Experienced a life change?
You may not have to wait for coverage.
Outside of the Open Enrollment Period, Virginians can purchase a health plan on Virginia's Insurance Marketplace or make changes to their existing plan only if they qualify for a Special Enrollment Period.
You may qualify for a Special Enrollment Period if you have experienced certain changes in your circumstances known as Qualifying Life Events.
Qualifying life events fit into the below categories:
Changes in Household and Residence
- Marriage
- Divorce
- Pregnancy
- Birth
- Adoption
- Legal separation
- Gain of court-appointed dependent
- Death in the family
- Moved into the state
- Moved to a different ZIP code or county in the state
Loss of Health Coverage
- Loss of Medicaid
- Loss of coverage through employer
- Loss of other minimum essential coverage
Other Qualifying Life Events
- Loss of employment
- Change in income
- Cancellation of hardship exemption
- Covered child ages out (at age 26)
- Gain of American Indian/Alaska Native status
- Change in incarceration status
- Change in legal status
- Change in US citizenship status
When can I enroll?
After experiencing a Qualifying Life Event, an individual may qualify for a Special Enrollment Period if they or anyone in their household lost qualifying health coverage in the past 60 days or expects to lose coverage in the next 60 days. Individuals have 60 days from the loss of coverage to enroll in a new health plan.
Some Qualifying Life Events must be verified by Virginia's Insurance Marketplace to qualify for a Special Enrollment Period. If one of the above situations applies to you, make sure to have your information available when you apply.
Lost coverage due to job loss?
You don’t have to go without care. Loss of health coverage due to a job loss may qualify you for a Special Enrollment Period, so you can enroll in a Marketplace plan now. Some people also qualify for savings to make coverage more affordable.
Click here to explore frequently asked questions about coverage based on job loss.
A Marketplace by Virginia for Virginians
Bailey, of Richmond, turned 26 and needed to find his own health insurance. He was able to easily browse plans online and enroll in a plan through a Special Enrollment Period. Bailey found coverage within his budget that allows him to focus on what he loves to do most.
New to Virginia’s Insurance Marketplace?
Visit our How to Enroll page to learn how to enroll in a plan.
Assisters in your community can help with every step of the application and enrollment process. They provide free, unbiased enrollment assistance, with options to meet virtually or in person.
Find HelpContact the Marketplace’s customer service representatives if you need assistance enrolling in a health plan, need to update your personal information, or have any questions.
Contact UsWhether you’re shopping as an individual, family, or small business owner, a Virginia Licensed Insurance Agent can provide you with free personalized plan recommendations and enrollment support.
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