I learned that my Medicaid coverage has ended. What do I do now?

If you lose Medicaid but think you still qualify, contact your Medicaid agency. If your coverage ended less than 90 days ago, you may be able to submit any required forms and documents and have your coverage reinstated. If your coverage ended more than 90 days ago, you will likely need to reapply for Medicaid.

If the Medicaid agency says you are no longer eligible for Medicaid but you believe that decision was made in error, you can file an appeal. The information on appeal and fair hearing rights as well as how to file an appeal should be included in the notice you received telling you that your Medicaid coverage was ending. If that information was not clear or was not included in the notice, contact your state Medicaid agency to ask about the steps needed to file an appeal.

If you are no longer eligible for Medicaid, you can apply for private health insurance through your employer if that is offered to you. Generally, to sign up for job-based coverage outside of the normal annual open enrollment, you must apply within 60 days of losing your Medicaid. If you do not have access to affordable employer coverage, you can sign up for private coverage through the Marketplace. If you are outside of the annual Marketplace open enrollment period, you must apply within 90 days of losing Medicaid in most states. If you have any further questions regarding your Medicaid coverage, you can obtain assistance from a Navigator or other Enrollment Assister by going to HealthCare.gov and clicking on Find Local Help.