{"id":6713,"date":"2019-11-01T11:42:56","date_gmt":"2019-11-01T15:42:56","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=6713"},"modified":"2024-01-10T17:21:28","modified_gmt":"2024-01-10T22:21:28","slug":"aca-open-enrollment","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/aca-open-enrollment\/","title":{"rendered":"What you need to know about ACA open enrollment"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Each November is when you need to start thinking about your health insurance status and plan for any updates to your coverage. Whether you\u2019re considering health insurance as an individual or family, it\u2019s essential to be prepared for the Open Enrollment Period for coverage through the Affordable Care Act.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.healthcare.gov\/apply-and-enroll\/get-ready-to-apply\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">ACA <\/span><\/a><span style=\"font-weight: 400;\">Open Enrollment Period for 2025 health insurance plans runs in most states from Nov. 1, 2024, to Jan. 15, 2025. In some states, those periods may vary. <\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2>Fast facts about ACA open enrollment<\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td><span style=\"color: #ffffff;\"><b>Enrollment period<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Effective dates<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Considerations<\/b><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Open enrollment<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Nov. 1, 2024, to Jan. 15, 2025<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Changes take effect Jan. 1, 2025 when you enroll by Dec. 15, 2024<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Some states offer extended open enrollment periods. See the table below for more details. Note: If you are eligible for Medicare, you will enroll during a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/medicare-open-enrollment\/\"><span style=\"font-weight: 400;\">different enrollment period<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Special Enrollment Period<\/span><\/td>\n<td><span style=\"font-weight: 400;\">60 days following a qualifying life event<\/span><\/td>\n<td><span style=\"font-weight: 400;\">New coverage starts the day you apply for the plan. However, you won\u2019t be able to use the health benefits until your eligibility is confirmed and you\u2019ve paid your premium.<\/span><\/td>\n<td><span style=\"font-weight: 400;\">If you miss open enrollment and do not qualify for special enrollment, you can still apply for Medicaid, CHIP, or short-term health insurance.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">What is the Affordable Care Act (ACA)?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The Affordable Care Act (ACA), sometimes referred to as Obamacare, is a federal statute signed into law by the Obama administration. The law was designed to increase healthcare coverage for Americans, primarily by expanding Medicaid services and eligibility, creating state-based health plan marketplaces, and changing how insurance companies offer coverage for people with preexisting conditions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Implemented in 2010, core aspects of Obamacare are still in place. Health insurance marketplaces, sometimes called health insurance exchanges, still exist for people to use. However, in 2017 the law was amended by Congress during the Trump administration to remove the individual mandate\u2014the tax penalty for people choosing not to have health insurance.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That said, there are some states that enforce their own penalties for not having health insurance. Residents of New Jersey, the District of Columbia, California, Rhode Island, and Massachusetts can face tax penalties for not maintaining insurance.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/penalty-for-no-health-insurance\/\"><b>Is there a penalty for being uninsured?<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">How do I enroll?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">During the Open Enrollment Period, there are several ways to obtain coverage.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Visit <\/span><a href=\"https:\/\/www.healthcare.gov\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">healthcare.gov<\/span><\/a><span style=\"font-weight: 400;\">. You will either follow instructions to enroll on that site, or follow a link to your state\u2019s marketplace.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Call healthcare.gov for assistance enrolling at <\/span><a href=\"https:\/\/www.healthcare.gov\/contact-us\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">1-800-318-2596<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/localhelp.healthcare.gov\/#\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Find a local office<\/span><\/a><span style=\"font-weight: 400;\"> for help with your application.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Download, complete, and mail in an <\/span><a href=\"https:\/\/marketplace.cms.gov\/applications-and-forms\/individuals-and-families-forms\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">application form<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-get-health-insurance\/\"><b>How to get health insurance<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Who qualifies for open enrollment?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">To <\/span><a href=\"https:\/\/www.healthcare.gov\/quick-guide\/eligibility\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">obtain coverage<\/span><\/a><span style=\"font-weight: 400;\"> during the Open Enrollment Period, you must be a U.S. citizen (or have legal immigration status), live in the United States, and not be incarcerated.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Depending on your income level, you may be eligible for a <\/span><a href=\"https:\/\/obamacarefacts.com\/obamacare-subsidies\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">cost-sharing subsidy<\/span><\/a><span style=\"font-weight: 400;\">, which is designed to lower the cost of health coverage. Subsidy (or premium tax credit) eligibility is based on your income. The standard rule is that you have to earn at least 100% of the federal poverty level, but not more than 400% of the poverty level.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Qualifying income levels change each year due to inflation, and you will be able to check your eligibility on Nov. 1 through the ACA website, healthcare.gov.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">When is open enrollment?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Each year there is a window of time when you can enroll in an ACA plan. This period is called the annual Open Enrollment Period.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Open Enrollment Period (OEP) for coverage starting Jan. 1, 2025 runs from Nov. 1, 2024, to Jan. 15, 2025 (enroll by Dec. 15, 2024, for Jan. 1, 2025 coverage).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some states offer extended open enrollment periods. Below is a table that details their specific open enrollment deadlines. This changes year-to-year, so be sure to double check with your state to see if enrollment periods have been expanded.