Special Enrollment Period

Open enrollment for 2018 health and dental plans has ended. However, you may be able to get coverage at any time of year:

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If you qualify for a special enrollment period because of a recent major life event or special circumstance, such as having a baby, getting married or losing other health coverage.

Life changes that may qualify

About Qualifying Life Events (PDF)

When you apply, you may need to provide documents that prove your eligibility to enroll.

Life and Income Changes to Tell Us About

Some of these changes may allow you to enroll in coverage through Maryland Health Connection or change plans outside of the annual Open Enrollment period. In most cases, you have 60 days to enroll in new coverage through a Special Enrollment Period.

You should update your information as soon as possible if you’re already enrolled through Maryland Health Connection. These changes may affect the coverage or savings you’re eligible for.

Life changes that affect your coverage

  • Getting married or divorced
  • Having a child, adopting a child, or placing a child for adoption or in foster care
  • Certain changes in income
  • Moving to or from Maryland, and moves within the state
  • Having a change in disability status
  • Gaining or losing a dependent
  • Certain losses of other health coverage (such as employer ending coverage, or loss of job or employee leaving a job that provides coverage, but not termination because you didn’t pay your plan premium)
  • Becoming ineligible for Medicaid or MCHP
  • Turning 26 years old if you are enrolled in coverage through your family’s plan
  • COBRA coverage period ends

Other changes that may affect eligibility include:

  • Change in tax filing status
  • Change of citizenship or immigration status
  • Incarceration or release from incarceration
  • Change in status as an American Indian/Alaska Native or tribal status

You also should report other changes that may not affect your eligibility for coverage, such as corrections to your name, date of birth, or Social Security Number.

Some special situations also may mean you are eligible to enroll.

If you experienced a problem with your application or enrollment, like being unable to submit your application, please call us at 410-500-4710 or 855-288-3667 to see if you may qualify for a Special Enrollment Period.

These special situations are reviewed on a case-by-case basis.

Certain changes won’t mean you are eligible to enroll. You may have to wait until the next Open Enrollment to get coverage, unless you’re eligible for Medicaid.

  • Becoming ill or having a major medical emergency or accident
  • Canceling your health coverage
  • Losing coverage for not paying your monthly premium
  • Finding out your doctor is not covered through your insurance plan

How to report changes or update your information

You can apply or make changes to your application at MarylandHealthConnection.gov, or call us at  410-500-4710 or 855-288-3667.

If you have already applied, use the “Change My Information” button on your account homepage to update your application.

You can also get free, in-person help updating your application.

 


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Medicaid Basics & Benefits

Open enrollment for 2018 health and dental plans has ended. However, you may be able to get coverage at any time of year if you’re eligible for Medicaid or the Maryland Children’s Health Program (MCHP).

See if you may qualify for Medicaid/MCHP

You or members of your family may qualify for Medicaid through Maryland Health Connection to receive free or low-cost health care. Enrollment in Medicaid and the Maryland Children’s Health Program (MCHP) is year-round.

Who qualifies for Medicaid or MCHP?

Look up your income and household size below to see if you may qualify. If you’re pregnant or have a family with children, you may earn more and still qualify.

Find out who to include in your application

Calculate your household income

There is no income limit for individuals enrolled in foster care in Maryland until age 26.

Medicaid Chart

For more information read through our frequently asked questions  or call 410-500-4710 or 855-288-3667. You can also get free, in-person help updating your application.