District of Columbia Notice of Special Enrollment Rules

State:
Multi-State
Control #:
US-359EM
Format:
Word; 
Rich Text
Instant download

Description

This notice informs an individual of his or her rights for special enrollment involving health insurance coverage.

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FAQ

DC Healthy Families is a program that provides free health insurance to DC residents who meet certain income and U.S. citizenship or eligible immigration status to qualify for DC Medicaid.

According to the Commonwealth Fund, DC has the 20th best health system in the country. That study looks at access, affordability, treatment, hospital use and cost, healthy lives, and equity.

DC Medicaid is a healthcare program that pays for medical services for qualified people. It helps pay for medical services for low-income and disabled people. For those eligible for full Medicaid services, Medicaid pays healthcare providers.

The District of Columbia offers the full range of health insurance options to its 690,000 residents1: employer-provided plans; Affordable Care Act (ACA) individual and family plans purchased through the District's Health Insurance Exchange (also called a Marketplace); and government-assisted plans such as Medicare,

The District of Columbia requires that group insurance plans sponsored by employers not covered by the Consolidated Omnibus Budget Reconciliation Act (COBRA) provide three months of continuation coverage following termination of coverage for most of the same reasons that are covered by the federal law (DC Code Sec.

Conversely, for other services the deductible will apply. For example, for emergency medical transportation you must reach your deductible before the coverage kicks in. District of Columbia.

D.C.'s individual mandate requires most individuals residing in D.C. to maintain minimum essential coverage (MEC) for each month of the year. Individuals who do not obtain acceptable health insurance coverage and do not qualify for an exemption will be penalized.

DC Healthy Families is a program that provides free health insurance to DC residents who meet certain income and U.S. citizenship or eligible immigration status to qualify for DC Medicaid.

D.C. law requires you to have health insurance. Unless you qualify for an exemption, you may be required to pay a tax penalty if you go without health insurance in the District of Columbia.

Be responsible for a child 18 years of age or younger, or. Blind, or. Have a disability or a family member in your household with a disability, or. Be 65 years of age or older.

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District of Columbia Notice of Special Enrollment Rules