Will I Be Penalized if I Cancel My Health Insurance Anytime?
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You can cancel your health insurance at any time if you have an ACA marketplace plan. Meanwhile, other plans like group health insurance through your employer or Medicare Advantage plans would need to be canceled during specific enrollment periods or if you experience a qualifying life event.
Keep in mind that canceling your health plan early may create a gap in healthcare coverage and you may even face a tax penalty depending on your state. Ideally, you should find a new policy before canceling your current policy to ensure you have coverage year-round.
Key Takeaways
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When Can I Cancel My Health Insurance Coverage?
The cancellation terms on a health insurance plan can vary based on whether you have an ACA marketplace plan, a plan through your employer or a private insurance plan.
Plans purchased through your state’s ACA marketplace can be canceled at any time but you may need to provide notice.[1] For example, if you purchase a health plan through Covered California, you must provide at least a 14-day notice before your plan is canceled — same-day cancellations may be unavailable.[2]
If you’re insured through your employer, you may need to meet certain conditions before you can cancel your policy early. For example, an employee may only cancel their policy if the company is not deducting premium contributions pre-tax.[3] It may also be possible to cancel the health plan mid-policy if you experience a qualifying event, such as having a child or finding a new job.
If you’re canceling a private insurance plan, you will need to contact your insurer directly to see if you can cancel your policy early and if penalties apply. Private plans are sold outside the ACA marketplace and these insurers may enforce requirements outside ACA guidelines. You can find your provider’s number on your health insurance card, your policy and your bills. Your insurance agent will let you know if there is an early cancellation fee and what steps are necessary before canceling.
For many types of health insurance plans, you will need to enroll, switch or drop a plan during open enrollment. However, these actions are possible outside this time window if you experience a qualifying life event that triggers a special enrollment period. Such events commonly include:
- Having or adopting a child
- Moving to a new residence
- Changes in your income
- Becoming a U.S. citizen
- Leaving jail or prison
Free Look Periods for Recently Purchased Plans
The free look period, or sometimes known as a cooling off period, is a time window when policyholders can cancel a recently purchased health plan and receive a full refund. The duration of the free look period can vary from 15 to 30 days depending on the insurer.[4] It is only applicable to new health insurance policies, not renewals.
Below is a look at several health insurance plans and their free look periods.
Company |
Free Look Period |
---|---|
UHC[5] |
If you cancel your subscription before it renews and if you have remaining funds in your United Healthcare account. |
Aetna[6] |
15 days |
Kaiser Permanente[7] |
10 days |
Medigap[8] |
30 days |
Keep in mind that not every health insurance plan has a free look period. While Medigap plans do have a free look period, Original Medicare plans do not.
Are There Penalties if I Cancel My Health Insurance Early?
Most states no longer require you to have health insurance so you won't face a tax penalty or need to apply for an exemption if you don't have coverage. However, if you live in California, Massachusetts, New Jersey, Rhode Island, Vermont or the District of Columbia, you may still be subject to penalties for not having health insurance.
State |
Penalty |
Exemption |
---|---|---|
California[9] |
Starting at $850 per adult; $425 per dependent child under 18 |
|
Massachusetts[10] |
Based on how much you make above the federal poverty level (FPL):
Married couples will pay the sum of the individual penalties per spouse. |
|
New Jersey[11] |
Starting at $695 for individual adult |
|
Rhode Island[12] |
Amount calculated using a flat dollar method, percentage of income method or bronze plan method |
|
Vermont[13] |
There is no cash penalty for not having health insurance, but you must be covered. |
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District of Columbia[14] |
2.5% of household income OR $695 per adult + $347.50 per child under age 18, whichever is higher |
To avoid paying a health insurance penalty, you should avoid canceling an existing policy until you have a new policy in place with a viable effective coverage date. While some health insurance plans can be canceled at any time, you can’t always enroll whenever you want. You may need to wait until open enrollment unless you qualify for a special enrollment period (see earlier list). Otherwise, you run the risk of having zero healthcare coverage when you get injured or sick.
How To Cancel an ACA Health Insurance Plan (Obamacare)
ACA health coverage, also called Obamacare plans or Marketplace plans, is purchased through your state's healthcare marketplace. Canceling marketplace coverage for everyone on your plan is very simple. The following steps come directly from HealthCare.gov.[15]
- Log into your Marketplace account.
- Click “Start a new application or update an existing one.”
- Click on your name in the top right of the screen and select “My applications & coverage.”
- Select your application under “Your existing applications.”
- On the left, select “My Plans & Programs.”
- Select the red button “End (Terminate) All Coverage” at the bottom.
- Select the date you want to end your coverage.
- Check the attestation box.
- Click the red “Terminate Coverage” button.
How To Cancel a Private Health Insurance Plan
A private health insurance plan is sometimes referred to as a non-ACA plan and is purchased directly from an insurance company rather than through the state marketplace. While the canceling processes may differ between carriers, you can generally expect to complete and submit a cancellation form.
For example, members canceling a short-term health insurance plan through Pivot Health would require emailing client services with their plan ID number and their coverage end date.[16] In some cases, the form will ask for more details, such as the reason for cancellation (e.g., divorce, death, new coverage, etc.)
How To Cancel an Employer-Sponsored Health Insurance Plan
You can drop your group plan coverage anytime if your health insurance premiums aren't paid for on a pre-tax basis.[3] If this is your case, you can only cancel your group health insurance plan if a live event triggers a special enrollment period, such as a change in marital status, dependents, employment or residence or you quit and you want to join your new employer’s group plan.
Talk to your HR department to confirm if such an opportunity exists at your workplace.
How To Cancel Medicare
To start, you can only cancel Part A of Medicare if you're paying a premium (Part A is free if you’ve paid enough Medicare taxes over your lifetime).[17] Part B can be canceled whenever you want. In order to cancel either one, you'll need to send in a written request along with your signature.
For specific instructions, you can contact Social Security or follow the instructions in your welcome home packet that you got if you were automatically enrolled in Medicare. Be sure to send your Medicare card back.
How To Cancel a Medicare Advantage Plan
Canceling a Part C plan can be difficult as you're typically locked into your policy for the term of coverage. This means you won't be able to drop coverage until you reach the next enrollment period: January 1 to March 31.[18] If, on the other hand, you have experienced a qualifying life event (more on that later), like moving homes or having a child, you may be eligible to drop coverage.
How To Cancel a Prescription Drug Coverage Plan
To cancel Medicare Part D, you will need to do so during the enrollment period, which is October 15 to December 7 each year.[18]
How To Cancel Medicaid
The best way to cancel Medicaid you will need to contact Medicaid directly. Keep in mind that the cancellation steps can vary even by county so you will need to call your local Medicaid office for the exact instructions.
These cancellation steps will also apply for children enrolled in CHIP (Children's Health Insurance Program).
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