When is Open Enrollment for ObamaCare, Medicaid, Medicare and Other Insurance Types?

Open enrollment is the annual period in which shoppers can enrollswitch plans, and get subsidies on health plans. If you don’t shop during open enrollment, you’ll have limited options outside of special enrollmentMedicaid / CHIP, or paying the fee each year.

In general, open enrollment 2018 started November 1, 2017 and ends December 15, 2017. However, open enrollment has been extend to January 2018 in some states. See state-specific dates below.

NOTE: This page focuses on open enrollment in health insurance under the Affordable Care Act. That means it focuses on Medicaid and CHIP (which can be enrolled in 365 days a year), and on enrollment for private market individual and family plans that qualify for cost assistance based on income and other factors (which must be enrolled in during each year’s annual open enrollment period). Information on other enrollment periods (like Medicare enrollment periods and employer open enrollment periods) is offered below.

ObamaCare Open Enrollment 2018: Getting Covered For 2018

For those looking to obtain private market individual and family plans for 2018 (either through a private insurer directly or through the federal and state marketplaces):

  • For 2017 coverage, January 31st, 2017 was your last chance to get covered at Healthcare.Gov (the official health insurance marketplace AKA health insurance exchange) without qualifying for Special Enrollment.
  • ObamaCare’s 2018 Open Enrollment period started November 1, 2017 and ends December 15, 2017 (except in states that extended the deadline until January 2018).
  • All individual and family plans must be obtained during open enrollment whether the official marketplace is used or not! Those who don’t enroll during open enrollment will find their options limited.
  • If you are between enrollment periods and have lost coverage for reasons other than non-payment, or if you have a life change 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.

Below we will cover open enrollment dates for each health insurance type, information about past open enrollment periods, and some tips and tricks for making the most out of open enrollment. We also cover getting health insurance outside of open enrollment via special enrollment, and tips for avoiding the fee for not maintaining health insurance.

UPDATE: New regulations by the Trump Administration cut open enrollment in half. Enrollment for 2018 was supposed to extend to Jan. 31, 2018, it will now end on December 15th, 2017 in most states. The deadline has been extended in the past, but shoppers should not expect a deadline and should make sure they are signed up and enrolled in a health plan no later than December 15th.

State Specific Deadlines for 2018 Open Enrollment

State Specific deadlines for open enrollment 2018:[1][2]

  • Connecticut (Nov 1, 2017 – Dec. 22, 2017)
  • Colorado (Nov 1, 2017 – Jan. 12, 2018)
  • Maryland (Nov 1, 2017 – Dec. 22, 2017)
  • New York (Nov 1, 2017 – Jan. 31, 2018)
  • Massachusetts (Nov 1, 2017 – Jan. 23, 2018)
  • Washington (Nov. 1, 2017 – Jan 15, 2018)
  • California (Nov 1, 2017 – Jan. 12, 2018)
  • Minnesota (Nov 1, 2017 – Jan. 14, 2018)
  • Connecticut (Nov 1, 2017 – Jan. 31, 2018)
  • District of Columbia (Nov.1, 2017 – Jan. 31, 2018)
  • Rhode Island (Nov 1, 2017 – Dec. 31, 2017)
  • *Flordia, Georgia, Louisiana, Texas, and those effected by Hurricane Harvey are eligible for an extension until Dec. 31, 2017.

Idaho and Vermont were legally permitted to extend open enrollment. However, we did not hear any updates on those states.

TIP: To avoid the fee you must be enrolled in a health plan that qualifies as minimum essential coverage. All Marketplace plans will protect you from the fee, so will all major medical plans obtained outside the marketplace. Medicare plans with Medicare Part A coverage, Medicare Advantage plans, Major Medical Employer plans, TRICARE, Medicaid/CHIP plans, and more also qualify. In general, if its not limited benefit coverage, like short term health insurance, you will be considered covered for the purposes of the law.

ObamaCare Annual Open Enrollment Dates and General Information

Different health insurance types have different enrollment dates, and enrollment dates are subject to change each year.

With those basics in mind, below are a list of ObamaCare open enrollment dates moving forward.

TIP: When in doubt, contact Healthcare.Gov.

