What is open enrollment? (2024)

An open enrollment period is a window of time that happens once a year — typically in the fall — when you can sign up for health insurance, adjust your current plan or cancel your plan. It’s usually limited to a few weeks. If you miss it, you may have to wait until the next open enrollment period to make any changes.

What types of insurance use open enrollment?

If you get health insurance through your job, through Medicare, or through the Affordable Care Act (ACA) marketplace, you will have an open enrollment period.

What is open enrollment? (1)

What are open enrollment dates to know?

Individual & Family ACA Marketplace plans: Open enrollment is November 1 through January 16, in most states

Health insurance through work: Enrollment periods are set by your employer (typically in fall)

Medicare: Annual Enrollment Period (AEP) is October 15 to December 7 every year. Initial Enrollment Period (IEP) is around age 65

Medicaid: Enroll anytime

Dual Eligible Special Needs Plans (DSNP): Enroll anytime

Tips on making the most of open enrollment

Before you choose a health insurance plan, you may want to think about the following:

  • How much did you spend on health care last year (what was your premium, your deductible and your out-of-pocket costs)?
  • Did the amount you/your family spent line up with your health care needs?
  • Is your doctor/clinic in network?
  • Are your medications covered?
What is open enrollment? (2)

When is open enrollment for ACA plans?

For ACA plans, some state-based markets may have open enrollment periods that differ from federal-based marketplaces, as well as special enrollment periods. For UnitedHealthcare Individual & Family ACA Marketplace plans, open enrollment for most states is November 1 through January 16.

What is open enrollment? (3)

When is open enrollment if I get health insurance through my work?

If you get health insurance through work, your employer sets the open enrollment period. It’s typically in the fall so that your benefits can start at the beginning of the calendar year.Choosing a health care plan for the year ahead is an important decision during open enrollment. Take some time to explore your options to help you decide what coverage is best for you before you enroll.

  • Learn about open enrollment for health insurance through work
  • Read 3 tips for choosing a health insurance plan through work
What is open enrollment? (4)

When is Medicare enrollment?

Turning 65 or retiring in the near future? It could be time to choose your Medicare coverage. There are a number of different Medicare enrollment periods. One key Medicare enrollment period for changing your coverage is called the Annual Enrollment Period (AEP). This happens from October 15 to December 7 every year. During AEP, you can join, switch or drop a plan. If you don’t make any changes during AEP, your current plan will automatically renew the next year.

  • Learn how Medicare works
  • Need help selecting a Medicare plan?
What is open enrollment? (5)

Is there an open enrollment period for Medicaid?

Medicaid, a federal program, was designed to help people with limited income get access to health coverage. There is no open enrollment period for Medicaid programs, including the Children’s Health Insurance Program (CHIP).

In some states, Medicaid covers all low-income adults below a certain income level. In all states, Medicaid provides health coverage to:

  • Low-income families and children
  • Pregnant women
  • The elderly
  • People with disabilities

To apply, contact your state agency that manages the Medicaid program. For questions, or to see what health plans UnitedHealthcare Community Plan offers in your area, you can use the search tool at our Medicaid site.

Learn how Medicaid works

What is open enrollment? (6)

When is open enrollment for a Dual Eligible Special Needs Plan?

If you have both Medicaid and Medicare benefits, you could be eligible for a Dual Special Needs Plan, or D-SNP. Those who qualify for this type of Medicare Advantage plan can switch to a new plan at any point during the year, not just during open enrollment.

  • Learn more about how to qualify for a dual-eligible plan
  • Get help with enrolling in a D-SNP plan
What is open enrollment? (7)

Can I make changes outside of the open enrollment period? What is a qualifying life event?

Typically, once you’ve made your benefit elections, you have to wait to make changes until the next open enrollment period. Not always, though. You may have heard the term, qualifying life events. These are life events that let you make changes to your benefits outside of the open enrollment period.

Learn more about qualifying life events

What is open enrollment? (8)

What if I missed the deadline for open enrollment?

