Renewing Marketplace Coverage

This year, I was covered under Plan A for part of the year. Then I lost my job and became eligible for Medicaid. I stopped paying premiums and assumed that would automatically cancel my Plan A coverage. Now I’m working again and eligible for premium tax credits and would like to sign up for Plan A again next year, but the insurer says I owe back premium and must repay it before my Plan A coverage will take effect. I can’t afford this amount. What can I do?

Insurers are no longer permitted to refuse to enroll you in a Marketplace plan because you owe back premiums. Report this problem to the Marketplace and to your state insurance regulator and ask their help resolving the problem.

In the future, if you should need to disenroll from a plan mid-year, it is important to actively disenroll and not just stop premium payments.  In HealthCare.gov states, you can log into your Marketplace account and select the option to terminate coverage.  This will also create a written record that you took this action.

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