Open Enrollment In The California Medical Assistance Program

Submitted By jessica_morea
Words: 398
Pages: 2

October = Open Enrollment

Applying for coverage:
Number of household members
Income
Citizenship/immigration status
SSN
Signed Rights and Responsibilities page

Applicants eligible for Medi-Cal can apply at any point in the year
California Medical Assistance Program (Medi-Cal) is the name of the California Medicaid welfare program serving low-income families, seniors, persons with disabilities, children in foster care, pregnant women, and certain low-income adults
Applicants eligible for Covered Ca can apply at open enrollment
Open Enrollment is a period of time when consumers can select a health plan and enroll which usually happens once a year
There is open enrollment and special enrollment periods.

Special enrollment periods and eligibility:
Loses minimum essential coverage (MEC)
The type of coverage you need to have to meet the individual responsibility requirement under the Affordable Care Act.
Gains a dependent
Becomes a citizen
Enrollment in health plan is unintentional
Violation of provision
Permanent move
Not affordable
Eligible or illegible for premium assistance

Initial Enrollment Periods:
Time frame of Oct. 1-March 31enrollment on/before Dec 15coverage date on Jan 1 btwn 1st-15th of the month1st day following month btwn 16th & last of month1st day following 2nd month
Annual Enrollment Periods:
Time frame of Oct. 15-Dec. 7 & every year afterenrollment & coverage Jan. 1st of every year

Special Enrollment Periods:
Enrollment date based on qualifying eventcoverage effective
1st and 15th of the monthfirst day of the following month
16th and last day of