  • Open Enrollment 2017 (enrollment for 2017 health coverage) started Nov 1, 2016, and ended on Jan 31, 2017.
  • For 2018 coverage, open enrollment for 2018 will run from November 1, 2017 – December 15, 2017.
  • For coverage in 2019 and beyond, open enrollment will begin on November 1st and end on December 15th of the preceding year (for example, open enrollment 2019 is slated to start November 1st, 2018 and end December 15th, 2018). See CMS for official information (all dates are subject to change).
  • ObamaCare enrollment dates are subject to change each year, and differ by insurance type. Find out what to do if you miss the deadline.

TIPObamaCare Open enrollment 2016 ran from Nov 1, 2015 to Jan 31, 2016. See information below for more information on open enrollment in general and past open enrollment periods.

Medicaid, CHIP, Medicare, Employer, and COBRA Annual Open Enrollment Dates and General Information

Now that you have those basics down, here is a list of key enrollment dates for Short term, Medicaid, CHIP, Medicare, Employer Coverage, COBRA, etc. We’ll cover these in detail below.

TIP: When in doubt contact the entity responsible for the coverage type, for Medicaid and CHIP, contact your state Medicaid department, for Medicare, see Medicare.gov, for employer coverage, contact your employer, etc.

  • Medicaid and CHIP can be enrolled in 365 days a year.
  • Short term health insurance is also 365 days a year, but unlike the other coverage noted here short term does not protect you from the fee, does not follow all the ACA’s rules, and is not an annual contract. Learn more about short term (the only type of health insurance on this list that doesn’t count as “minimum essential coverage“).
  • Medicare has two annual enrollment periods, one annual disenrollment period, and one initial enrollment period. Each period has unique rules, so make sure you understand all the implications of enrolling, not enrolling, or changing plans. You can enroll in Part A, B, or D (either directly or via a Part C plan AKA an Advantage Plan) during your Initial Enrollment period which is the 7 months surrounding your 65th birthday. General enrollment for Part A and B is Jan 1st – Mar 31 each year. The Annual Election Period (to opt-in, change, or opt-out of Part C and D) is Oct 15 – Dec 7, and the Special Disenrollment Period (to switch from Part C to A, B, and/or D, to Enroll in Part D, or to disenroll in C or D) is Jan 1st – Feb 14. There is more to it than that, so see: Medicare Enrollment Dates. TIP: For Medicare, you must have Part A or Part C Advantage (which contains Part A)  to avoid the fee for not having health insurance.
  • Employer coverage also has annual enrollment dates and an initial enrollment peroid. If you are hired at full-time and your employer offers coverage you’ll have to confirm your coverage, and then you’ll have up to a 90 day waiting period (from your start date) before your coverage starts (this will be coordinated by your employer). If you become full-time after that initial period, or if you switch to part-time, then things get complex; see measurement periods.
  • For COBRA, if you are entitled to elect COBRA continuation coverage, you must be given an election period of at least 60 days (starting on the later of the date you are furnished the election notice or the date you would lose coverage). You can generally choose between COBRA or special enrollment, but must do so ASAP. Learn more about COBRA.

TIP: Other health insurance types include TRICARE (and other types of federal employee coverage) and VA coverage. Learn more about TRICARE enrollment. learn more about VA enrollment.

What is Open Enrollment?

Open enrollment is the only time of year you can apply for cost assistance, switch plans, or enroll in a major medical plan that counts as minimum essential coverage in the individual and family market without qualifying for a special enrollment period. This is true both inside and outside the health insurance marketplace.

Other health insurance types like employer coverage, Medicare, Medicaid, and CHIP have unique enrollment periods, which can be found below.

Each year the exact open enrollment dates may change. Last year open enrollment started November 15, 2014 and ended February 15, 2015. Find out what to do if you missed the deadline.
There was a one-time extended enrollment period for a tax season 2015.This was For 2015 only. If you were confused about open enrollment, and owed the fee from 2014, you qualified to get Marketplace coverage until April 30th (in most states).

Open Enrollment Dates and Other Key Facts

Each year there is an annual open enrollment period for the Health Insurance Marketplace and all other private coverage for individuals and families.

