Renewing Marketplace Coverage

I am covered in a Marketplace health plan now and want to renew that same policy for next year. Currently, though, I am behind on my premium payments. I haven’t paid the November premium; I know I have a grace period, through the end of January, to get caught up. Meanwhile, if I at least pay my January premium, will that ensure my coverage remains in effect for next year?

No.  When you are in a grace period that spans a calendar year, your insurance company will send you a bill for your January premium and will also bill you for your past-due premium debt.  If you only pay the January premium, the insurance company can apply that payment to the amount of back due premium debt that you still owe.  Unless you catch up on your premium debt from this year and pay the January premium by the end of the grace period, your insurer can cancel your new coverage and retroactively terminate your current coverage to the last day of the first month of your grace period. This will be the case whether or not your insurance company has adopted the past-due premium collection practice.

While we have made every effort to provide accurate information in these FAQs, people should contact the health insurance Marketplace or Medicaid agency in their state for guidance on their specific circumstances.

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Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.