The Medicaid Unwinding Explained - Compass Insurance Advisors
  • The Medicaid Unwinding Explained!

    What is the Medicaid Unwinding?

    At the start of the COVID-19 pandemic, Congress enacted the Families First Coronavirus Response Act (FFCRA). This ensured that people would have access to continuous health coverage through Medicaid and CHIP, even if their eligibility changed. 

    This resulted in 19.8 million people -a 27.9% increase- enrolling in Medicaid February of 2020.

    Congress put an end to the continuous enrollment provision, this will take effect on March 31, 2023. Those currently on Medicaid will automatically be put through a state-run process to redetermine their eligibility to remain on Medicaid.

    Who is affected?

    According to the Centers for Medicaid Services (CMS) it is estimated that approximately between 7-9 million people will lose Medicaid coverage during the unwinding period. 

    States have 12 months to complete their redetermination for all enrollees starting by April 1st.

    If someone is determined to be ineligible for re-enrollment with Medicaid, they will most likely fall into one of the following categories.

    Marketplace coverage, Employer coverage, or the Family Glitch.

    Options for New Coverage

    Marketplace coverage: Millions of those denied reacceptance for Medicaid coverage will qualify for an APTC to obtain affordable coverage through the marketplace. 

    Those who are ineligible to return to Medicaid are eligible for a Special Enrollment Period (SEP)  to enroll in marketplace coverage. 

    The marketplace has created a unique SEP for those losing Medicaid that runs from March 31st 2023 all the way to July 31st 2024.

    Once consumers attest they are losing Medicaid coverage and select a plan their marketplace coverage will begin on the first day of the following month.

    Employer coverage: If someone is offered affordable insurance through their workplace, they  themselves are not eligible for an APTC.

    Family Glitch: Before recent changes, a family’s eligibility for subsidized health plans was determined by the affordability of the employee’s health plan cost—regardless of the cost of a family plan.

    Regulations for this were changed for the 2023 Open Enrollment Period to allow more access to federally-subsidized healthcare for families with high-premium employer plans. 

    The new regulations allow an employee’s family to be enrolled in a subsidized marketplace plan when the employer-sponsored family plan costs more than 9.12% of the gross household income. Connect with a Compass Insurance Advisor to get more information on navigating the Family Glitch

    How to Find New Health Insurance Coverage

    If you are losing Medicaid coverage, you have a few options for finding a new plan.

    While you could go directly to healthcare.gov to see what you qualify for, Compass Insurance has local experts that can guide you through that process and ensure you receive the maximum benefits you qualify for. 

    Working with our advisors is at no cost to you. They can help you shop for a new plan, understand your benefits, simplify the enrollment process, help with any follow up requirements, and will be your go-to person throughout the entire year if you have any questions about your policy or claims. And, did I mention you get that added help and it doesn’t cost you anything?

    Contact us today and we’ll help you find the right solution to replace your ending Medicaid coverage. We look forward to helping you soon!

  • Leave a Reply

    Your email address will not be published. Required fields are marked *


Need Help?

Speak To John Today!

(801) 400-6473

Monday - Friday 8:00 am - 9:00 PM


Or Find Affordable Insurance Plans

Related Articles

Dynamic Blog Short Description

  • A Complete Guide to Health Savings Accounts

    A Complete Guide to Health Savings Accounts

    Introduction Are you tired of paying high premiums and medical bills while not fully understanding your insurance policy? Well, I'm here to tell you about some options that could save money on your medical expenses and premium while also getting tax benefits. Keep reading to learn more! What

    Read More
  • The Medicaid Unwinding Explained

    The Medicaid Unwinding Explained

    https://youtu.be/1TJUu7Gyk_U The Medicaid Unwinding Explained! What is the Medicaid Unwinding? At the start of the COVID-19 pandemic, Congress enacted the Families First Coronavirus Response Act (FFCRA). This ensured that people would have access to continuous health coverage through Med

    Read More
  • Medicare Part D

    Medicare Part D

    Drug Coverage: What is Medicare Part D? Medicare drug coverage helps pay for prescription drugs. If you don’t currently require any prescriptions, there are still reasons to consider getting Medicare drug coverage.         Medicare drug coverage (Part D) is optional and is offered t

    Read More
  • How Much Does Health Insurance Cost?

    How Much Does Health Insurance Cost?

    How Much Does Health Insurance Cost? How much does individual health insurance cost? The answer to that is dependent on many factors. One way to get a benchmark idea of how much you'll pay for health insurance is by looking at the federal poverty level.If you are paying for health insurance as a

    Read More
  • How to Apply for Medicaid

    How to Apply for Medicaid

    What is Medicaid in Utah? Medicaid is a program that is funded by both the state and the federal government. The Utah Department of Health administers Medicaid but the Department of Workforce Services (DWS) determines someone’s qualification. Medicaid helps people with low income receive healt

    Read More
  • Health Coverage for Immigrants

    Health Coverage for Immigrants

    What options are available to immigrants? Many people who are not born in the United States often wonder if they can get health insurance and if they do, could they also qualify for government assistance? In this article, you will learn what kind of status qualifies for health insurance through

    Read More
  • The American Rescue Plan Act’s Effect on Health Insurance

    The American Rescue Plan Act’s Effect on Health Insurance

    Due to the impact of Covid-19, President Biden passed the American Rescue Plan Act (ARPA) on March 11, 2021. One of the proponents of ARPA was to lower monthly health insurance premiums. This was done by increasing the eligibility for health insurance subsidies. Before ARPA was passed, fewer peo

    Read More
  • Health Insurance for Pre Existing Conditions

    Health Insurance for Pre Existing Conditions

    What types of health insurance policies will cover preexisting conditions? In this article, we are going to walk you through what you need to know if you or anyone you know needs coverage due to a pre-existing condition. We will inform you of which insurance plans cover and which ones do not cover

    Read More
  • Who is eligible for the Health Insurance Marketplace?

    Who is eligible for the Health Insurance Marketplace?

    In 2010, the Health Insurance Marketplace was created by the Affordable Care Act (ACA) also known as Obamacare. Any United States citizen is eligible to apply for health insurance through the Marketplace, and many people will qualify for lowered monthly payments through an advance tax credit. If yo

    Read More

What Others Say About Us

Our Customers Love Us

John Salimbene

(801) 400-6473

No Extra Cost. Professional Guidence. Complete Protection. Simplified Enrollment. Personalized Support.