QUESTION

Does pregnancy trigger a special enrollment opportunity to buy or change coverage?

Individuals with no coverage | Open and Special Enrollment Periods
ANSWER

It does not in the federally facilitated marketplace, or in most state-based marketplaces. When the baby is born, however, you will be eligible for a special enrollment opportunity. You can enroll your baby in coverage at that point. A few states do consider pregnancy a qualifying event for a special enrollment period. To see if your state is one of them, visit our state fact sheets here. (45 C.F.R. § 155.420).

Individuals with no coverage
Individuals with coverage
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