You can apply for Medicaid or the Children’s Health Insurance Program at any time. You can enroll your business to provide coverage for your employees at any time.

Enrollment options now:

Enrollment for the current plan year ended on March 31, 2014. Outside of open enrollment periods, you can enroll in the Health Insurance Marketplace if you have certain life events or you have a “complicated situation”. In these cases, Marketplace Guides can help you enroll through HealthCare.gov before November 15, 2014.

What counts as a “qualifying life event?”

  • Getting married
  • Having, adopting or placement of a child
  • Recent move to Delaware
  • Loss of other health coverage through loss of a job, divorce or loss of eligibility for Medicaid or CHIP
  • Expiration of COBRA coverage

What counts as a “complicated situation?”

  • Certain exceptional circumstances (hospitalization, natural disasters, system outages)
  • System errors related to immigration status
  • Display errors, error messages or other system errors on HealthCare.gov
  • Medicaid/Marketplace transfers
  • Unresolved casework
  • Victims of domestic abuse
Learn more about these Special Enrollment Periods for complex cases in the Marketplace at HealthCare.gov

What if I am already enrolled in marketplace coverage?

For those already enrolled in Marketplace coverage, a change in income or household status that affects eligibility for tax credits or cost-sharing reductions should also be reported through HealthCare.gov. The next open enrollment period is November 15, 2014 through February 15, 2015.

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Enrollment options starting November 15, 2014:

1. Enroll online through Healthcare.gov:

Healthcare.gov is the only online source where you can apply for and, if eligible, receive federal tax credits when purchasing and enrolling in a qualified health plan (QHP).

In general, tax credits may be available for individuals whose household income falls between 138% and 400% of the Federal Poverty Limit (FPL).

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2. Enroll online directly with a Qualified Health Plan (QHP) issuer:

If you know you are not eligible for the premium tax credit, then you have the option of purchasing a qualified health plan (QHP) online from either Healthcare.gov or directly through the insurance company’s website. In general, individuals whose household income exceeds 400% of the Federal Poverty Limit (FPL) are not eligible for federal tax credits. Access the comprehensive Plan Comparison Tool to view all available plans before enrolling directly through the insurance company’s site.

Highmark Blue Cross Blue Shield Delaware :
View Plans
Coventry Health Care of Delaware and Coventry Health and Life Insurance Company:
View Plans
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3. Apply for Medicaid and Children’s Health Insurance Program (CHIP):

If you or someone in your household think they may be eligible for public health coverage, you can apply online directly through ASSIST.

In general, this is available to those whose household income falls below 138% of the Federal Poverty Limit (or 212% for children and pregnant women).

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4. Enroll offline:

Completing one of these applications will let you know what health coverage choices you qualify for and if you can get help with costs. You’ll be asked to provide income and other information to make sure you get the most benefits possible.

Completing this application will let you know what health coverage choices you qualify for and if you can get help with costs. You’ll be asked to provide income and other information to make sure you get the most benefits possible.

Complete this application if you want health coverage for yourself and/or other family members but don’t need help paying costs. Filling out this application doesn’t mean you have to buy health coverage.

These instructions include additional help for some, but not all, of the items in the application.

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Five things you need to enroll:

  1. Birth dates of those applying for coverage
  2. Social Security numbers of those applying for coverage
  3. Paystubs, W-2 forms, or other information about your family’s income
  4. Policy/member numbers for any current health coverage
  5. Information about any health coverage from a job that’s available to your or your family
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