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How to apply & enroll

Premium payments, grace periods, & losing coverage

Itโ€™s important to pay your monthly plan premium in full to your insurance company โ€” not the Marketplace โ€” by the due date.

If you miss a monthly premium payment

Your health insurance company could end your coverage if you fall behind on your monthly premiums.
Before your insurance company can end your coverage, you have a short period of time to pay called aย 
.
The premium payment grace period is usually 3 months if you have both:
  • A Marketplace plan and use theย 
    .
  • Alreadyย paid at least one full month's premium during the
    .
If you donโ€™t use the premium tax credit, your grace period may be different. Contact your state's Department of Insurance for information on grace periods in your state.

If you're in your grace period

Pay all your owed premiums to avoid losing your coverage before your grace period ends.
Warning:
Donโ€™t risk losing coverage
If you don't pay all owed premiums, you may lose your coverage dating back to the first month you missed the premium payment. You may also have to wait to get health coverage.
The 3-month premium payment grace period starts the first month you didn't pay, even if you make payments for the following months.ย 
Example of grace period:
You donโ€™t make your premium payment for May. You submit premium payments on time for June and July, but still havenโ€™t paid for May. Your grace period ends July 31, and you donโ€™t pay for May. The plan ends your coverage as of May 31.
Check with your insurance company if theyโ€™ll pay for services during the second or third months of your grace period.

If your plan ends your coverage due to non-payment

You don't qualify for a
to enroll in another plan if the plan ends your coverage for non-payment. You'll have to wait for the next
to enroll in Marketplace coverage unless you qualify for a Special Enrollment Period for another reason.
If you lose your coverage before mid-December, you're also not eligible to be automatically re-enrolled for the following year.
At your next opportunity to enroll in a Marketplace plan:
  • You may be able to enroll in the same plan later if it's still available (and you're still eligible to enroll in a Marketplace plan when you reapply).
  • Whether you choose a new plan or the plan you had before you lost coverage, you must pay your first month's premium to the insurance company to complete your enrollment.
If you think the plan made a mistake ending your coverage, you have the right to appeal your health insurance companyโ€™s decision.

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