Marketplace “Unwinding SEP” Extended to Nov. 30, 2024

by | Jul 24, 2024 | Blog, Health Insurance, Medicare

For reprint by the GWAAR Legal Services Team

Last year, the Centers for Medicare & Medicaid Services (CMS) announced a new Marketplace Special Enrollment Period (SEP) for individuals losing Medicaid coverage due to the unwinding of continuous Medicaid enrollment following the end of the COVID-19 Public Health Emergency.

This “Unwinding SEP” allows individuals to enroll in Marketplace coverage when their Medicaid coverage ends. Marketplace-eligible individuals who submit a new application or update an existing application between March 31, 2023 and November 30, 2024 and say that they have lost Medicaid coverage at any point during this time period are eligible for the Unwinding SEP.

Individuals who are eligible for the Unwinding SEP have 60 days after they submit or update their Marketplace application to choose a plan with coverage that starts the first day of the month after they choose that plan. For example, coverage will begin on June 1 for someone who selects a plan in May.

You can find more information from CMS about this SEP here: www.healthcare.gov/medicaid-to-marketplace.

For general information about Marketplace, please visit: www.healthcare.gov.

If you would like assistance enrolling in a Marketplace plan, you can find local help at localhelp.healthcare.gov or through Covering Wisconsin at coveringwi.org/enroll.

Additional Information & Support

We are here to help you and your family with a wide variety of community resource options. For assistance by phone, or to make an appointment, contact us.

(920) 448-4300 | WI Relay 711

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