SEPs

Yesterday I ran an exclusive analysis based on existing COVID-19 Special Enrollment Period (SEP) data to figure out a) roughly how many Americans are likely to enroll in ACA exchange coverage using this SEP in the twelve states offering one, and b) how many additional Americans would likely #GetCovered via ACA exchange policies in the other 39 states which don't currently have a CV19 SEP in place.

As I've explained before, while pretty much anyone who loses their employer-based health insurance is automatically eligible for a normal 60-day Special Enrollment Period regardless of what state they live in, under the current pandemic/mass layoff situation, the standard "loss of coverage" SEP is a red tape nightmare under Trump Administration regulations since you have to provide hard-to-get documentation of your status and have it verified by CMS, which can take weeks.

On March 20th, the Vermont Health Connect ACA exchange joined other state-based exchanges in launching a formal COVID-19 Special Enrollment Period.

There was some confusion about the original deadline (they said "month long" which suggested April 20th, but a note on their website last week set it as April 17th, which is this Friday).

However, today they've updated that note:

Due to the COVID-19 emergency, Vermont Health Connect has opened a Special Enrollment Period until May 15, 2020. During this time, any uninsured Vermonter can sign up for a Qualified Health Plan through Vermont Health Connect. Qualified families can also get financial help paying for coverage.. Please call us at 1-855-899-9600 to learn more.

Unlike Connecticut, Nevada and Washington State, it doesn't sound like you necessarily have to call the VT exchange to actually enroll, but I'd recommend doing so anyway since I'm not sure how they're working it logistically.

4/16/20: Important Update at bottom!

With all the anger at CMS Administrator Seema Verma, HHS Secretary Alex Azar and of course Donald Trump himself over CMS's refusal (to date) to open up a COVID-19 specific Special Enrollment Period on the federal ACA exchange (HealthCare.Gov), last week I decided to try and figure out just how many people are enrolling across the 12 state-based exchanges which are offering CV19 SEPs...and just as importantly, how many people would likely take advantage of a CV19-specific SEP on the federal exchange if and when they ever decide to go ahead and launch one.

This just in via Covered California:

Covered California Enrolls Tens of Thousands as Impacts of COVID-19 Pandemic Hits California Households

  • More than 58,000 people have signed up for coverage through Covered California since March 20, when a special-enrollment period was announced in response to the COVID-19 pandemic.
  • Covered California has seen a tremendous surge in consumers visiting CoveredCA.com and the website’s Medi-Cal page.
  • The special-enrollment period allows anyone uninsured and eligible to enroll in health care coverage through Covered California to sign up through June 30.
  • Consumers can enroll in as little as 30 minutes, either through CoveredCA.com or over the phone with the help of one of Covered California’s thousands of Certified Insurance Agents or enrollers.
  • In addition, Medi-Cal enrollment is open year-round for consumers who qualify.

SACRAMENTO, Calif. — Covered California announced on Monday that 58,400 people had enrolled in health care coverage since the exchange announced a special- enrollment period in response to the COVID-19 pandemic. The pace of sign-ups has been nearly three times the level that Covered California saw during the same period in 2019.

Back on March 23rd, I noted that while every other state-based ACA exchange has launched an official COVID-19-specific Special Enrollment Period, there are two ACA exchanges which have refused to do so. One of them is the mothership, HealthCare.Gov, which is run by the Centers for Medicare & Medicaid (CMS) and which hosts a whopping 38 states. The other one is Your Health Idaho:

I contacted the exchange last week to see what the deal was re. a COVID-19 SEP and they kicked the ball over to the state Insurance Dept:

COVID-19 (coronavirus) is not currently considered grounds for a Special Enrollment Period in Idaho. Questions around the potential offering of an SEP would be best answered by the Idaho Department of Insurance. This really falls within their regulatory authority. YHI will follow their guidance and support whatever decision is made.

I did indeed contact the Idaho DOI, but I didn't hear back from them until today. Here's what they had to say:

via HealthSource RI:

Health Coverage Special Enrollment Period (SEP) Extended through April 30, 2020

  •  Special Enrollment Period has been extended through April 30th, 2020

EAST PROVIDENCE, R.I. (April 13, 2020) — HealthSource RI has extended the limited-time Special Enrollment Period (SEP) that was established following Governor Raimondo’s State of Emergency declaration in response to the Coronavirus (COVID-19). This SEP provides an opportunity for uninsured Rhode Islanders to purchase coverage through April 30, 2020. Coverage will begin on the first of the month following the application.

Rhode Islanders who wish to obtain coverage can do so by visiting HealthSourceRI.com and enrolling online, or by contacting the HealthSource RI call center Monday-Friday, 8am-6pm at 1-855-840-4774. When completing the online enrollment form, Rhode Islanders should select the “other” SEP event and indicate COVID-19 or coronavirus as the explanation. Once approved, customers will need to choose a plan and pay for their first month of coverage.

via the Washington Healthplan Finder:

Washington Health Benefit Exchange Reminds Individuals Impacted by COVID-19 of the Health Insurance Options available now through Washington Healthplanfinder

  • Washington Health Benefit Exchange (Exchange) today is reminding uninsured individuals impacted by the Coronavirus (COVID-19) situation in Washington that the special enrollment period is extended through May 8, 2020, for coverage beginning May 1, 2020.

Washingtonians who may qualify for health and dental coverage through Washington Healthplanfinder using existing special enrollment periods include individuals who:

via MNsure, this includes their ongoing ACA exchange Special Enrollment Period but also explains other options for Minnesotans as well:

Health Insurance Options through MNsure during COVID-19

April 7, 2020

ST. PAUL, Minn.—MNsure, the state’s health insurance exchange, reminds Minnesotans who have recently lost a job, experienced a reduction in hours, or are otherwise uninsured to visit MNsure.org to get connected to health insurance. On MNsure.org, Minnesotans looking for health insurance coverage can compare plans and see if they qualify for financial help to cover the cost of insurance premiums or low-cost or no-cost health insurance either through Medical Assistance or MinnesotaCare.

Here’s what you need to know

Uninsured? Sign up now.

District of Columbia

As I've reported before, the DC Health Link exchange is one of a dozen state-based ACA exchanges which is currently offering a COVID-19-specific Special Enrollment Period during which uninsured residents can #GetCovered. The deadline is June 15th.

A few days ago, however, they announced an interesting expansion on the COVID SEP...one specifically intended for employees of small businesses which offer ACA SHOP plans to their employees which these employees haven't enrolled in as of yet:

DC Health Link Expands Opportunities to Get Covered During Public Health Emergency

Monday, April 6, 2020

Responding to COVID-19 pandemic, DC Health Link permits uninsured employees of DC small businesses that offer health insurance through DC Health Link to get covered now

I've written a LOT lately about the dozen state-based ACA exchanges which have implemented COVID-19-specific Special Enrollment Periods for uninsured residents...as well as the two ACA exchanges (Idaho's, which is state-based, and The Big One, HealthCare.Gov, which hosts 38 states) which haven't done so as of yet.

Given how much outrage there's been at the federal government for not opening up HC.gov to a COVID SEP (Idaho has somehow managed to escape notice for making the same decision) by practically every party (even the American Enterprise Institute, which isn't exactly a lefty organization, is calling for one), it's worth taking a look at the states which do have COVID SEPs open to anyone uninsured to see just how many people are actually taking advantage of them.

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