OE10 Webinar:
October 2022

Part VII: HealthCare.gov Redetermination & Renewal Process

In Part VII of this Beyond the Basics OE10 webinar series presented on October 6, 2022, Jenny Sullivan, Director of Health Coverage Access, provides an in-depth review of the HealthCare.gov renewal process for 2023 coverage, including redetermination of premium tax credit eligibility and plan enrollment.

Webinar Resources

↓ Presentation Slides (PDF)

OE10 Webinar

Jump To:

2023 Open Enrollment Overview

  • Overview of open enrollment dates and coverage effective dates in HealthCare.gov and State-Based Marketplaces

Encourage Active Re-enrollment

  • Importance of returning to the marketplace
  • Renewal 2-step process: redetermination and re-enrollment

Redetermination of APTC by HealthCare.gov

  • Redetermination process for HealthCare.gov
  • Notices about redetermination process
  • Who is eligible for redetermination of APTC
  • Who is not eligible for redetermination of APTC
  • Who is not eligible for auto-renewal
  • How APTC and CSR are redetermined

Auto-Enrollment for 2023 Plans in HealthCare.gov

  • Three possible auto-enrollment options
  • SEP when auto-enrolled in new plan
  • Notices about renewal process
  • Terminating coverage
  • Tips for assisters

Additional Resources

Key Facts:

Reference: Special Enrollment Period Reference Chart

OE10 Webinar Series (Coverage Year 2023)

HealthCare.gov Resources:

Sample Notices:

Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their health coverage.

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Beyondthebasics@cbpp.org

Robert Wood Johnson Foundation

Support for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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