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Individual & Family

FAQs: Special Enrollment

From going through your life event to picking a plan with Blue Cross and Blue Shield of Texas, we're here to answer your questions. Learn more about the Special Enrollment Period and if you can enroll.

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HOW TO SHOP

How Do I Apply for Special Enrollment With BCBSTX?

If you go through a life event that qualifies you for Special Enrollment, you can update or choose a new plan.1 You normally have 60 days after your life event to pick a plan.

Visit our shopping platform to compare coverage options and their prices. Once you've found the right plan, enroll and make your first premium payment.

ELIGIBILITY

How Do I Know if I'm Eligible for Special Enrollment?

If you go through a "qualifying life event," you're eligible for Special Enrollment. Learn more about some common life events:

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PLAN SELECTION

Can I Use Special Enrollment to Switch to a Better Plan?

Sometimes, a life change means a change in your needs. Special Enrollment is the perfect chance to update your plan to coverage that better fits your needs:

  • Choose a plan with lower costs
  • Explore plans with different benefits
  • Add a dependent or a spouse to your coverage

Documentation

Do I Need to Show Proof of My Event or Insurance Coverage?

Depending on your life event, you may need to submit some documentation. These documents normally fall into 1 of 2 categories:

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Proof of your life event

These documents show when your life event was. A few examples are a marriage licensebirth certificate or letter from your employer.

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Proof that you had insurance

Depending on the documents you submit, you may also need to send proof of insurance like a letter from your insurer or certificate of Credible Coverage.

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What Happens if I Miss My Special Enrollment Deadline?

Can I still get insurance?

You normally have 60 days after your life event to enroll through Special Enrollment. If you miss that deadline, you may have to wait until Open Enrollment, beginning November 1.

You can also check if you qualify for Medicare or Medicaid plans. These plans are offered by the government. Eligibility is based on age, income or disability.

FAQs

A Few More Questions About Special Enrollment

1Members of American Indian and Alaska Native tribes can apply for health care coverage any month of the year. If you qualify for Children’s Health Insurance Program (CHIP) or other assistance based on your income, you do not need to enroll during the Special Enrollment Period.

2The following are not considered loss of coverage: voluntarily canceling your health insurance plan, having your plan canceled because you did not pay your premiums or because your plan did not meet the requirements set by the Affordable Care Act for Minimum Essential Coverage.

BCBSTX does not offer temporary or short-term plans. These plans may not provide the full benefits of a BCBSTX health plan, including essential health benefits.