Know Your Health Insurance Options if You Lose Your Job

We understand this can be a frightening time

With the economy upended by the coronavirus, some businesses are downsizing and laying off staff or shutting their doors completely. Many people are suddenly left without work — and without health insurance.

We understand that the loss of health insurance can be frightening. When you live without insurance, even the most basic care can take a financial toll. So, one of the first things you should do at this time is to explore other ways to obtain coverage. The following are eight options that could help you get health insurance during these difficult times:

Coverage through a spouse

If you’re married and your spouse has a coverage option through their work, typically the most affordable option is to have your spouse add you and your family to his or her plan. Or, if your spouse is not currently enrolled in the coverage option through their work, they could sign up for it and then add you and your family. But don’t delay because there is a 30-day special enrollment period in which to make the change. After that, you and your family won’t be able to join the plan until the standard open enrollment period at your spouse’s company. If you’re under age 26, you may even be able to join your parents’ employer-based plan.

Opt in to COBRA

COBRA (the Consolidated Omnibus Budget Reconciliation Act) can provide a good bridge until you find new employment with health insurance benefits. If you lose your job or experience a reduction of work hours, COBRA enables you to continue your same group insurance plan for 18 months. No changes can be made to your plan during this time. However, those who lose their jobs because a company goes out of business might not be eligible for COBRA if the company stops its group insurance plan.

You have 60 days to enroll in COBRA once your health insurance benefits end. However, COBRA coverage can be expensive because your former employer likely will no longer be paying a portion of the health insurance premium and you’ll be required to pay 100% of it, plus an administrative fee.

COBRA is for businesses with 20 or more employees. New Hampshire has its own state-supported version of continuation coverage as well. State Continuation allows you to continue coverage if your group health plan is fully insured and you are a New Hampshire resident. State Continuation applies to employers of any size.

Look at the Health Insurance Marketplace (or “exchange”)

The Health Insurance Marketplace (also known as the exchange) is a service that helps you shop for and enroll in affordable health insurance. N.H. has its own Marketplace option, the Granite Advantage Health Care Program. Coverage for individuals in Granite Advantage is provided through New Hampshire’s Medicaid Care Management Program (MCM) plans. The program is for adults ages 19-65 who fall under certain income limits and need health coverage. You can enroll in the Granite Advantage Program through NH Easy.

Shop for an “off-exchange” plan

“Off exchange” describes a health insurance plan that you buy directly from an insurance carrier or through a licensed broker outside of an official state or federal Health Insurance Marketplace (or Exchange). All such plans are "guaranteed issue,” which means that the carrier cannot deny coverage because you have a preexisting medical condition or because they expect that you will use a high amount of medical services.

Are you eligible for Medicaid?

Medicaid is a public assistance health program for low-income Americans regardless of their age. It provides free or low-cost health coverage to individuals, families and children, pregnant women, the elderly, and people with disabilities. Many states have expanded their Medicaid programs to cover all people below certain income levels. N.H. offers expanded coverage to low-income adults.

You can learn more about the Medicaid program here.

Explore CHIP for children

The Children's Health Insurance Program (CHIP) provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid. You can learn more about CHIP and how to apply here.

Community health centers can help

Community health centers, which provide care to people without health insurance, have sliding fee scales based on income. These centers can be found in many parts of the country and are regulated by the federal government. Many centers also offer counseling services to help people find health insurance or low-cost care.

You can find more information about health centers here.

Are you a veteran?

Eligible veterans can apply for health care benefits through the U.S. Department of Veterans Affairs. You can learn more here.

At Tufts Health Freedom Plan, we hope this information about health insurance options is helpful to you during these difficult times.



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