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March 28, 2023

With the federal COVID-19 public health emergency (PHE) ending May 11, 2023, the Centers for Medicare & Medicaid Services (CMS) has mandated that states must reevaluate their Medicaid membership to redetermine enrollees’ eligibility. This redetermination will continue into 2024.

It is estimated that, with federal funding provided in the Families First Coronavirus Response Act, more than 20 million new Medicaid enrollees were added nationwide during the PHE. Consumers identified as no longer being eligible for Medicaid will be allowed to participate in a Special Enrollment Period (SEP) to enroll in an Affordable Care Act (ACA) Individual Market plan. CMS has directed that proof of losing Medicaid eligibility as a result of this redetermination effort isn’t required for Marketplace or direct Individual enrollment.

Notices are being mailed to affected consumers and will continue mailing for 12 months. Affected consumers may enroll on a subsidy-eligible plan through the Washington Health Benefit Exchange beginning Apr. 1, 2023. For consumers in most rating areas, our Bronze COD 8500 IAFN plan could be an attractive and affordable option.

You can learn more about our Individual Market plans for 2023 here.

Questions? Please contact your sales representative.