Take Action When You Have Both Marketplace & Medicaid/CHIP Coverage

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Take action when you haveMarketplace coverage along withMedicaid or CHIP coverageIf you're eligible for health coverage through Medicaid or the Children's HealthInsurance Program (CHIP), you can't get help paying for health coverage throughthe Marketplace.You should do one of these: End your enrollment in Marketplace coverage Update your application to tell the Marketplace you’re not enrolled inMedicaid or CHIPThis guide will show you how to take the next steps. Select the “NEXT” arrowsalong the bottom of each page to move to the next page. Don’t use the arrowkeys on your keyboard.NEXT

Log in to your Marketplace account,if you haven’t already1. Choose your current application under “Your existingapplications.”2. Select “Application Details” on the left-hand menu.BACKNEXT

Pay attention to your deadline to takeaction & see your next stepsMake updates by 09/01/20XXIMPORTANT: Take actionbefore this date.Download and review yournotice here, if needed.Select the "View Next Steps"button to learn what to do next.BACKNEXT

Tell us who in your household hasMedicaid or CHIP coverageAnswer "Yes" or "No"for each person on your application to tell usif they're enrolled in Medicaid or CHIP.BACKNEXT

Read the options below, then select the“Go” button that matches yoursituationYou answered “ Yes” foreveryone listed in yournotice and there’s no oneelse on your application.You answered “No” foreveryone listed, becausethey don’t have Medicaidor CHIP.You answered “Yes” for someand “No” for others,OR there are people on yourapplication you weren’tasked about.GOGOGO

If you answered “Yes” for everyone listed in yournotice and there’s no one else on your application,end each person's Marketplace coverage withfinancial helpSelect "My Plans & Programs" to goto the page where youcan end your coverage, then.DON'T select thegreen "UpdateApplication" button.BACKSelect the "End(Terminate) All Coverage"button.NEXT

If you answered “No” for everyone on your notice,report a life changeSelect the "UpdateApplication" button to go toyour Marketplace application.Select through your application. If you (or anyone onyour application) had Medicaid or CHIP coverage thatrecently ended or will end soon, select each person'sname when asked. You'll also enter informationabout income changes and the last date of coverage.Select the "Save & Continue" button.IMPORTANT: Go all the way through your application, completeyour "To-Do List," and confirm your enrollment in a plan.If you don’t see these steps, see “Where can I get help?” on page 11.BACKNEXT

If you answered “Yes” for some people on your noticeand “No” for others, OR if there are people on yourapplication you weren’t asked about,take these actionsSelect the "Update Application"button. You'll be taken to yourMarketplace application, then.Step through yourapplication. Whenasked if you or aperson who'senrolled inMedicaid or CHIPneeds coverage,select No," and then"Save & Continue."BACKIf someone on your application(including you), has currentMedicaid or CHIP coverage,select "Edit" next to the person'sname.If you don’t see these steps, see “Where can I get help?” on page 11.NEXT

If you answered “Yes” for some people on your noticeand “No” for others, OR if there are people on yourapplication you weren’t asked about,take these actions (Continued)You don't need to edit your information or anyoneelse's information if you don't have currentMedicaid or CHIP coverage.But, if another person on your application had Medicaidor CHIP coverage that ended recently (or will end soon),edit their information and, step through theapplication, and select their name when asked aboutthis coverage. Next, you'll enter information aboutincome changes and the last date of coverage.IMPORTANT: Go through your entire application.BACKIf you don’t see these steps, see “Where can I get help?” on page 11.NEXT

When you’ve completed allnecessary steps.Select on your name in the top right corner of yourapplication, then select "My Applications & Coverage." Selectyour most recent application, then"Application Details."If you've successfully completed the steps, you'll see a"NO ACTION NEEDED" button. This means you'redone with all necessary updates.BACKNEXT

More about on when you have aMedicaid or CHIP coverageMarketplace planWhat if I don’t take any action?The Marketplace will end any savings your household members are getting for their Marketplacecoverage if you don't act in your Marketplace account by the date listed in your notice. After thesavings end, these household members will stay enrolled in their Marketplace coverage at full cost,unless you take action.Can I keep my Marketplace coverage, and Medicaid or CHIP?The Marketplace will end any savings your household members are getting for their Marketplacecoverage if you don't act in your Marketplace account by the date listed in your notice. If you chooseto keep your full-cost Marketplace coverage, you should tell your state Medicaid or CHIP agency thatyou’re still enrolled in Marketplace coverage. If you choose to stay enrolled in Marketplace coveragewithout savings, you may no longer be eligible for CHIP.Where can I get help?Call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325) if you're not seeing thesteps outlined in this user guide, or if you're having trouble completing the steps. Or, you can make anappointment for in-person help. Find help near you at LocalHelp.HealthCare.gov.CMS Product No. 11971Revised October 2021

If you're eligible for health coverage through Medicaid or the Children's Health Insurance Program (CHIP), you can't get help paying for health coverage through the Marketplace. You should do one of these: End your enrollment in Marketplace coverage Update your application to tell the Marketplace you're not enrolled in Medicaid or CHIP

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