What Is Open Enrollment?
Open Enrollment is the annual period when you can enroll in a health insurance plan, switch plans, or make changes to your existing coverage. For ACA marketplace plans, this typically runs from November 1 through January 15.
Why Open Enrollment Matters
Even if you're happy with your current plan, it's important to review your options each year. Plans change their premiums, benefits, networks, and drug formularies annually. What was the best plan last year might not be the best choice this year.
How to Prepare: A Step-by-Step Guide
Step 1: Review Your Current Coverage
Before making changes, understand what you have:
- Are you satisfied with your current plan?
- Have your healthcare needs changed?
- Are your doctors still in-network?
- Are your medications still covered?
Step 2: Assess Your Healthcare Needs
Think about the upcoming year:
- Do you have any planned procedures or surgeries?
- Are you expecting any major life changes (pregnancy, retirement)?
- Have you been diagnosed with new conditions?
- How often do you visit specialists?
Step 3: Gather Important Information
Have these ready before you start comparing plans:
- Current income information (for subsidy eligibility)
- List of all prescription medications
- Names of your preferred doctors and specialists
- Any anticipated medical procedures
Step 4: Compare Plans Carefully
Don't just look at premiums. Consider the total cost of coverage:
- Monthly premiums
- Annual deductible
- Copays and coinsurance
- Out-of-pocket maximum
- Network size and provider availability
- Prescription drug coverage
Step 5: Check for Subsidies
Income changes may affect your subsidy eligibility. Even if you didn't qualify before, you might now — or vice versa. Update your marketplace application with current income information.
Common Open Enrollment Mistakes to Avoid
- Waiting until the last minute: Start reviewing options early
- Only looking at premiums: A cheap plan with a high deductible could cost more
- Not checking the formulary: Make sure your medications are covered
- Forgetting to update your information: Income and household changes affect subsidies
- Auto-renewing without reviewing: Your current plan's benefits may have changed
Key Dates to Remember
- November 1: ACA Open Enrollment begins
- December 15: Deadline for coverage starting January 1
- January 15: Final deadline for Open Enrollment
Don't Go It Alone
Our licensed agents are here to help you navigate Open Enrollment. We'll compare plans, check your subsidy eligibility, and make sure you have the best coverage for the year ahead — all at no cost to you.