When Does Special Enrollment Coverage Start?

My medicaid eligibility ended 4/1/15 w/only 4 days notice due to making 257 more a month above poverty limit. If I sign up now through the marketplace when would my coverage begin based on this? Thank you in advance.

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Neither of your suggestions worked. There is nothing medicaid could do. They stood by their decision to terminate my eligibility decision and could not extend it until my marketplace purchased insurance kicked in. I spoke to supervisors, directors and my state representative’s (Ken Horn) office and none of them could do a thing. As far as the insurance company (Priority Health), they could not begin my coverage any sooner than they did which is a month after I purchased it. I bought it on the first week of April but it will not go into effect until May 1st. I have mass quantities of gall stones which could burst at any time and have been without emergency room or hospital stay coverage since April 1st. This does not seem right. You have a flaw in your system and someone should really address it.


You are 100% right. Medicaid should have rules about when they can and can’t cancel coverage. If they don’t give a consumer at least 30 days they are essentially forcing a gap in coverage. This means that they risk people needing uncompensated care, going bankrupt due to medical bills, paying less tax dollars, hospital writing off debt and paying less tax dollars, and then just having the person inevitably end back up on Medicaid. Will have to look into this more to see if there is something we are missing, seems short sighted for revenue and harmful to people.


Also so it’s clear we are an independent facts site. So you should try going up the food chain at Medicaid or the insurer, appealing https://obamacarefacts.com/appeal-health-insurance-denial/, or filing a compliant to HHS or CMS for further action.

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