Bringing your baby home means you have plenty to do in between all those cuddles! One important task is adding your little one to your health insurance plan. Luckily, this process is straightforward.
When Can You Add Your Baby to Your Insurance?
Both birth and adoption are considered qualifying life events. This means you can enroll your baby in your health plan within a specific time frame:
- Employer-based plans: You have at least 30 days after your child’s birth or adoption.
- Marketplace plans (federal or state): You have 60 days.
No matter when you enroll, coverage will begin from the day of birth or adoption.
Steps to Add Your Baby to Your Insurance
- Evaluate Your Health Plans
If both parents have employer-based insurance, compare the plans. Consider premiums, copays and the network of doctors and hospitals.
- Contact Your Insurance Provider
Reach out to your HR department or insurance company to inform them that you want to add your baby to your plan. Ask about any additional costs.
- Gather Necessary Documents
Check with your insurer about required paperwork. Typically, you’ll need your baby’s birth certificate or proof of birth. The hospital can assist with this. For adopted children, official adoption papers may be required.
- Review Your Premiums
Family plans might allow for new dependents without a premium increase, but costs can sometimes rise. Make sure to understand any changes in expenses.
If You Have a Marketplace Plan
You’ll still need your baby’s birth certificate and possibly their Social Security number for enrollment. Consider these options:
- Add your baby to your current plan. Updating your application may change your coverage options and potentially qualify you for subsidies that lower your monthly costs.
- Get a separate plan for your baby. Your baby qualifies for special enrollment, while the rest of the family can be evaluated during the next open enrollment period.
If You Have Medicaid or CHIP
Both programs offer affordable health coverage, including for your newborn. If you were eligible during pregnancy, you’ll remain covered for 60 days after giving birth. However, your baby will continue to receive Medicaid for at least a year.
Do Your Research
When considering insurance for your baby, keep these tips in mind:
- Cost Comparisons: Your current plan may not be the most affordable. Research other options if premiums are high or your child’s doctor isn’t in the network.
- Qualified Health Plans: Ensure your chosen plan meets the standards set by the Affordable Care Act. It should provide essential health benefits, including well-child visits and vaccinations.
Adding a baby to your family is a significant milestone, and securing their health insurance is a crucial step for their future well-being. If you have questions or need assistance, feel free to reach out for help.
