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Open Enrollment for Affordable Care Act in DC

Health coverage in the personal and limited group markets is only available via the DC health link. Out of the individuals who signed up for personal plans through DC health link for the year 2020, it is only about 6% who were getting premium subsidies before. This proves to be the lowest percentage in the country.

The premium subsidy eligibility tends to cover about 90%  of all the exchange enrollees. During the beginning of 2020, DC opened a one time special enrollment period for individuals who discovered the mandate and penalty when they filled their 2019 tax return in 2020.

Has the DC Open Enrollment FOR ACA Been Permanently Extended?

There has been an extension on the open enrollment in DC which now ends on January  31st. The open enrollment is scheduled to continue being in use even in the coming years. If you are ready for the open enrollment all have any questions that require to be attended to, consult the health insurance plans specialists and they will help you with the enrollment.

What is the Span for Covid-19 Special ACA Enrollment?

Even though most of these enrollments are complete, many states including DC  established a special health coverage enrollment to address the pandemic.

This provided the residents who were uninsured with an opportunity to enroll in health coverage even without a qualifying event.

In DC, special enrollments for the pandemic are still ongoing since October 2020. This is the longest enrollment in the country and is scheduled to go through to December 31st, 2021.

This special enrollment allows;

• those who are uninsured to sign up for personal market health coverage via DC Health Link.
• Workers of insured businesses via DC Health Link to purchase exchange so as to sign up for their health coverage via their employers. 

Does Pregnancy Qualify for ACA Enrollment in DC?

If you are an expectant mother, DC Health Link can allow you to enroll in health coverage through the exchange year-round, with a specific enrollment duration activated by the confirmation of the pregnancy by a healthcare provider. The health coverage can take effect from the time your pregnancy was confirmed.

The woman is given two months to enroll in a personal market plan via the exchange from the time when the pregnancy was confirmed.

Is There a Special Enrollment Period in DC  for Those who Lose their Health Coverage due to  Declined Credit/Debit Card?

If you have lost your coverage because your debit/credit card auto payment is declined, do not worry because DC Health Link has made a special enrollment period for you. However, this can only apply if the reason for the decline is due to insufficient capital or even voluntary ending of the auto payment by the enrollee.

What is a Merged Risk Pool?

DC has 2 merged risk pools whose role is to set the rate of the index. However, the rate of index is modified to be specific to every market, based on the factors that are not similar in other markets.

DC has come up with programs that ensure that every resident can have access to health coverage with their income and health status put aside.

The DC Health Alliance and Immigration Children’s Program are accessible without paying. Cover All DC enables the residents to buy full cost private health insurance regardless of whether they possess a qualifying immigration status. There are health insurance coverage plans here in DC that might benefit you, your family, or people in your group. Our health insurance coverage plan experts will guide you in selecting the best health plan that will work best for you.

References and resources

• Affordable Care act benefits
• Open enrollment for health insurance