Can you believe it? Your child is turning 26 soon! This milestone also means they might need to re-evaluate their health insurance. If they’ve been on your plan, it may be time to explore new options.
Timing is key
If your child is on your plan, you need to verify when your child will be removed from your coverage. They will have a special window of time — 120 days to be exact — to enroll in a new health plan. The countdown starts 60 days before the loss of coverage and lasts until 60 days after. Acting in this window is essential to avoid missing out on healthcare coverage. Some plans, including Marketplace policies, could allow dependents turning 26 to stay on their parents’ plan through the end of the year, while others stop coverage at the end of the month the dependent turns 26. To learn more about your specific plan, call 800-392-2583 or visit an ArkansasBlue Welcome Center near you.
When to make the switch
If your child is losing coverage, having them apply prior to the loss will help avoid any break in coverage. A Qualifying Life Event (QLE) could allow your child to enroll in their own health plan during a special window outside of the Open Enrollment Period. If they miss the QLE window, they may have to wait for the annual Open Enrollment Period, which runs from November 1 to January 15, 2026.
Why health insurance matters
Many young adults make the common mistake of thinking, “I’m young and healthy; I don’t need insurance.” But even young adults face unexpected illnesses or accidents. Even under the Affordable Care Act, situations such as getting pregnant, having an accident or getting ill might not be a QLE to enroll in health insurance. Having health insurance can make a big difference if something happens.
Not only does health insurance help with unexpected medical costs, but it can also give peace of mind managing routine and preventive services. Most health insurance plans cover preventive care services at no extra cost. Some health insurance plans may offer several PCP visits at no extra cost. These visits can catch health issues early when they’re easier and cheaper to treat.
Types of health plans to consider
- Affordable Care Act (ACA) Plans: These plans cover essential benefits as required by law. Your child might qualify for financial help depending on their income. Contact your agent or Arkansas Blue Cross and Blue Shield to learn more about what plans are available.
- Employer-sponsored plans: If your child works full-time, their employer might offer a health plan.
- Student plans: Students can check if their college or university offers a health plan.
- Medicaid: If eligible based on income, Medicaid might be an option in Arkansas.
- Partner or spouse coverage: If they’re married or in a partnership, they might be eligible for coverage under their partner’s plan.
- Additional coverage: Dental and vision plans are also available if needed.
Taking the next step
Taking charge of health insurance can feel overwhelming, but with the right guidance, your child can find a plan that works for them. Our team is ready to help you get the InsideTrack to finding the right health insurance plan. To learn about your options, you can speak with our team by calling 800-392-2583, visiting our member portal or scheduling an appointment at your nearest ArkansasBlue Welcome Center.
Here’s to a healthy future!