What to Do if You Lose Your Health Insurance Coverage
At Birdie Insurance, we understand the anxiety that comes with losing health insurance. With over a decade of experience and partnerships with top insurance providers, we’re here to help you navigate your options and get back on track. In this guide, you’ll learn what steps to take immediately, what alternatives exist, and how to avoid a gap in your coverage.
Key Takeaways:
- Losing health insurance coverage isn’t the end of the road—you have several coverage options, including COBRA, Marketplace plans, and Medicaid.
- COBRA allows you to keep your employer’s insurance temporarily, but it can be expensive.
- Special Enrollment Periods (SEPs) let you apply for new health plans outside of the usual open enrollment.
- Birdie Insurance can help you compare plans quickly and easily through the BirdieNest portal.
- Acting quickly ensures you avoid lapses in coverage and avoid unexpected medical bills.
Why People Lose Health Insurance Coverage
Understanding why you lost health insurance can help you choose the right replacement plan. Common reasons include:
- Job loss or reduction in hours
- Aging out of a parent’s plan (turning 26)
- Divorce or legal separation
- Death of a spouse or parent
- End of Medicaid or CHIP eligibility
- Employer dropping health coverage
Each of these scenarios qualifies you for a Special Enrollment Period (SEP), giving you a window to get new coverage.
Step 1: Don’t Panic—Check Your Current Coverage End Date
Your first move should be to confirm when your current health insurance actually ends. Some employers or providers offer a grace period, so you might still have a few weeks of coverage left.
- Contact your former employer’s HR department
- Review the termination notice or insurance paperwork
Knowing your exact end date gives you a timeline to work with and ensures you don’t go uninsured.
Step 2: Explore COBRA Coverage
COBRA (Consolidated Omnibus Budget Reconciliation Act) lets you continue your previous employer’s health insurance for up to 18-36 months. It’s a solid short-term solution but comes at a cost.
Pros:
- Same coverage and network of doctors
- No need to change plans
Cons:
- Expensive: You pay the full premium + administrative fees
- Temporary: Ends after 18-36 months depending on the situation
Tip: Use BirdieNest to compare COBRA with other options to ensure you’re getting the best value.
Step 3: Apply for a Special Enrollment Period (SEP)
When you lose health insurance, you qualify for a Special Enrollment Period to shop for new plans through the Health Insurance Marketplace.
Important Details:
- You have 60 days from the loss of coverage to enroll.
- Plans are available at Healthcare.gov or your state’s marketplace.
- Income-based subsidies can reduce your monthly premiums.
Birdie Insurance Tip:
Birdie Insurance simplifies this process. Log into BirdieNest to:
- Compare Marketplace plans side-by-side
- See if you qualify for subsidies
- Get expert help from licensed agents
Step 4: Check Eligibility for Medicaid or CHIP
If you recently lost income or have a low household income, you may qualify for Medicaid or the Children’s Health Insurance Program (CHIP).
Medicaid:
- Offers free or low-cost coverage
- Available year-round (no open enrollment restrictions)
- Eligibility varies by state and income level
CHIP:
- Coverage for children and sometimes pregnant women
- Affordable with comprehensive services
Check eligibility through Medicaid.gov or talk to a Birdie agent for help.
Step 5: Consider Short-Term Health Insurance Plans
Short-term health insurance can fill gaps for a few months while you transition between jobs or wait for new coverage.
Good For:
- People between jobs
- Recent graduates
- Temporary workers
Be Aware:
- Not as comprehensive as ACA plans
- Pre-existing conditions may not be covered
Birdie Insurance can help you find short-term options and understand the risks and benefits.
Step 6: Look Into Spouse or Parent Plans
If your spouse has employer-sponsored coverage, you may qualify to be added to their plan. Similarly, if you’re under 26, you may be eligible to join a parent’s health insurance.
These life changes usually trigger an SEP, so be sure to act quickly.
Step 7: Use BirdieNest to Compare Plans
Birdie Insurance makes comparing health insurance plans easy and stress-free.
What You Can Do on BirdieNest:
- Compare plans from top insurers
- Check if your doctors are in-network
- Estimate monthly costs with subsidies
- Get personalized guidance from licensed experts
We work with top carriers and use our experience to help you find affordable and comprehensive options, whether you need individual, family, or supplemental coverage.
Step 8: Watch Out for Gaps in Coverage
Even a short lapse in coverage can be risky. You may end up paying out-of-pocket for:
- Emergency visits
- Prescriptions
- Doctor’s appointments
Always try to enroll in a new plan before your current one ends. If not possible, consider a short-term plan to bridge the gap.
Step 9: Stay Informed for the Future
Healthcare needs change, and being proactive can save you stress later. Here’s how to prepare:
- Set calendar reminders for open enrollment periods
- Keep important documents organized
- Review your coverage annually
- Use BirdieNest to track your plan and compare new ones as needed
Putting it All Together
Losing your health insurance can be unsettling, but you’re not alone—and you have options. From COBRA and Medicaid to short-term plans and Marketplace coverage, the key is to act quickly and choose the right fit for your needs. Birdie Insurance is here to make that process easier, with expert support, helpful tools, and a commitment to your peace of mind.
Ready to take control? Use BirdieNest to compare plans, get free quotes, and find the coverage that keeps you protected. Our licensed agents are just a click away to help you every step of the way.