Coverage Options After COVID-19 Public Health Emergency (PHE)
Learn what Medicaid Renewal is and how it could impact your Medicaid health coverage. We’re here to help you stay covered.
We’re here to help you stay covered.
Need help? Answer a few quick questions to learn which benefits you may qualify for today, including health insurance and other benefits like food and transportation.
Enrolled in Medicaid now and want to prepare for renewal? Keep your address updated with your state agency and watch for your renewal packet by mail.
If you lose Medicaid coverage, you are eligible for a special enrollment period. You typically have 60 days to find a new health plan from the time you lose Medicaid.1
What you need to know
During the Public Health Emergency (PHE), nearly all Medicaid and Children Health Insurance Plans (CHIP) members kept their coverage, regardless of changes in eligibility or status. Legislation signed on December 29, 2022 allows states to begin removing ineligible members from their Medicaid programs starting April 1, 2023.
You may lose coverage if you no longer qualify for Medicaid
When yearly Medicaid renewals start again, millions of individuals will need to take action to keep their current Medicaid coverage or, if they no longer qualify, find a new health plan that’s right for them. We can help you with your options, should you lose coverage.
Frequently asked questions about Medicaid renewal
What is the Public Health Emergency or PHE?
As a result of the COVID-19 pandemic, a Public Health Emergency (PHE) was put into place on January 27, 2020. Prior federal law addressing the COVID-19 pandemic paused yearly state Medicaid renewals.
What is Medicaid renewal?
Medicaid renewal is a yearly review completed by your state to check if you’re still eligible for your coverage. In most states, you have to renew your benefits every year to keep it. Missing the deadline, not completing paperwork, or forgetting a step in the renewal process all put you at risk of losing coverage.
If you've had a change in income, age, or other qualifying factors since you enrolled in Medicaid, it's possible you will no longer qualify. The only way to know for sure is to renew on time.
When it’s time for you to renew, you'll get a notice telling you what to do. Be sure to follow the steps to renew quickly. If you have questions, call the Member Services number on your insurance ID card.
What can people do now to prepare for their Medicaid renewal?
Check if your state has your current mailing address and contact information. If you've moved or your contact information has changed, contact your state now. Important updates about your coverage come through the mail, including a notice when it's time for you to renew. If your contact information isn’t up to date with your state agency, you may miss these notices.
Understand your health coverage options. If you’ve had major changes in your income, or household, it’s a good idea to explore other health plans now in case you lose your Medicaid coverage. You may be eligible for a low-cost Marketplace health plan.
Check what health coverage you may qualify for, including health insurance and other benefits like food and transportation.
How can I find affordable health coverage if I no longer qualify for Medicaid?
If you can't get health insurance through your job and you're under age 65, an Individual plan through the Health Insurance Marketplace may be right for you.
How much does Marketplace health insurance cost?
Marketplace health plans are available to anyone who does not have health insurance, including those no longer eligible for Medicaid coverage. Marketplace plans are available in Bronze, Silver, and Gold metal levels and offer benefits like doctor visits, prescriptions, hospital care, and mental health care. You also may be eligible for financial help (a subsidy) that could lower the monthly amount you pay for a Marketplace health plan.
You can feel confident that you have health insurance options
Understand your coverage options
If you need information about Medicaid, call the number on the back of our ID card.
Individual Marketplace plans
If you’re under 65, find low-cost health plans for you and your family.
Plans available through your job
If you’re working, ask your employer what your health plan options are. If you or your family are not covered under a health plan through work, explore Marketplace plan options.
Stay informed by checking these useful resources for additional information on Medicaid renewals and more.
1 Guidance may be issued at a later date extending the special enrollment period in some circumstances.