2022 Open Enrollment

Health insurance Open Enrollment begins November 1st,2022, and runs through January 31st, 2023.

The 15th of the Month Rule

Enrollment Date: November 1st – December 15th                 Effective Date: January 1st

Enrollment Date: December 16th – January 15th                   Effective Date: February 1st

Enrollment Date: January 16th – January 31st                        Effective Date: March 1st

Medicare Open Enrollment runs now until December 7th with a January 1st effective date.

Special Enrollment Period (SEP)

A time outside the yearly Open Enrollment Period when you can sign up for health insurance. You qualify for a Special Enrollment Period if you’ve had certain life events, including losing health coverage, moving, getting married, having a baby, or adopting a child, or if your household income is below a certain amount.

Depending on your Special Enrollment Period type, you may have 60 days before or 60 days following the event to enroll in a plan. You can enroll in Medicaid or the Children’s Health Insurance Program (CHIP) any time.

Job-based plans must provide a Special Enrollment Period of at least 30 days.

Healthcare.gov

doctor holding health insurance forms

Costs to Consider When Choosing a Health Insurance Plan

When choosing a plan, it’s a good idea to think about your total health care costs, not just the bill (the “premium”) you pay to your insurance company every month.

Other amounts, called “out-of-pocket” costs, have a big impact on your total spending on health care – sometimes more than the premium itself.

Beyond Your Monthly Premium: Deductible and Out-Of-Pocket Costs

  • Deductible: How much you have to spend for covered health services before your insurance company contributes towards your care
  • Copayments and coinsurance: Payments you make each time you get a medical service after reaching your deductible
  • Out-of-pocket maximum: The most you have to spend for covered services in a year. After you reach this amount, the insurance company pays 100% for covered services.

Medicare Open Enrollment

Medicare is health insurance for people 65 or older. You’re first eligible to sign up for Medicare 3 months before you turn 65. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig’s disease).

doctor checking senior male's heart

Parts of Medicare

Part A (Hospital Insurance): Helps cover inpatient care in hospitals, skilled nursing facility care, hospice care, and home health care.

 

Part B (Medical Insurance): Helps cover:

  • Services from doctors and other health care providers
  • Outpatient care
  • Home health care
  • Durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment)
  • Many preventive services (like screenings, shots or vaccines, and yearly “Wellness” visits)

Part D (Drug coverage): Helps cover the cost of prescription drugs (including many recommended shots or vaccines). You join a Medicare drug plan in addition to Original Medicare, or you get it by joining a Medicare Advantage Plan with drug coverage. Plans that offer Medicare drug coverage are run by private insurance companies that follow rules set by Medicare.

 
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