What is open enrollment? (2024)

An open enrollment period is a window of time that happens once a year — typically in the fall — when you can sign up for health insurance, adjust your current plan or cancel your plan. It’s usually limited to a few weeks. If you miss it, you may have to wait until the next open enrollment period to make any changes.

What types of insurance use open enrollment?

If you get health insurance through your job, through Medicare, or through the Affordable Care Act (ACA) marketplace, you will have an open enrollment period.

What is open enrollment? (1)

What are open enrollment dates to know?

Individual & Family ACA Marketplace plans: Open enrollment is November 1 through January 16, in most states

Health insurance through work: Enrollment periods are set by your employer (typically in fall)

Medicare: Annual Enrollment Period (AEP) is October 15 to December 7 every year. Initial Enrollment Period (IEP) is around age 65

Medicaid: Enroll anytime

Dual Eligible Special Needs Plans (DSNP): Enroll anytime

Tips on making the most of open enrollment

Before you choose a health insurance plan, you may want to think about the following:

  • How much did you spend on health care last year (what was your premium, your deductible and your out-of-pocket costs)?
  • Did the amount you/your family spent line up with your health care needs?
  • Is your doctor/clinic in network?
  • Are your medications covered?
What is open enrollment? (2)

When is open enrollment for ACA plans?

For ACA plans, some state-based markets may have open enrollment periods that differ from federal-based marketplaces, as well as special enrollment periods. For UnitedHealthcare Individual & Family ACA Marketplace plans, open enrollment for most states is November 1 through January 16.

What is open enrollment? (3)

When is open enrollment if I get health insurance through my work?

If you get health insurance through work, your employer sets the open enrollment period. It’s typically in the fall so that your benefits can start at the beginning of the calendar year.Choosing a health care plan for the year ahead is an important decision during open enrollment. Take some time to explore your options to help you decide what coverage is best for you before you enroll.

  • Learn about open enrollment for health insurance through work
  • Read 3 tips for choosing a health insurance plan through work
What is open enrollment? (4)

When is Medicare enrollment?

Turning 65 or retiring in the near future? It could be time to choose your Medicare coverage. There are a number of different Medicare enrollment periods. One key Medicare enrollment period for changing your coverage is called the Annual Enrollment Period (AEP). This happens from October 15 to December 7 every year. During AEP, you can join, switch or drop a plan. If you don’t make any changes during AEP, your current plan will automatically renew the next year.

  • Learn how Medicare works
  • Need help selecting a Medicare plan?
What is open enrollment? (5)

Is there an open enrollment period for Medicaid?

Medicaid, a federal program, was designed to help people with limited income get access to health coverage. There is no open enrollment period for Medicaid programs, including the Children’s Health Insurance Program (CHIP).

In some states, Medicaid covers all low-income adults below a certain income level. In all states, Medicaid provides health coverage to:

  • Low-income families and children
  • Pregnant women
  • The elderly
  • People with disabilities

To apply, contact your state agency that manages the Medicaid program. For questions, or to see what health plans UnitedHealthcare Community Plan offers in your area, you can use the search tool at our Medicaid site.

Learn how Medicaid works

What is open enrollment? (6)

When is open enrollment for a Dual Eligible Special Needs Plan?

If you have both Medicaid and Medicare benefits, you could be eligible for a Dual Special Needs Plan, or D-SNP. Those who qualify for this type of Medicare Advantage plan can switch to a new plan at any point during the year, not just during open enrollment.

  • Learn more about how to qualify for a dual-eligible plan
  • Get help with enrolling in a D-SNP plan
What is open enrollment? (7)

Can I make changes outside of the open enrollment period? What is a qualifying life event?

Typically, once you’ve made your benefit elections, you have to wait to make changes until the next open enrollment period. Not always, though. You may have heard the term, qualifying life events. These are life events that let you make changes to your benefits outside of the open enrollment period.

Learn more about qualifying life events

What is open enrollment? (8)

What if I missed the deadline for open enrollment?