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><strong><span class=\"title\">Open enrollment extensions by state<\/span><\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>States<\/b><\/td>\n<td><b>Open Enrollment Dates for 2025<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">California<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 31, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Colorado<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 15, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Connecticut<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 15, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Massachusetts<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 23, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Minnesota<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 15, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Nevada<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 15, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">New Jersey<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 31, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">New York<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 31, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Pennsylvania<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 15, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Rhode Island<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 31, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Washington<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 15, 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Washington DC<\/span><\/td>\n<td><span style=\"font-weight: 400;\">November 1, 2024 \u2013 January 31, 2025<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">Can you sign up for health insurance after open enrollment?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">You may be wondering what happens if you do not apply for a healthcare plan during the OEP. For the majority of people, if you miss the window, you may have to go without health insurance coverage until the following year.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, there are Special Enrollment Periods (SEPs). SEPs are a time outside the regular enrollment period when some individuals can apply for health coverage. You may be eligible for an SEP if you experienced a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/qualifying-life-event-for-health-insurance\/\"><span style=\"font-weight: 400;\">qualifying life event (QLE)<\/span><\/a><span style=\"font-weight: 400;\"> that prevented you from getting a healthcare plan by the enrollment deadline.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s worth noting that anyone can apply for Medicaid or the Children\u2019s Health Insurance Program (CHIP) at any time throughout the year. If you require temporary coverage\u2014for example, if you\u2019re in between jobs\u2014you may be eligible for a short-term limited duration insurance plan.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/missing-open-enrollment\/\"><b>How to get health insurance after open enrollment ends<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">How does the ACA affect my prescription medications?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you choose to purchase health insurance during the Open Enrollment Period, you\u2019ll quickly notice that not all insurance plans are created equal. How much and what medications are covered can vary significantly between plans.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That\u2019s why at SingleCare, whether you <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/can-i-use-singlecare-and-medicare\/\"><span style=\"font-weight: 400;\">have insurance or not<\/span><\/a><span style=\"font-weight: 400;\">, you can benefit from our savings card. Show it at the pharmacy where you purchase your medications, and the staff will be able to determine which is the most affordable health insurance option and the most cost-effective for you\u2014your insurance price, or the SingleCare price.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-save-on-healthcare-costs\/\"><b>10 ways to save on healthcare costs<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Given that nearly <\/span><a href=\"https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2022\/sep\/state-us-health-insurance-2022-biennial-survey\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">43%<\/span><\/a><span style=\"font-weight: 400;\"> of American adults are inadequately insured, you\u2019re not alone if you\u2019re looking for ways to decrease the price of your medication. SingleCare can help you save up to 80% on your prescriptions, even if you have no health insurance. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-singlecare\/\"><span style=\"font-weight: 400;\">Click here<\/span><\/a><span style=\"font-weight: 400;\"> to learn more and start saving on your next refill with our free savings card.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/no-health-insurance\/\"><b>No health insurance? Try these resources<\/b><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Each November is when you need to start thinking about your health insurance status and plan for any updates to your coverage. Whether you\u2019re considering health insurance as an individual or family, it\u2019s essential to be prepared for the Open Enrollment Period for coverage through the Affordable Care Act.\u00a0 The ACA Open Enrollment Period for [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":62508,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[5,608,11278],"coauthors":[8869],"class_list":["post-6713","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-company","tag-affordable-care-act","tag-health-insurance","tag-singlecare-for-seniors","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>When is ACA open enrollment 2025?<\/title>\n<meta name=\"description\" content=\"The 2025 ACA Open Enrollment Period is Nov. 1, 2024, to Jan. 15, 2025, in most states. Learn the open enrollment deadline for your state and how to enroll.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/aca-open-enrollment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Your guide to 2025 ACA open enrollment\" \/>\n<meta property=\"og:description\" content=\"Here\u2019s what you should know about your new health insurance options\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/aca-open-enrollment\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2019-11-01T15:42:56+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-01-10T22:21:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/01\/Blog_110822_ACA_open_enrollment_2023_health_plans-1884x1060-copy.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1884\" \/>\n\t<meta property=\"og:image:height\" content=\"1060\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Janice Rodden\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Your guide to 2025 ACA open enrollment\" \/>\n<meta name=\"twitter:description\" content=\"Here\u2019s what you should know about your new health insurance options\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Janice Rodden\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/aca-open-enrollment\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/aca-open-enrollment\\\/\"},\"author\":{\"name\":\"Janice Rodden\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/169a1d8c8b88282cc3b792a394fc3575\"},\"headline\":\"What you need to know about ACA open enrollment\",\"datePublished\":\"2019-11-01T15:42:56+00:00\",\"dateModified\":\"2024-01-10T22:21:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/aca-open-enrollment\\\/\"},\"wordCount\":1022,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/aca-open-enrollment\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/01\\\/Blog_110822_ACA_open_enrollment_2023_health_plans-1884x1060-copy.webp\",\"keywords\":[\"Affordable Care Act\",\"Health insurance\",\"SingleCare for Seniors\"],\"articleSection\":[\"Company\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/aca-open-enrollment\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/aca-open-enrollment\\\/\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/aca-open-enrollment\\\/\",\"name\":\"When is ACA open enrollment 2025?\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/aca-open-enrollment\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/aca-open-enrollment\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/01\\\/Blog_110822_ACA_open_enrollment_2023_health_plans-1884x1060-copy.webp\",\"datePublished\":\"2019-11-01T15:42:56+00:00\",\"dateModified\":\"2024-01-10T22:21:28+00:00\",\"description\":\"The 2025 ACA Open Enrollment Period is Nov. 1, 2024, to Jan. 15, 2025, in most states. 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