It’s time for the annual open enrollment season for health plans under the Affordable Care Act. Starting from November 1 to January 15, current enrollees need to update their information or choose a new plan to avoid automatic reenrollment in their current plan or a similar one if it’s no longer available.
Last year saw a record enrollment of about 21 million people, and this year, there are a few changes consumers need to be aware of. Be cautious of advertising scams that promise large cash cards for groceries, gas, or rent. Stick to official government websites like healthcare.gov to search for coverage to avoid falling for unauthorized sites that may offer non-ACA coverage without federal subsidies.
Consumers should also watch out for offers requiring membership in a limited liability corporation for health coverage, as these may not provide comprehensive ACA coverage. Premium rates for 2025 are expected to increase by a median of 7%, but subsidies are available to offset the cost for most ACA coverage buyers.
New changes this open season include eligibility for “Dreamers” under the DACA program to enroll in ACA coverage and receive subsidies. Short-term plans are now limited to four months of coverage, a change from the previous Trump administration rule allowing coverage for up to 364 days.
Due to a rise in complaints about unauthorized plan changes, the sign-up process may take longer this year. Consumers working with new agents may need to confirm their authorization for changes with the federal marketplace. It’s recommended to shop around for plans to ensure the one chosen best fits individual needs, including preferred doctors, hospitals, and prescription coverage.
Enrollment deadlines vary by state, with most requiring enrollment by December 15 for coverage starting January 1. In Idaho, open enrollment starts on October 15 and ends on December 15. Some states like California, New Jersey, New York, Rhode Island, and the District of Columbia allow enrollment through January 31.
Remember, whether enrolling for the first time or renewing an existing plan, it’s essential to shop around to make sure you have the best coverage for your needs. Stay informed and make informed decisions during this open enrollment season to ensure you have adequate health coverage.