If you need coverage during a time when annual open enrollment isn’t available and you have not experienced a Qualifying Life Event, you can buy short term health insurance. Short term health insurance can fill health care needs for short amounts of time.

Discover how to bridge the gap in health insurance coverage

Related content

  • How does health insurance work?
  • Types of health insurance
  • Understanding health insurance costs
  • Common terms
What is open enrollment? (2024)

FAQs

What do you mean by open enrollment? ›

An open enrollment period is a window of time that happens once a year — typically in the fall — when you can sign up for health insurance, adjust your current plan or cancel your plan. It's usually limited to a few weeks.

What does Enrolment open mean? ›

: a period of time during which you can join something as a member or participant : a period of time during which you can enroll in something. Employees can sign up for new benefits during open enrollment.

What is the difference between open enrollment and annual enrollment period? ›

Medicare Annual Enrollment is October 15 - December 7, while Medicare Advantage Open Enrollment is January 1 - March 31. Both happen every year.

What is a true open enrollment? ›

During Open Enrollment, you can enroll in or make changes to your medical, dental, vision and/or legal coverage. You can enroll in pet and/ or accidental death and dismem- berment insurance at any time.

What is an open benefit? ›

Open benefits are products listed on the Drug Benefit List which do not require prior approval. However, some products may have coverage conditions regarding age, quantity, frequency or dose.

What is active open enrollment? ›

Active enrollment requires employees to manually update their selections each year. Just as your job will only pay you if you show up to work, employees with this type of enrollment get benefits only if they actively opt in to them during open enrollment each year.

What does open enrollment institution mean? ›

Open admissions, or open enrollment, is a type of unselective and noncompetitive college admissions process in the United States in which the only criterion for entrance is a high school diploma or a certificate of attendance or General Educational Development (GED) certificate.

What is a synonym for open enrollment? ›

22 other terms for open enrollment. enrollment period. registration period. sign-up period. enrollment opportunity.

What is the meaning of enrollment in school? ›

Student enrollment refers to the act of signing up for school and/or specific classes or co-curricular activities at that particular school. The enrollment process is completed after a student is granted admission to a particular school.

Why do open enrollment periods exist? ›

The open enrollment period means that everyone has to pay into the pot at the same time in order to be part of the risk pool, and means the risk pool will have a stable population of healthy and sick individuals in a given year.

What does enrollment period mean? ›

The most common enrollment period is the Annual Enrollment Period (AEP), which typically lasts from November 1st to December 15th each year. During the AEP, you can enroll in a new health insurance plan or make changes to your current plan, such as switching to a different provider or changing your coverage options.

What is the meaning of annual enrollment? ›

In the United States, annual enrollment (also known as open enrollment or open season) is a period of time, usually but not always occurring once per year, when employees of companies and organizations, including the government, may make changes to their elected employee benefit options, such as health insurance.

What is open enrollment in the US? ›

Whether you're getting health insurance through your employer or from the Health Insurance Marketplace®, open enrollment is the annual period when individuals can renew, change or cancel their health insurance.

What are the four types of enrollment? ›

An enrollment type (also referred to as an "enrollment status") describes the different ways a student can be associated with a class. These include Active, Trial, Make Up, Single Day and Wait.

What defines benefits open enrollment? ›

What is open enrollment for benefits? In the U.S., open enrollment season is a period of time when employees may elect or change the benefit options available through their employer, such as health, dental and life insurance, and ancillary or voluntary benefits ranging from legal services to pet insurance.

Which of the below can be done during the open enrollment period? ›

During open enrollment, employees can make changes to any insurance-related plans you offer, including health, vision, dental, life, and disability insurance plans. They can also add, change, or remove HSA (health savings account) and FSA (flexible spending account) plans.

What does enrollment type mean? ›

An enrollment type (also referred to as an "enrollment status") describes the different ways a student can be associated with a class. These include Active, Trial, Make Up, Single Day and Wait.

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