  • For 2014 coverage, the open enrollment period was October 1st, 2013 – March 31st, 2014
  • Open enrollment for 2015 ran from November 15th, 2014 – February 15th, 2015.
  • Open Enrollment for 2016 ran from November 1st, 2015 – January 31, 2016.
  • Open Enrollment for 2017 ran from November 1, 2016 – January 31, 2017.
  • Moving forward, open enrollment dates are expected to go from November 1st – December 15th (this is subject to change; it was at one point supposed to start October 1st, so make sure to pay attention each year).
  • Open enrollment is the only time that you can enroll in a plan; change plans, or apply for cost assistance unless you qualify for a special enrollment period. All Private Health Plans share the Health Insurance Marketplace’s open enrollment period; other types of plans like employer based coverage, Medicaid, and Medicare have unique enrollment periods.
  • The only way to get subsidized insurance is by enrolling in the health insurance marketplace.
  • The only way to avoid the per month fee for not having insurance is to obtain minimum essential coverage and maintain it throughout the year or to qualify for an exemption.  All marketplace coverage counts as minimum essential coverage.
  • Make sure to verify your plan and cost assistance each year to avoid auto-renewal mistakes and make sure you get the right cost assistance. Not all plans auto-renew. You MUST verify your renewal or get new coverage during open enrollment!
  • To avoid the fee moving you’ll need to maintain coverage or an exemption for each month throughout the year, although you are allowed grace period of less than three months in a row without coverage.
  • If you miss the deadline to sign up for health insurance you may still have options.
  • You can apply for special enrollment until open enrollment starts each year, so don’t hesitate to contact your health insurance marketplace outside open enrollment if you have lost coverage for any reason.
  • Healthcare.gov is the official Health Insurance Marketplace.

There are many different types of Health Insurance that count as minimum essential coverage and each has it’s own unique enrollment period. Let’s review the open enrollment periods for ObamaCare’s health insurance marketplace, Medicare, Medicaid and CHIP, job based coverage, and off-marketplace private insurance plans.

ObamaCare Open Enrollment Period Definition

ObamaCare’s open enrollment period is an annual period of time during which you can enroll in a plan inside or Outside The Marketplace, switch plans, get cost assistance, and apply for Medicaid through the marketplace.

The only way to get major medical insurance known as minimum essential coverage (the type of coverage you’ll need to avoid the fee) is to enroll in a plan during open enrollment or by qualifying for a special enrollment period. This is true both inside and outside the marketplace since insurers have unofficially adopted ObamaCare’s enrollment periods for all major medical coverage.

NOTE: The past open enrollment periods are discussed in detail below.

What Happens if I Missed ObamaCare’s Open Enrollment?

If you miss open enrollment in ObamaCare you won’t be able sign up again until the next open enrollment period without qualifying for a special enrollment period.

Special Enrollment Periods

A special enrollment period is time outside the open enrollment period when you and your family can sign up for health insurance. Most types of health insurance have special enrollment periods for certain qualifying life events, but all types of health insurance have different criteria. below are the rules for ObamaCare’s special enrollment period:

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.

You can’t buy insurance inside or outside the Marketplace until the next open enrollment period unless you qualify for a special enrollment period. Job-based plans generally allow special enrollment periods of 30 days.

ObamaCare Qualifying Events

The following life events will generally qualify you for a special enrollment period under ObamaCare.

  • Getting married
  • Adopting or giving birth to a child
  • Permanently moving to a new area that offers different health plan options
  • Losing other health coverage (for example due to a job loss, divorce, loss of eligibility for Medicaid or CHIP, expiration of COBRA coverage, or a health plan being decertified). Note: Voluntarily quitting your health insurance or being terminated for not paying your premiums is not considered loss of coverage. Losing coverage that is not minimum essential coverage is also not considered loss of coverage.)
  • For people already enrolled in Marketplace coverage, having a change in income or household status that affects eligibility for tax credits or cost-sharing reductions will generally qualify you for a special enrollment period.

