I Lost My Coverage, Now What? (2024)

If you have lost your coverage or your coverage is going to end there are many options for you. It all depends on what type of coverage you just lost or are about to loose. Below are some options that may be helpful to you:

I have Employer-Based Coverage

If your employer-based coverage is ending, you have several options:

Continuation Coverage programs include COBRA, Cal-COBRA, and HIPAA. These programs allow you to extend your employer-based coverage for a certain amount of time.

You can also shop for new coverage on the individual/family market.

I have Individual/Family Coverage

If you bought an individual/family policy (either directly from an insurer, through an agent or broker, or through Covered California), there are very few ways in which your insurer can rescind or cancel your coverage. Insurers can rescind your policy if you intentionally misrepresent material facts on your application.

Insurers can cancel your policy if you do not pay your premium. However, you have a 30 day grace period before insurers can cancel your policy. Insurers must give you 30 days notice by mail if they are going to cancel your insurance policy.

If an insurer sent you a policy cancellation letter, and you disagree with their reason for cancelling your policy, contact us at 1-800-927-4357 (HELP) or visit or online Consumer Hotline for help.

I Lost My Coverage, Now What? (2024)

FAQs

How do you write a loss of coverage letter? ›

Letter from your previous employer - This letter must be on company letterhead or stationery with the employer's signature. It must indicate your name, the names of any dependents that were covered under the prior plan and the date the previous health coverage ended.

What happens if someone cannot afford HealthCare? ›

If you do not have health insurance, Covered California can help you determine if you qualify for Medi-Cal or federal subsidies, and can provide you with coverage options and plan costs. You can contact Covered California by phone at (800) 300-1506, TTY: (888) 889-4500 or by visiting their website at www.coveredca.com.

What questions does HealthCare.gov ask? ›

Your Marketplace application will ask you for information about any job-based plan you or anyone in your household is eligible for. It will ask you for employer contact information for each person in your household who has a job.

What is the lowest income to qualify for Obamacare? ›

Obamacare subsidy income limits for 2024
Household sizeMin. incomeTypical max. income
1 person$14,580$58,320
2$19,720$78,880
3$24,860$99,440
4$30,000$120,000
1 more row
Jan 2, 2024

What is an example of proof of loss of coverage? ›

Forms of acceptable documentation include a letter from the employer on company letterhead stating when your coverage will end, COBRA Election Notice or a Certificate of Creditable Coverage from your insurance provider, or plan policy which confirms health benefits end date based on eligibility.

How do you write a loss statement? ›

Here's a general step-by-step guide to creating a profit and loss statement:
  1. Choose a reporting period. ...
  2. Gather financial statements and information. ...
  3. Add up revenue. ...
  4. List your COGS. ...
  5. Record your expenses. ...
  6. Figure your EBITDA. ...
  7. Calculate interest, taxes, depreciation, and amortization. ...
  8. Determine net income.
Apr 25, 2024

How do poor people pay for healthcare? ›

In all states, Medicaid provides coverage for some low-income people, families and children, pregnant people, the elderly, and people with disabilities. Some states expanded their Medicaid program to cover all adults below a certain income level.

What happens if you can't pay for medical care in the USA? ›

You can take steps to make sure that the medical bill is correctly calculated and that you get any available financial or necessary legal help. If you do nothing and don't pay, you could be facing late fees and interest, debt collection, lawsuits, garnishments, and lower credit scores.

What types of options are available to those who don't have health insurance? ›

  • Overview.
  • Coverage Options.
  • The Health Insurance Marketplace®
  • Catastrophic Coverage Through the Marketplace.
  • Medicaid and the Children's Health Insurance Program (CHIP)
  • Short-term, Limited-duration Insurance and COBRA.
  • Free or Low-cost Health Care Options.
  • Community-based Health Care.

Does HealthCare.gov verify income? ›

The Marketplace will check if your annual household income matches the most recent data from our data sources. This will happen even if you didn't update your income. You may be asked if: ∎ You stopped working, worked fewer hours, or changed jobs since last year.

What are 3 questions to ask when you speak to a HealthCare provider? ›

Questions to ask your doctor about your diagnosis
  • What may have caused this condition? Will it be permanent?
  • How is this condition treated or managed? What will be the long-term effects on my life?
  • How can I learn more about my condition?
Feb 3, 2020

What happens when you have reached your HealthCare deductible and out-of-pocket maximum? ›

Both are annual costs, meaning they “reset” at the start of each new policy year. Once you reach your deductible, your insurance starts to help with the costs of services you're eligible for. But once you reach your out-of-pocket maximum, your insurance pays the total cost for all covered services.

How much is Obamacare a month for a single person? ›

How much does the average person pay for Obamacare? Obamacare costs an average of $584 per month for a 40-year-old with a Silver plan. Your age affects your monthly rates. A 20-year-old pays an average of $443 per month for a Silver plan, while a 60-year-old pays an average of $1,240 per month, before subsidies.

Will I get penalized if I underestimate my income for Obamacare? ›

They will inquire about your tax return from the IRS and other databases. If you underestimated your income for that year and received a subsidy, you will need to pay the entire subsidy back the next time you file your taxes. You must report income changes to Covered California within 30 days.

How do people afford health insurance? ›

There are two types of subsidies: premium tax credits and cost sharing subsidies. Premium tax credits are the most common type of subsidy and help you save on your monthly premium. Cost-sharing subsidies help offset the costs of out-of-pocket expenses such as deductibles and copays.

How do you write a loss letter? ›

How to write a condolence letter
  1. Write the letter by hand. ...
  2. Keep it short and simple. ...
  3. Express your condolences. ...
  4. Share a memory. ...
  5. Offer your help and support. ...
  6. Close the letter with some thoughtful words.

How do you write a proof of loss? ›

In most cases, the Proof of Loss must include the following:
  1. Amount of loss that the policyholder is claiming.
  2. Documentation that supports the amount of claimed loss.
  3. Date that the loss occurred.
  4. Cause of the loss.
  5. Identity of party claiming the loss.

How to write a letter of appeal for health insurance coverage? ›

Things to Include in Your Appeal Letter
  1. Patient name, policy number, and policy holder name.
  2. Accurate contact information for patient and policy holder.
  3. Date of denial letter, specifics on what was denied, and cited reason for denial.
  4. Doctor or medical provider's name and contact information.

What is a letter of termination of health coverage? ›

Dear [employee], We regret to inform you that on [date], you will no longer be eligible for [coverage or benefit]. The reason for this termination of benefits is [dismissal/departure/change in service provider]. You can expect additional information to be sent by [communication method] by [date].

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