How to Sign Up For Health Insurance Under the Affordable Care Act During the 2018 – 2019 Open Enrollment Season under President Trump
TIP: ObamaCare, TrumpCare, and Affordable Care Act are all essentially names for the same thing. In all cases getting covered in a given year means using “the Health Insurance system in the United States under the current rules.” With that in mind, this is what you need to know for 2019, under President Trump, with all the new changes in place.
Key Dates For Open Enrollment 2019
To sign up for TrumpCare you must choose whether you want short term coverage or comprehensive coverage that qualifies for cost assistance based on income.
There is no enrollment period for short term, however comprehensive coverage that qualifies for cost assistance based on income must be purchased during open enrollment.
Below are key enrollment dates about open enrollment 2019 (the enrollment period for 2019 coverage).
- November 1, 2018. Open Enrollment begins.
- December 15, 2018: Open Enrollment ends (extensions may be granted).
- January 1, 2019: The earliest a plan purchased during open enrollment can start.
TIP: In most states there is no fee for not having health coverage, however in a few states there is. Make sure you understand your state rules before going without health coverage in 2019. See states with an individual mandate and fee.
Should I sign up For TrumpCare?
Here are just a handful of reasons why we feel confident about the 2018 – 2019 open enrollment season, and why enrolling in an health plan should be easier than it has been in the past.
- More Insurance Carriers Are Expanding Their Footprint – Including Oscar and BrightHealth.
- The Enrollment Process Will Now Include A Seamless Enrollment Solution Through Approved Web Brokers
- The ACA (Obamacare) Has Never Been More Popular With Americans; but Trump has done some things to help make health insurance more attractive
- Despite Government Funding Cuts, Insurance Carriers Are Reconfiguring Their Plans and Adapting To Make Subsidized Plans Accessible
- In The Event You Don’t Qualify For A Subsidy And Can’t Afford A Plan, There Are Now Some Alternatives, That While Not Up To The ACA’s Standards, Are Decent Alternatives If You Have No Other Options
Do I Need to Sign Up For Trump?
The fee for not getting covered for 2019 forward has been reduced to zero in most states, thanks Trump! Therefore, you won’t owe a fee for not getting covered in states without a state-based mandate. However, if you miss open enrollment you won’t be able to get comprehensive coverage that qualifies for cost assistance without qualifying for special enrollment until open enrollment 2020.
Below is some important information about signing up for TrumpCare during the 2018 – 2019 enrollment season.
- 2018 – 2019 Open Enrollment season starts November 1st, 2018 and ends December 15th, 2018.
- If you are between enrollment periods and have lost coverage for reasons other than non-payment, or if you have a qualify life event, like getting married, you may qualify for special enrollment.
- If you don’t qualify for special enrollment, don’t have coverage, and are in-between enrollment periods then options are generally limited to short term health insurance, Medicaid, and CHIP. Unlike in previous years, short term health insurance plans, while inferior to ACA plans, have greatly improved thanks to some of the larger carriers bringing forward plans that make some attempt at being more robust long term solutions. Short term plans from United Healthcare and National General are two examples. One piece of advice regarding short term plans, avoid smaller companies with limited information and track records.
If You Have Questions, Ask For Help From A Licensed Health Insurance Professional
Open enrollment is the only time of year that individuals and families can obtain health insurance that meets the Minimum Essential Coverage requirements that qualifies for cost assistance. These are plans that can not reject an individual if they have a pre-existing condition.
With that said, each health insurance type has its own enrollment period. Coverage options outside of open enrollment include qualifying for a Special Enrollment Period, Medicaid, and CHIP. If you don’t have access to these, consider your Short Term Health Insurance options.
Renewing, Enrolling, Or Just Avoiding Headaches – Oh My!
Make sure to enroll, switch plans, and verify your cost assistance each year by December 15th for a plan starting Jan 1st. Your plan and cost assistance may or may not auto-renew on the 1st of the year. This year is a critical one, to safely, and we stress safely, explore your options. President Trump has fixed some regulations put in place by the Obama administration regarding short term health plans. One benefit of Trump’s deregulation of short term plans, is that consumers will now have access to plans with lower out-of-pocket expenses (deductibles) for a 12 month period, unlike under the Obama era regulation. Under Obama, short term plans were limited to 3 months.