ObamaCare Enrollment Advice

During ObamaCare’s open enrollment, you need to create an account through your states marketplace, choose a plan, and enroll before the deadline. The verification process during account creation can take time. Beyond that, choosing the right plan and making sure you are enrolled can be time consuming too. Do yourself a favor and give yourself time to solve problems that may arise. Don’t leave the process until the last minute. Make sure you finish the process of enrolling in ObamaCare before the end of each year’s open enrollment deadline.

Private Health Insurance Enrollment Periods

While there are no official enrollment periods for private health insurance purchased outside of the marketplace, insurers have adopted the marketplace open enrollment model.

Many individual and families plans could be purchased at anytime before the Affordable Care Act was signed into law. Due to the new rights and protections, insurers have adopted a new model, which subjects individual and family plans to the same enrollment periods set forth by the ACA. There is no wording in the law that makes it mandatory, but this practice has been adopted to avoid sick people going without coverage or waiting to sign up until they are sick. Most plans found in the interim will be short term health insurance options, which won’t help you avoid the fee for not having insurance and can’t be subsided under the Affordable Care Act, but they will give you whatever health insurance is in the contract you sign.

Even if you missed open enrollment for ObamaCare you can still buy some private health insurance plan outside of the marketplace, but many won’t help you to avoid the per month fee for not having insurance.

Medicaid and CHIP Open Enrollment

Medicaid and CHIP can be enrolled in at anytime, and that coverage can start retroactively up to two months. If you want to make life easier and sign up for Medicaid or CHIP through the marketplace, you will have to sign up during open enrollment. If you miss open enrollment in the marketplace you have other Medicaid sign up options.

Employer Based Open Enrollment Period

ObamaCare Open Enrollment Small Business

ObamaCare’s open enrollment for small businesses originally started during 2014 open enrollment (Oct 1st, 2013 – March 31st, 2014). However the SHOP (Small Business Health Options Program) marketplace that allows businesses with 50 or less full-time equivalent employees to enroll didn’t start until open enrollment 2015 (Nov 15th 2014 – Feb 15th 2015). Beginning in 2016, small businesses with between 50-100 full-time equivalent employees can use the marketplace in states that don’t allow this sooner. Small businesses can still get small business tax credits through an agent retroactively since 2010, and moving forward each year until they can use the marketplace to apply for tax credits.

Learn more about the Small Business Health Options Program.

Open Enrollment For Job Based Insurance

The open enrollment period for job based insurance is different for each employer. Open enrollment typically occurs in the fall, but not always. Your employer should notify you about your open enrollment period.

Your employer will have a special enrollment period for qualifying life events and new hires in job based insurance just as you would have in the marketplace. Contact your Human Resources department for employer-specific details.

COBRA Enrollment

If you lose your job you can switch to COBRA or to a marketplace plan.  During open enrollment you can switch from your COBRA coverage or employer based coverage by simply enrolling in a marketplace plan. If you lose your employer based coverage or your COBRA is ending outside an open enrollment period, you can switch to a marketplace plan via a special enrollment period.

Medicare Open Enrollment

For most people, the initial enrollment period for Medicare Part A and Part B starts 3 months before their 65th birthday and ends 3 months after their 65th birthday. After initial open enrollment there are two open enrollments each year during which you can switch your plan or add to it. The first general enrollment period goes from January to March with coverage starting July 1st.

Individuals who have Medicare Part A and Part B may enroll in a Medicare Advantage plan during the Annual Election Period (AEP), the second enrollment period that lasts from October 15 through December 7. Individuals who were eligible for Medicare Part A or enrolled in Part B as of the effective date of coverage can enroll in a Part D plan or switch Part D plans during this time. Individuals can also enroll in a Part D plan if they had qualified for a Special Election Period (SEP).

In addition, those insured under Medicare have from January 1 through February 14 to un-enroll from their plan and return to traditional Medicare. A Medicare Advantage enrollee, however, cannot switch from his or her existing Medicare Advantage plan to a different plan during this period.

Learn more about Medicare open enrollment periods.

Information About Past ObamaCare Enrollment Periods

Below is information about past open enrollment periods, this information might be useful for those filing back taxes or for those studying the history of the Affordable Care Act.

ObamaCare Open Enrollment 2014 (Coverage For 2014)

ObamaCare’s 2014 open enrollment period started October 1st, 2013 and ended March 31st, 2014.  If you enrolled during the 2014 open enrollment period you should sign into the marketplace, see what new plans are available, and update your information during 2015’s open enrollment period.

