The annual Open Enrollment Period was established to avoid adverse selection, which occurs when sick individuals sign up for health insurance, and healthy ones do not. It significantly impacts the level of financial risk that medical insurance faces when insuring members.

What is the open enrollment period for health insurance?  

The open enrollment period is when you can purchase health insurance or switch your benefits package for certain types of coverage

Can I get health insurance after the enrollment period?

To receive private health insurance after open enrollment in most of the United States, you must be eligible for a special enrollment period (SEP), which generally lasts 60 days after the date of a qualifying life event.

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