Even if you miss the deadline to get covered by Jan 1st, make sure to verify information, change plans, and enroll before the end of open enrollment.
Should I Use the Health Insurance Marketplace?
There are lots of ways to sign up for health insurance this year, including using an approved web broker who can help you avoid the, sometimes clunky government exchange website. While some non-marketplace options can help you find a marketplace plan, we always suggest making your state’s marketplace or Healthcare.Gov your first stop.
Options For Getting Covered Under Trump
The Affordable Care Act actually didn’t eliminate private insurance – it just opened up more options for obtaining it. If you qualify for a subsidy, you can gain access to cheaper coverage through the Healthcare.gov, or your states exchange, or through a trusted private marketplace that has access to TrumpCare plans. Our trusted partner HealthNetwork helps you avoid the hassles of the government exchange, while also giving you access to the widest range of plans available. They also operate with a very ethical and transparent model, and this means that you don’t have to worry about them reselling your information or harassing you over the phone.
Medicaid / CHIP, Medicare, and Employer Coverage
If you make less than 138% of the Federal Poverty Level (FPL) and your state expanded Medicaid, you may qualify for Medicaid. CHIP has more eligibility options and is offered to children and parents. Medicaid and CHIP are offered 365 days a year.
If you qualify for Medicare you can’t sign up for TrumpCare or any other non-Medicare coverage, so you may want to look at supplemental Medicare options during Medicare’s open enrollment periods if original Medicare isn’t enough.
If you are offered coverage through an employer, you’ll most likely want to go that route, as you won’t likely be eligible for cost assistance on the Marketplace.
Remember each insurance type has its open enrollment period – don’t confuse the enrollment period for private coverage for individuals and families with Medicaid, CHIP, Medicare, or Employer enrollment periods.
What You Need To Sign Up For TrumpCare
Make sure you have the following information ready to go before starting your process for enrollment.
- Last year’s tax information for you and your family
- Projected incomes for this year
- Medical history – TrumpCare does away with pre-existing conditions and gender discrimination, so these factors will no longer affect the cost of your insurance. Smoking, weight, and age still affect cost.
- Social Security Numbers (or document numbers for legal immigrants)
- Employer and income information for every member of your household who needs coverage (for example, from pay stubs or W-2 forms—Wage and Tax Statements)
- Policy numbers for any current health insurance plans covering members of your household.
- Any other important information that could affect your health insurance premium or coverage options.
How to Sign Up For TrumpCare
Obviously, you can use your State’s health insurance marketplace to sign up for private insurance, get access to subsidies, or apply for Medicaid or CHIP, but there are five ways to sign up including the Healthcare.gov website.
- Enroll through a verified and trusted web-broker who works with CMS and Each State Exchange.
- Your State’s marketplace website.
- Get in-person help. You can find in-person help by going to LocalHelp.Healthcare.gov. Please note however that for the 2018 – 2019 season, there will be far less telephonic support for Healthcare.gov because of budget cuts by the Trump administration.
- Call the 24/7-marketplace helpline 1-800-318-2596.
- Mail in a paper application.
How to Enroll in a Health Insurance Marketplace Plan
Here are the official directions for enrolling in a marketplace plan through Healthcare.Gov. Remember signing up is only step one – you still need to choose a plan and make your first payment for your coverage to begin officially. State-based marketplaces have very similar sign-up and enrollment processes. The directions below are specifically for States running a federal-based marketplace (i.e. States using Healthcare.Gov as their marketplace).
- Set up an account. First, you need to provide some basic information. Then choose a username, password, and security questions for added protection.
- Fill out the online application. You must provide information about you and your family including income, household size, current health coverage information, and more. This will help the Marketplace find options that meet your needs. Important: If your household files more than one tax return, call the Marketplace Call Center at 1-800-318-2596 before you start an application. (TTY: 1-855-889-4325) This is a very important step. Please don’t skip it. Representatives can provide directions to make sure your application is processed correctly.
