The leaves are changing color, temperatures are dropping, and everything smells of pumpkin spice. It must be time for our favorite season—Open Enrollment.
Whether you are looking to purchase health insurance for the first time or adjusting your current plan, there are multiple things you’ll need to consider—and terms you need to understand—to decide which plan is best for you.
Open Enrollment is the time each year when you can select a health insurance plan or make changes to your current plan. If you don’t receive health benefits through your employer or your company’s health insurance doesn’t meet your needs, you may shop for insurance and compare the plans we offer through the UPMC Health Plan Marketplace.
Open Enrollment for individuals and families runs from Nov. 1, 2023, through Jan. 15, 2024.
These are other important dates you should keep in mind:
In response to the COVID-19 pandemic, the American Rescue Plan (ARP) was signed into law in 2021, making health care more accessible and affordable. Even if you didn’t qualify for financial help before, you may now qualify under ARP [1].
Your health is your most valuable asset. Regardless of your age, health status, or occupation, there are numerous benefits your health insurer can provide to help you manage your health and well-being.
If you miss the Open Enrollment window, you may not be able to sign up for a health plan for another year unless you qualify for a special enrollment period.
1 – Consider how often you will use your health insurance.
2 – What network do you need?
3 – Are you eligible for a subsidy?
4 – Don’t forget the Open Enrollment deadline!
5 – Our customer service is here to help. You can get help over the phone, in person, or through our easy-to-navigate Marketplace page to find a plan that is right for you.
Big changes in your life may allow you to have a special enrollment period. This means you can buy coverage outside Open Enrollment.
The following changes are called qualifying life events.
… then you may qualify for the opportunity to enroll. You have 60 days from the date of your qualifying life event to find a new plan and enroll. Note that in some cases, dependents can remain on their parent or guardian’s plan through the remainder of the calendar year in which they turn 26. Those who are about to turn 26 should check with their current insurer to learn how long they will remain covered by that policy after their birthday.
If you are new to buying insurance or want to learn more about choosing a plan that provides full in-network access to UPMC’s world-class doctors and hospitals, call the UPMC Health Plan Open Enrollment helpline at 1-833-512-2829 (TTY: 711) or shop using the UPMC Health Plan Marketplace starting on Nov. 1, 2023.
[1] Eligibility for financial assistance is based on annual adjusted gross income. Annual income amounts are determined by the federal government. To determine your eligibility for financial assistance, you must confirm your eligibility on the Pennie website.
