ACA Health Insurance: Navigating Marketplace Changes When Moving

Moving to a new state can bring about many changes, including adjustments to your health insurance coverage. If you’re enrolled in an ACA (Affordable Care Act) marketplace plan, it’s essential to understand the steps you need to take when relocating. Let’s explore the case of someone who recently moved from Florida to New York.

ACA Marketplace Coverage and Moving

The ACA marketplace is a federally facilitated platform where individuals and families can purchase health insurance plans. When you move to a new state, you must enroll in the marketplace for that state. This is because each state has its own exchange and network of participating insurers.

Step 1: Sign Up for New State Marketplace Plan

The first step is to sign up for a new ACA marketplace plan in your new state. You can do this by visiting the state’s marketplace website or calling a licensed insurance agent. Make sure to provide accurate information about your current health coverage and income.

Step 2: Cancel Previous Marketplace Plan

Once you’ve verified coverage in your new plan, you should cancel your previous marketplace plan. This can typically be done online or by contacting the previous insurance carrier. Note that cancellation takes effect at the end of the current or future month, so it’s important to initiate the cancellation process promptly.

Step 3: Update Your Information

Inform your previous insurance carrier about your change of address and phone number. This will ensure you receive important correspondence and updates regarding your canceled plan.

Step 4: Grace Period for Enrollment

If you fail to enroll in a new marketplace plan within 60 days of moving, you may experience a gap in coverage and incur penalties. However, there are certain life events, such as moving, that qualify for a special enrollment period. This allows you to enroll in a plan outside the typical open enrollment period.

Additional Considerations

You may need to pay a prorated premium for the coverage you received in your previous state from the start of your move date to the date you terminate your coverage.
If you enrolled in Medicaid or CHIP in your previous state, you must disenroll before enrolling in a new state’s program.
Consider your financial assistance eligibility in your new state, as income and eligibility requirements may differ.

Seek Professional Help

Navigating ACA marketplace changes when moving can be complex. It’s highly recommended to consult with a licensed insurance agent who can guide you through the process and ensure a smooth transition to your new coverage.

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