hello,my parents added the family plan at California but at that time, I’m not with them, attending the college so my name is not on it. Now I finished my semester and at California now. My parents want me to be added at the family plan since I’m a dependent. How can I do that? What kind of document I need to bring?


Answer

You can only add a dependent to a family plan outside of open enrollment if they have a qualifying life event. Turning 26, losing coverage, getting married, having a baby, and other qualifying events trigger special enrollment (this is a short window, typically 60 days from the point of the event, where someone can be added to a plan or enroll in their own coverage through the Marketplace).

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Dan on


Answer Rating:

My insurance company nor HealthCare.gov seems to know the answer to this…
When I add my newly born daughter to my policy, HealthCare.gov makes you choose a plan and click ENROLL. I’m already enrolled in a plan. I don’t want to change my plan. I just wan to add a dependent. However, if I click ENROLL will it terminate my old plan, create a new plan, and reset my the deductible and maximum-out-of-pocket requirements in which I have already met?

ObamaCareFacts.com on

If you add a person to an existing family plan then you don’t need to cancel your old plan and by no means should you. If however you are switching from an individual policy to a family plan then you do. You should call your insurer directly and explain to them what is going on to make sure the transition is smooth.

Wayne on

Hi. I want to add my daughter to my insurance through obamacare. What do I need to add her?

ObamaCareFacts.com on

If you qualify for special enrollment, then yes. If not you may not have an option. I would start with the insurer or the marketplace for help.

Ami on

I added my son to my marketplace plan within the specified time frame. He was automatically applied from marketplace to Medicaid and denied. The marketplace is now telling me they cannot back date his insurance effective his date of birth even though I attempted to add him within the allotted time frame. Make sure you follow up consistently. Unfortunately for me following up did not help. I am currently trying to figure out how to fix this massive inconvenience and problem while caring for a newborn.

ObamaCareFacts.com on

This is the sort of sad result of “cracking down on special enrollment” which was done under Trump’s HHS. It is this sort of small detail that always gets overlooked in the national conversation.

It seems like tightening up rules will reduce fraud, but there is always collateral damage.

Sorry to hear this, do keep on them until the reverse the decision.

Ricardo perez on

My brothers 33 years old and my sister 29 years old are going to arrive to the United States on March, three months from now, im planing to add them as my dependent since im the one working and making the most money in the house,
1)do i have to enroll them now even that they dont have a social security card yet neither green card?
2) do i have to enroll myself before the deadline and then when they come to the United States, call and modify my plan?

ObamaCareFacts.com on

This is more complicated than one may assume.

To have them enrolled on your plan you need to be a tax family, a family the files taxes together. To do that you will likely have to claim them as dependents (as a “qualifying relative”). This should be an option as long as they are legally present, don’t make over the income threshold (which is rather low), and meet the other criteria (I don’t know off hand if they do from what you describe). You can contact the marketplace and ask them or contact your insurer and ask them too.

Learn more here https://www.1040.com/tax-guide/taxes-for-families/who-can-you-claim/ and here https://www.healthcare.gov/income-and-household-information/household-size/ and here https://www.irs.gov/publications/p501 and https://apps.irs.gov/app/vita/content/06/06_04_005.jsp?level=basic.

Karen Fernandez on

If you add a dependent through a qualified event, does Covered California have the right to decide if you can afford your updated medical costs. And if not, bump you into Medical without your knowledge?

ObamaCareFacts.com on

You would have to check with them, I am not 100% on the rules for when you wouldn’t qualify for assistance via the marketplace but would have a dependent qualify for coverage for a child through your state’s version of CHIP (which in CA is done via MediCal).