Get Ready for Open Enrollment: Ensure Your Family Has the Right Plan for 2025

To our valued clients, please keep an eye on your email! Our agents at Utah Avenue have already sent out a survey to gather all relevant changes in your circumstances. This will help us ensure that you have the right plan for your family for 2025, covering all your needs. Our goal is to help you navigate these changes and secure the best possible health coverage.

If you are not a current client of Utah Avenue Insurance and want to know what your Marketplace plan, Medicare plan or dental insurance will look like next year, give us a call! We'd be happy to go over what is changing in your family and do the research on all the plans for you. Our office gets plan benefits and pricing sooner than most agents so we can get you information fast.

As the holidays approach, we know how busy family life can get. That's why it's essential to complete your open enrollment before the festive season kicks in, allowing you to focus on the fun instead of worrying about insurance. Here’s what you need to know to prepare for the upcoming open enrollment period for the Health Insurance Marketplace:

Open Enrollment Dates

For Marketplace plans in Utah, open enrollment for 2025 runs from November 1, 2024, to January 15, 2025. But to get a health plan to start January 1st, we need to have your application in by December 15th. Be sure to mark these dates on your calendar and review any changes to your health coverage during this period.

****Key Life Changes and Why They Matter****

Pregnancy

If you or a dependent becomes pregnant, this can significantly impact your health insurance needs. Marketplace plans provide coverage for maternity care, which includes prenatal visits, labor and delivery, and postnatal care. Reporting a pregnancy ensures you can access necessary services and potentially qualify for additional benefits or subsidies. Update your plan to reflect this change so you can receive the appropriate care without unexpected expenses.

Income Changes

Your income is a major factor in determining your eligibility for subsidies and cost-sharing reductions. If you’ve had a raise, a pay cut, or a change in employment status, it's important to report these changes during open enrollment. An increase in income might reduce your subsidy amount, while a decrease could make you eligible for more substantial financial assistance. Accurate reporting ensures you’re paying the correct premium and getting the right level of support. Estimating your income correctly also helps you avoid tax penalties.

Address Changes

Moving to a new address can affect your health insurance coverage, as plans and networks can vary by location. When you move, your existing plan might not cover healthcare providers in your new area, necessitating a switch to a plan that does. Reporting an address change during open enrollment allows you to choose a plan that includes doctors and hospitals in your new location, ensuring continuity of care.

Tax Filing Status

Your tax filing status can influence your eligibility for certain health insurance subsidies. Changes such as filing jointly after getting married or filing separately can alter your household income calculations and subsidy amounts. Updating this information helps prevent discrepancies that could affect your tax return and avoid any surprises come tax season. Be sure to keep your Marketplace information current to reflect your most accurate tax status.

Divorce

A divorce can significantly change your household size and income, impacting your health insurance plan and subsidies. You may need to enroll in a new plan that better suits your new circumstances. Reporting a divorce ensures that your coverage remains appropriate for your current needs and prevents any lapses in coverage that might occur during such transitions.

Marriage

Getting married is another life change that can alter your health insurance needs. When you get married, you have the option to combine your health plans or choose a new one that works best for both of you. This might also affect your subsidy eligibility, as household income and size will change. Updating your marital status during open enrollment helps ensure you have the best plan for your new family unit.

Health Changes

If you've received a new diagnosis or need a new prescription, your healthcare needs might change significantly. Different plans offer varying levels of coverage for medications and treatments. By reporting these health changes, you can select a plan that provides the necessary coverage for your new health conditions, ensuring you get the care you need without facing prohibitive costs.

How We Can Help

At Utah Avenue, we understand that life is full of changes, and we’re here to help you navigate them. If you want to know what your plan benefits and price will be for next year, give us a call! We can make sure that you are the first to know changes in your plan for 2025.

If you’re one of our current clients, we want to know all your changes. To make this process easier, our agents have already sent out a survey to gather all relevant changes in your circumstances. This information will enable us to find the best plan for you and your family for 2025. Open enrollment is the perfect time to review and update your health insurance information to reflect any changes in your life. Doing so ensures you have the right coverage and financial assistance, helping you avoid unexpected expenses and access the care you need.

If you’re not yet a client of Utah Avenue, reach out to us! We can gather your information and, as soon as we have rates (expected in the next few weeks), we will provide you with the best options for your family.

Let’s make this open enrollment period a successful one together! Our team is ready to assist you every step of the way, ensuring you and your family are covered and cared for in the year ahead.