Get Affordable ACA Coverage After a Medical Emergency: A Guide for Floridians

As Americans, we can all face emergency medical situations that can leave us with unexpected medical expenses. Unfortunately, not all of us have the security of job-based health insurance, which is where the Affordable Care Act (ACA) marketplace insurance comes in.

If you’re a Florida resident who recently experienced a medical emergency and need health insurance coverage, there are options available to you. ACA marketplace insurance may still be an option, even if you missed the traditional enrollment period.

Can I enroll in ACA Marketplace insurance retroactively?

In most cases, no. The ACA marketplace has specific enrollment periods. For coverage starting in 2024, open enrollment ran from November 1, 2023, to January 15, 2024. However, there are exceptions to this rule.

Qualifying Life Events

One of the exceptions to the enrollment period rules is a qualifying life event. A qualifying life event is a significant change in your life circumstances that allows you to enroll in ACA marketplace insurance outside the open enrollment period.

One common qualifying life event is loss of health insurance coverage. If you lose your job-based health insurance, you have 60 days to enroll in ACA marketplace insurance.

Other qualifying life events include:

– Marriage
– Divorce
– Adoption of a child
– Change in income
– Change in household size

What if I have a medical emergency?

If you have a medical emergency and need immediate coverage, you may have options other than ACA marketplace insurance. One option is to apply for Medicaid. Medicaid is a government program that provides health insurance to low-income individuals. To be eligible for Medicaid in Florida, you must meet certain income and residency requirements.

Another option is to enroll in COBRA. COBRA is a federal law that allows you to continue your employer-sponsored health insurance coverage for up to 18 months after you lose your job. However, COBRA can be expensive, so it’s important to compare your options carefully.

Seeking Help from a Licensed Agent

Navigating the ACA marketplace and understanding your options can be complex. If you’re not sure where to start, it’s advisable to seek help from a licensed agent. Licensed agents can help you compare plans, enroll in coverage, and answer any questions you may have.

Remember, getting health insurance after a medical emergency is possible, even if you missed the traditional enrollment period. Explore your options, consider qualifying life events, and don’t hesitate to seek professional assistance from a licensed agent.