Health insurance protects you and your family from high costs if you need to go to the doctor. Through the Affordable Care Act, coverage can be accessible and affordable. It is the mission of Charlotte Center for Legal Advocacy to assure everyone has the access they need to quality coverage.
If you are looking for 2022 coverage, Open Enrollment for the Health Insurance Marketplace (AKA Healthcare.gov) ended Jan. 15, 2022. You may still be able to enroll in Marketplace coverage if you experience certain life changes (marriage, birth of child, moved, etc), or you may qualify for Medicaid/CHIP.
Health insurance navigators are ready to help you navigate the Health Insurance Marketplace. Make an appointment today!
Latest News About the Affordable Care Act:
Open Enrollment Period FAQs
When is Open Enrollment for the Health Insurance Marketplace?
Open Enrollment for the Health Insurance Marketplace (Healthcare.gov) is Nov. 1, 2021, to Jan 15, 2022.
Is there still a penalty for not having health insurance?
Effective January 1, 2019, there is no longer a penalty for not having health insurance.
Which health insurance companies will be offering plans in 2022 in Mecklenburg, Cabarrus, & Union counties?
Blue Cross Blue Shield, Bright Health, Centene (Ambetter), United Healthcare and Aetna.
I already have coverage. How can I get ready to apply for 2022 Marketplace health coverage?
If you already have a Healthcare.gov account, make sure you are able to log in. If your household size or income has changed, gather supporting documentation such as tax returns from last year or recent pay stubs. You may be required to provide copies of these documents to the Marketplace.
What happens if I don’t sign up?
If you can afford health insurance but choose not to buy it, you may face high out of pocket costs if you have a medical emergency or need to visit a doctor. Use the window-shopping tool on Healthcare.gov to take a look at the plans offered in your area; financial assistance may be available for you and your family. Your premium may be less than you think!
Can I just wait and have my current plan automatically renew?
Even if you’re happy with your plan and you don’t have any life changes to report (like moving to a new state or changes in your income or household), you should still go back through the application and make sure all your information is up to date to ensure that you are receiving all the financial assistance you are eligible for. You can also take a look at the health plans being offered in your area. You might benefit from a change, and you never know until you compare. You can do this yourself by logging into your Healthcare.gov account, by calling the Marketplace directly at 1-800-318-2596. You can make an appointment with a navigator to go over your options, so call today!
When is my coverage going to start if I enroll or update my application after December 15, 2021?
If you enroll in a plan or update your application after December 15, 2021, your new coverage will start on February 1, 2022.
I updated my application during 2021 and received additional Advanced Payments of the Premium Tax Credit (APTC) due to the American Rescue Plan. Am I going to continue to be eligible for enhanced APTCs in 2022?
No. However, you are encouraged to update your application and review your options. Your premium may still be very low even when you are not receiving additional APTCs.
I was able to enroll in a Marketplace plan in 2021 because I received unemployment benefits in 2021, even when I had no other income. Is that option still available in 2022?
If you are not projecting any income in 2022, you may not be eligible for Marketplace subsidies. However, you are encouraged to update your Marketplace application and review your options.
I no longer have coverage or lost my coverage during 2021, what are my options?
Even if you lost coverage this year, you may still qualify for financial assistance and can enroll in an affordable health plan for next year. You can log back into your Marketplace account, call the Marketplace, or meet with a navigator to start a new application for 2022.
I am eligible for health benefits at work but want to see if I can get a better deal on the Marketplace. Can I do that?
Yes, you can always shop for coverage on the Healthcare.gov, assuming you meet other eligibility requirements. However, if you have access to affordable job-based coverage through your employer or your spouse’s employer, you may not qualify for financial assistance in the Marketplace. It is important to have information about your offer of employer coverage when you complete a Marketplace application.
I have COBRA but it’s too expensive. Can I drop it during Open Enrollment and enroll in a Marketplace plan instead?
During Open Enrollment, you can sign up for a Marketplace plan even if you already have COBRA. You will have to drop your COBRA coverage effective on the date your new Marketplace plan coverage begins. After Open Enrollment ends, however, if you voluntarily drop your COBRA coverage or stop paying premiums, you will not be eligible for a special enrollment opportunity and will have to wait until the next Open Enrollment period. Only exhaustion of your COBRA coverage triggers a special enrollment opportunity.
How can I find out if my doctor and/or prescription medication is in a health plan’s network?
Each plan sold on Healthcare.gov provides a link to its health provider directory and prescription drug formulary, so consumers can find out if their health providers and medications are included.
I lost my job and am currently not working due to the pandemic. Although I currently do not have income, should I still review my healthcare options for 2022?
YES! Although you are not currently working, the Marketplace application asks for information about your anticipated income for the following year. Therefore, you can estimate your potential income for 2022 even if you are not working right now. You can always update your income on the Marketplace application. Navigators can be very helpful in walking you through your options – you can schedule a free phone appointment by calling 1-855-733-3711 or going online to ncnavigator.net. Open Enrollment goes from Nov. 1, 2021, through Jan. 15, 2022, so call today!
What if I need help?
Navigators are available in your area and taking appointments, but we anticipate that appointments will fill up quickly! As always, appointments are free and available at convenient times. Appointments this fall will be held only over the phone, so consumers do not need to travel. Call 1-855-733-3711 or go online to ncnavigator.net to schedule an appointment today.
Helpful Links
MedLink of Mecklenburg
Free and low-cost clinics for low-income, uninsured individuals
Healthcare.gov Plans & Prices Tool
Preview your estimated plans and prices
Income Estimator
A list of acceptable income sources and how to estimate your expected income
MedAssist
Free prescription medication for low-income, uninsured individuals
Coverage Resources for Immigrants
Healthcare resources are available no matter what your status may be. If you are eligible for financial assistance on the Health Insurance Marketplace, appointments are available in Spanish with CCLA’s Healthcare Navigators. (When you make an appointment, just select “Spanish” as your language of choice.) Free interpretation is available in 150 languages as well.
Watch the video below to learn the rules on health care coverage for immigrants, and keep scrolling for more!
Below, you’ll see more detailed information based your particular situation:
Undocumented Immigrants or DACA (Deferred Action for Childhood Arrival)
- You may be eligible for Emergency Medicaid and can utilize low-cost and free clinics at medlinkofmecklenburg.org.
Lawfully Present Immigrant (Permanent resident less than five years, or TPS, VAWA, U Visa, applicants for Asylum, SIJS, F1 visa and many others)
- You may qualify for financial assistance on the Health Insurance Marketplace even if your household income is below: $12,880 for a family or one or $26,500 for a family of four.
- Medicaid has not been expanded in North Carolina, so it currently only covers low-income people in the following categories: children under 21, pregnant women, women with breast or cervical cancer, individuals aged 65 or older, blind or disabled individuals, people in need of long-term care or people receiving Medicare.
Refugee, Asylee, Cuban/Haitian Entrant, T visa or Permanent Resident for More Than Five Years
- You may qualify for financial assistance on the Health Insurance Marketplace if your household income is between $12,880 – $51,520 for a family of one or $26,500 – $106,000 for a family of four.
- Medicaid has not been expanded in North Carolina, so it currently only covers low-income people in the following categories: children under 21, pregnant women, women with breast or cervical cancer, individuals aged 65 or older, blind or disabled individuals, people in need of long-term care or people receiving Medicare.