ObamaCare Extended Open Enrollment 2014

If you signed up for the marketplace by March 31st, 2014, but weren’t able to enroll, you were able to check a box that allowed you to enroll until mid-April due to a last minute extension. This was a one-time extension for open enrollment 2014 only.  Even if you enrolled during the extension or if you enrolled during a special enrollment period you will still be able to switch plans during open enrollment 2015.

ObamaCare Open Enrollment 2015 (Coverage For 2015)

ObamaCare’s open enrollment 2015 started on November 15th, 2014 and ended on February 15th, 2015. Starting in 2015, open enrollment only lasts for three months, however this open enrollment period may be subject to change.

Open Enrollment 2015 Changes

Open enrollment 2015 is your opportunity to see what new plans your state’s marketplace is offering and to update your information.  Please go to our guide to ObamaCare in 2015 for more specific information on the 2015 enrollment period changes.  It’s very important that you verify your plan and information to make sure you are getting the coverage you want with the cost assistance you qualify for.

The deadline to make sure you had the right plan and right cost assistance for January of 2015 was December 15th, 2014.

ObamaCare Extended Open Enrollment 2015

There was a special enrollment period for those who owed the fee for 2014, and don’t have coverage for 2015. This special enrollment period essentially extended open enrollment 2015 until April 30th for many Americans.

ObamaCare Open Enrollment 2016 (Coverage For 2016)

ObamaCare’s Open enrollment 2016 runs from November 1st, 2015 – January 31, 2016. To get coverage for 2016 you must enroll before January 31st. See options outside of open enrollment here.

To get coverage for January 1, 2016, you had to enroll between November 1st, 2015 – December 15th, 2015 (coverage purchased after the 15th starts on the 1st of the month after the next month. So coverage purchased on December 16 starts February 1st.)

The 2016 open enrollment period has been extended more than once, and both 2014 and 2015 open enrollment periods were extended, so we may still see further changes.

ObamaCare Open Enrollment Beyond 2016 (Coverage for 2017 and Beyond)

Moving forward, extensions are not guaranteed and the open enrollment is expected to narrow to October 1 through December 15 every year. This could start as early as 2017 (UPDATE: this seems to be the case given the new rules under Trump). See Federal Register “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2016” for details on 2016 open enrollment.

Important Open Enrollment Period Dates

Here are dates you need to know to make sure you are covered during ObamaCare’s open enrollment period. These dates provide a quick recap of all open enrollment dates since 2014.

  • November 15, 2014: Open enrollment started.  This was true both inside and outside the marketplace.
  • December 15th, 2014: Anyone who wanted their plan to start by January 1st, 2014 needed take action to ensure they were renewing the plan they wanted for 2015. You can change plans at any time during open enrollment, but your plan won’t start by January 1st if you sign up toward the end of the enrollment period.
  • December 31st, 2014: All plans enrolled in during last open enrollment ended.
  • January 1st, 2015: Plans that will be offered next year automatically renew with same cost assistance if applicable.
  • February 15th, 2015: This is the last day to enroll in a plan, change plans, or apply for cost assistance.  This is true both inside and outside the marketplace.
  • November 1st, 2015: This is the first day of open enrollment for 2016 coverage.
  • January 31, 2016: The last day of open enrollment for 2016 coverage.
  • November 1st (moving forward into 2017 and beyond): Open enrollment begins
  • December 15th (moving forward into 2017 and beyond): Open enrollment ends and plans auto-renew if applicable.
  • January 1st (moving forward into 2017 and beyond): All new plans, purchased or renewed before December 15 begin.

TIP: Remember, although the basics won’t change, specific dates are subject to change.

TIP: If you have another insurance type that we haven’t covered on this page either contact us and let us know so we can cover it, or simply ask your plan provider for specifics on open enrollment dates.

 

When Is Open Enrollment For Health Insurance?obamacarefacts-footer

Citations

  1. States That Have Extended Health Insurance Open Enrollment for 2018 (and States That Still Can)
  2. Andy Slavitt Twitter