This summer, take advantage of the free preventive services available with your Marketplace health plan. These services can prevent health problems or detect them at an early stage when treatment is likely to work best.
Covered preventive services include:
Screenings for things like cancer, depression, blood pressure, cholesterol, and tobacco use
Immunizations, like the flu shot and Tetanus vaccine
Patient counseling for alcohol misuse, tobacco use, and diet
Note: Services are free only when delivered by a doctor or other provider in your plan’s network.
If you're enrolled in a Marketplace plan and have changes to your income or household, you should update your application with income and household changes as soon as possible. See the full list of changes you should report.
Why it’s important to report changes
Changes — like higher or lower income, adding or losing household members, or getting offers of other health coverage — may affect the coverage or savings you’re eligible for.
Some changes will qualify you for a Special Enrollment Period, allowing you to change your plan.
If you don’t update your household or income, you may miss out on additional savings or pay money back when you file your taxes.
You may qualify for a Special Enrollment Period if you or anyone in your household lost qualifying health coverage in the past 60 days (or expects to lose coverage in the next 60 days). This means you may be able to enroll in Marketplace health insurance for the rest of 2018.
Coverage losses that make you eligible
If you lost or will lose coverage from any of these sources, you may be eligible to apply through a Special Enrollment Period:
Individual health coverage for a plan or policy you bought yourself
Medicaid or the Children's Health Insurance Program (CHIP)
Coverage through a family member’s plan
Note: If you voluntarily dropped your coverage, you won’t qualify for a Special Enrollment Period.
How to apply with a Special Enrollment Period
Pick a plan and then submit documents to the Marketplace showing the lost coverage and the date it ends. You have 60 days after the date your coverage ended to pick a plan (or 60 days before the date your coverage will end if you’ll lose coverage in the future). You must submit your documents within 30 days of picking a plan.
If you’re new to HealthCare.gov, create an account to fill out an application, pick a plan, and submit your documents.
If you already have an account, log in to update your existing application, pick a plan, and submit documents.
Get more information on Special Enrollment Periods
Losing health insurance isn’t the only life event that qualifies you to enroll in or change plans outside Open Enrollment.
For quick answers to your health coverage questions — including managing your health coverage, finding forms and documents, or understanding costs and savings — visit the Get Answers page. You can also get information on completing your enrollment, finding plans and prices, and getting coverage.
3 common questions answered
Can I get 2018 coverage outside Open Enrollment? You can enroll in or change a Health Insurance Marketplace plan only if you have a life event that qualifies you for a Special Enrollment Period.
If you or anyone in your household had a baby or adopted a child within the past 60 days, you may qualify for a Special Enrollment Period. This means you may be able to enroll in or change Marketplace health insurance for the rest of 2018.
How to apply with a Special Enrollment Period
If you’re new to HealthCare.gov, create an account to fill out an application for the first time.
If you already have an account, log in to update your existing application with your household change.
When you enroll in or change plans with a Special Enrollment Period, your new health coverage can start the day your baby is born — even if you enroll in the plan up to 60 days afterward.
More on Special Enrollment Periods
Having a baby isn’t the only life event that qualifies you to enroll in or change plans outside Open Enrollment.
This summer, put your health and well-being first. Take advantage of the free preventive services offered by your Marketplace plan and take steps to live a healthy lifestyle.
3 ways to be proactive with your health
Get the preventive services that are right for you. Most health plans cover a set of preventive services — like shots and screening tests — at no cost to you. (Note: These services are free only when delivered by a doctor or other provider in your plan’s network.)
Make healthy changes to your eating habits. Swapping soda for water and adding fruits and vegetables to your meals can make a big difference. Visit www.choosemyplate.gov for information on how to eat the right amount of different types of food.
Talk to your doctor about being more active. Whether it’s going on a jog, taking your dog for a walk, or working in your garden, there are a lot of ways to incorporate activity into your life on a regular basis. Regular physical activity increases your chances of living a longer, healthier life.
Having health insurance and getting good health care are important, but there’s no substitute for a healthy lifestyle.
When you move to a new state, you can’t keep a health insurance plan from your old state. To make sure you stay covered, report your move to the Marketplace as soon as possible. This way you can enroll in a new plan and avoid paying for coverage you won’t be able to use in your new state.
How to report a move to a new state
When you move to a new state, your coverage options will change. You may no longer be eligible for your current plan.
New plans, prices, and savings may be available to you.
To get coverage in your new state, you’ll need to start a new Marketplace application or apply through your new state’s website (if your new state runs its own Marketplace).
Now that you've found a doctor you trust, there are several steps you can take to maintain your good health.
4 steps to take after your appointment
Follow any instructions, and fill any prescriptions you were given. Health plans will help pay the cost of certain prescription medications. Call your insurance company or visit their website to see what prescriptions are covered and which pharmacies you can use.
Schedule a follow-up visit, if you need one. Write down the appointment where you’ll remember it.
Review your Explanation of Benefits, and pay your medical bills. After your visit, you may get an Explanation of Benefits in the mail from your insurance company. This is an overview of the total charges for your visit and how much you and your health plan will have to pay. Be sure to pay your bills on time, and keep any paperwork.
Contact your doctor or health plan with any questions. If you have concerns between visits, call your doctor’s office. They can help answer questions you have about your health.