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We’ll share information about our plans, and how you can qualify for a Special Enrollment Period.
Health care answers in 60 seconds.
When can you change your health insurance?
Typically, you sign up for a new health plan during open enrollment.
But you may also change your plan under special circumstances called qualifying life events.
Here are common events...
Loss of insurance.
If you lose coverage because you’ve aged out of your parents’ plan, lost your job, or switched your job, you qualify.
Change in household.
If you get married, have a baby, or when the number of people in your family changes, you qualify.
Health care question answered.
Yes! You may qualify for a Special Enrollment Period if you’ve had a big life change or one coming up. Some examples include losing your health plan or getting married. Or turning 26, when you can’t be on your parent’s health plan anymore.* These qualifying life events — and others — let you sign up for a health plan outside the ACA Open Enrollment Period.
At risk of losing Medicaid coverage? We’re here to help.
You may qualify for a no or low-cost Aetna CVS Health™ plan. You may be able to get a subsidy. This can greatly lower your monthly premium or even give you a $0 premium**. Enter your ZIP code to explore plan options.
Open Enrollment starts
This is the time to explore ACA plans, see if your doctors are in network and apply for financial help.
Open Enrollment ends
Be sure to choose a plan by this date so you’re covered on January 1. Need more time? You can enroll up until January 15 to be covered on February 1.
Plan coverage begins
Just make your first payment to activate your plan and access all your membership benefits.
Insurance isn’t all that complicated. It just feels that way at first. Let’s go over the top terms you might see during enrollment.
This is a percentage that you pay after you’ve met your deductible. For example, if your plan covers 80% of the cost for physical therapy, you will pay 20%.
This is a fixed amount that you typically pay at the time you get care. For example, you might pay $40 when you see your doctor.
This is the amount you pay before your health plan starts to pay for some or all of your costs.
This is a group of providers — like doctors and clinics — that have a contract with a health plan. When you see a provider in your health plan’s network you get special, lower rates.
This is a cap on your plan costs. Once you have paid this amount through deductibles, copays and coinsurance, your plan pays 100% of all covered costs for the rest of the plan year.
This is an authorization from your doctor, written on paper or sent electronically, to see another doctor or for a specific health service.
Our trained agents are ready to help you choose the right plan for your needs.
1-844-383-6129 (TTY: 711)
Call Monday — Friday, 8 AM to 9 PM ET.
We’ll share information about our plans, and how you can qualify for a Special Enrollment Period.
*Your dependent child may continue coverage if your child is disabled, or in school and on a leave of absence.
**Exclusions and limitations may apply.
Health plans are offered or underwritten or administered by Aetna Health of California Inc., Coventry Health Plan of Florida, Inc., Aetna Health Inc. (Florida), Aetna Health Inc. (Georgia), Aetna Life Insurance Company, Aetna Health of Utah Inc., Aetna Health Inc. (Pennsylvania), or Aetna Health Inc. (Texas) (Aetna). Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.
Health benefits and health insurance plans contain exclusions and limitations.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
You can visit the Health Insurance Marketplace® to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
You can visit the Nevada Health Link to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
You can visit Covered California to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
You can visit Get Covered New Jersey to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
You can visit the Health Insurance Marketplace® to shop for ACA individual & family plans, sign up, and see if you qualify for premium and plan savings.
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