If you need coverage during a time when annual open enrollment isn’t available and you have not experienced a Qualifying Life Event, you can buy short term health insurance. Short term health insurance can fill health care needs for short amounts of time.

Discover how to bridge the gap in health insurance coverage

Related content

  • How does health insurance work?
  • Types of health insurance
  • Understanding health insurance costs
  • Common terms
What is open enrollment? (2024)

FAQs

What does open enrollment period mean? ›

An open enrollment period is a window of time that happens once a year — typically in the fall — when you can sign up for health insurance, adjust your current plan or cancel your plan.

What defines benefits open enrollment? ›

What is open enrollment for benefits? In the U.S., open enrollment season is a period of time when employees may elect or change the benefit options available through their employer, such as health, dental and life insurance, and ancillary or voluntary benefits ranging from legal services to pet insurance.

What does true open enrollment mean? ›

Open enrollment is the annual period when individuals can renew, change or cancel their health insurance. Missing an open enrollment period can put you at risk for losing health coverage for a full year until the next annual open enrollment period.

What is active open enrollment? ›

Active enrollment requires employees to manually update their selections each year. Just as your job will only pay you if you show up to work, employees with this type of enrollment get benefits only if they actively opt in to them during open enrollment each year.

What does period of enrollment mean? ›

ENROLLMENT PERIOD Definition & Legal Meaning

Defined period of time with a specific start and end date for registering in a plan to receive benefits.

How do you explain open enrollment to employees? ›

Hi [employee name], It's that time of year! Open enrollment for our health insurance plans begins next week. This is the time when you can make changes to your current coverage or sign up for a new plan.

Why does the US have open enrollment? ›

Health insurance has an open enrollment period to avoid people buying health coverage only when they're sick. If people only got health insurance when they needed care and then dropped it when their health improved, there wouldn't be enough healthy people paying premiums to offset the costs for sicker members.

Is life insurance part of open enrollment? ›

During open enrollment or a qualifying life event, you can opt in to voluntary life insurance plans offered through your employer or adjust your coverage if you are already enrolled.

What is the difference between open enrollment and general enrollment for Medicare? ›

Another difference between the two is the timing. Medicare Annual Enrollment is October 15 - December 7, while Medicare Advantage Open Enrollment is January 1 - March 31. Both happen every year.

What does Enrolment open mean? ›

chiefly US : a period of time during which someone can join something (such as a health insurance plan) as a member or participant : a period of time during which a person can enroll in something.

What does open enrollment mean dictionary? ›

Britannica Dictionary definition of OPEN ENROLLMENT. [noncount] chiefly US. 1. : a policy or process by which parents may send their children to a different public school than the one in their own community.

What is active Enrolment? ›

Active enrollment is a benefits enrollment strategy where every employee is required to participate, ensuring employees review and select benefits that best fit their present needs. Employees must actively participate in the process.

What is the difference between enrollment period and offering period? ›

Enrollment Period: The enrollment period is the period of time where you can choose to either enroll or deny entry into the purchase plan. Offering Date: The offering date is the period when payroll deductions begin. Offering Period: The offering period is an extension of the offering date.

What is the deadline for Covered California 2024? ›

This qualifying life event can be used until Feb. 9, 2024, for coverage starting Feb. 1, 2024.

What is initial enrollment period? ›

Your first chance to sign up (Initial Enrollment Period)

This is called your Initial Enrollment Period. It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after the month you turn 65. My birthday is on the first of the month.

Top Articles
Latest Posts
Article information

Author: Arielle Torp

Last Updated:

Views: 6266

Rating: 4 / 5 (41 voted)

Reviews: 80% of readers found this page helpful

Author information

Name: Arielle Torp

Birthday: 1997-09-20

Address: 87313 Erdman Vista, North Dustinborough, WA 37563

Phone: +97216742823598

Job: Central Technology Officer

Hobby: Taekwondo, Macrame, Foreign language learning, Kite flying, Cooking, Skiing, Computer programming

Introduction: My name is Arielle Torp, I am a comfortable, kind, zealous, lovely, jolly, colorful, adventurous person who loves writing and wants to share my knowledge and understanding with you.