- Compare your options. You’ll be able to see all the options you qualify for, including private insurance plans and free and low-cost coverage through Medicaid and the Children’s Health Insurance Program (CHIP). The Marketplace will tell you if you qualify for lower costs on your monthly premiums and out-of-pocket costs on deductibles, copayments, and coinsurance. You will see details on costs and benefits to help you choose a plan that’s right for you.
- Enroll. After you choose a plan, you can enroll online and decide how you pay your premiums to your insurance company. If you or members of your family qualify for Medicaid or CHIP, a representative will contact you to enroll. If you have any questions, there’s plenty of live and online help along the way.
For more details on signing up, you can check out our health insurance marketplace guide or find your State’s health insurance marketplace now to get started.
Who Is Eligible For TrumpCare Enrollment?
Any legal citizen, who does not qualify for Medicare, and who wants to purchase private insurance, is eligible for the marketplace. However, not everyone is eligible for subsidies. You can also sign up for Medicaid or CHIP through the marketplace. If you have employer-based coverage, you’ll sign up through work. If you qualify for Medicare, you must sign up for Medicare separately.
Medicaid Enrollment and CHIP Enrollment
You can enroll in Medicaid or CHIP 365 days a year! Medicaid coverage can start retroactively up to three months. If you want to make life easy and sign up for Medicaid or CHIP through the marketplace, you’ll have to sign up during open enrollment. If you miss open enrollment in the marketplace, you have other Medicaid sign up options.
Medicare isn’t part of the health insurance marketplace, if you would like to sign up for Original Medicare or supplemental Medicare, please see our page on Medicare Enrollment to learn how to sign up for Original Medicare, Medicare Advantage, Part D, and Medigap.
When Can I Sign Up For TrumpCare?
You must sign up for TrumpCare during open enrollment. If you missed open enrollment, you would not be able to get private insurance inside or outside of the marketplace unless you qualify for a special enrollment period.
TrumpCare Special Enrollment Period
A special enrollment period is a time outside of the open enrollment period when you and your family can sign up for health insurance in the health insurance marketplace. You may qualify for a special enrollment period of 60 days following certain life events that involve a change in family status (for example, marriage or birth of a child) or loss of other health coverage.
If you don’t have a special enrollment period, you can’t buy insurance inside or outside the Marketplace until the next open enrollment period.
Get Help Signing Up For Health Insurance
There are several ways to get help signing up for health insurance. We suggest the following methods unless you qualify for insurance through work, Medicare, TRICARE, or another type of non-private health insurance:
1. You can go directly to your state’s marketplace website and sign up. State marketplaces offer free help over the phone and in-person help for signing up. Details will be found below. Plans are limited to those sold on the marketplace in your area. If you think you qualify for Medicaid, please see our Medicaid page for more details. If you know you are eligible for cost assistance or Medicaid, this is a great option.
2. Go directly to a provider. You will see top providers listed on our site. You can sign up directly with a provider. Any provider will be able to sign you up for plans they sell in your state whether the plans are on or off the marketplace. If you know what plan you want or what provider you want to use, this is a great option.
3. Use a health insurance broker or agent. A broker or agent can help you sign up for the marketplaces and help you see if you qualify for cost assistance either online, in-person, or on the phone. Brokers and agents also have access to different plans from different providers – both inside and outside the marketplace. Brokers are paid by the insurance companies, so you won’t pay more by using this service. This is a great option if you aren’t sure if you qualify for cost assistance, or if you know that you don’t.
All providers and brokers listed on our site can help you to see if you qualify for cost assistance subsidies via your state’s marketplace. However, if you choose a plan that’s not offered on the marketplace, you won’t be able to get cost assistance. All plans sold on and off the marketplace are regulated, so you won’t pay more or less (barring cost assistance) no matter how you shop.
BOTTOMLINE: Get covered at HealthCare.Gov during open enrollment.
- Dates and deadlines for 2018 & 2019 health insurance. HealthCare.Gov.