New Policy Analysis Looks At Impact Of Special Enrollment Periods

posted by Alicia Caramenico

on February 23, 2016

Special enrollment periods play an important role in promoting continuity of coverage and care during important life transitions, such as job changes, relocations, marriage, and births. By establishing verification and validation processes for special enrollment requests on the Exchanges, policymakers can promote a more stable marketplace for consumers, according to a new policy analysis from America’s Health Insurance Plans and the Blue Cross Blue Shield Association.

The latest analysis explains that individuals who gain coverage through special enrollment periods account for up to one-third of the Exchange population, and they incur significantly higher medical costs than those who enroll during regular open enrollment periods. It also cautions that abuse and misuse of special enrollment periods – consumers waiting until they need medical care to purchase coverage and stopping premiums payments before the end of the coverage year – destabilize the marketplace, decrease affordability, discourage enrollment, and drive up costs for everyone.

Read the full analysis from AHIP and BCBSA here.

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