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Young Adults - FAQs:

How do I get my 21 year old onto my insurance plan?

Insurers are now required to permit children to stay on family policies until age 26.  This applies to all plans in the individual market, new employer plans, and existing employer plans,  unless your adult child  has an offer of coverage through his or her employer.  This requirement will take effect the next time your plan comes up for renewal.

Both married and unmarried adult children qualify for this dependent coverage.

Beginning in 2014, children up to age 26 can stay on their parent’s employer plan even if they have an offer of coverage through their employer.

Learn more about health care for young adults at: http://www.healthcare.gov/news/factsheets/2011/08/young-adults.html


Can I get coverage even though I recently graduated from college and am no longer on my parents plan?

Yes. Check with your insurance company to see if they will provide that coverage to you now. If not, watch for the special open enrollment period and sign up then.


Does the young adult provision apply to plans or issuers that do not provide dependent coverage?

 No.  There is no federal requirement compelling a plan or issuer to offer dependent coverage at this time.  However, the vast majority of group health plans offer dependent coverage and many family policies exist in the individual market. 


I am married, have a stepson who is 22 and am wondering whether he’s eligible to be covered under my insurance plan. My insurer said they do not have to cover a stepchild.

Depending on your state, your plan may not cover any stepchildren at all. But if your plan does cover stepchildren of any age, you are able to keep your stepson on your plan until he turns 26.  (Under some circumstances, a plan may place additional restrictions on eligibility for other types of adult children, like grandchildren or a niece or nephew. But it may not put in place additional requirements for sons, daughters, stepchildren, adopted children, and foster children.)

You should call your plan to learn more, and you may also want to reach out to your state insurance commissioner or contact the Consumer Assistance Program in your state.


What if the child under 26 is married and on her parents insurance and becomes pregnant. Is the pregnancy covered?

Plans generally are not permitted to vary the terms of the benefit for dependent coverage based on age. So if the plan covers pregnancy, your daughter’s pregnancy should be covered.  However, the plan is not required to cover your new grandchild once the baby is born.


What is the option for a 24 year-old whose parents are Medicare beneficiaries?

The provision of the Affordable Care Act that allows children under 26 to be insured under a parent’s plan does not apply when the parent is covered only by Medicare. 

You can use our insurance and coverage finder to determine what public and private insurance options might be available to your family.


What options are available after my 26-year-old “ages off” my insurance?

Choices differ for each person. Use our insurance and coverage finder to determine what public and private insurance options might be available to your family.


If a college student does not live with the parent and does not live on campus, can she still be carried on the parents’ health care plan?

Yes. Your daughter is eligible for coverage regardless of where she lives, if she’s married, and whether or not she is financially dependent on you. To learn more, read this list of questions and answers about the young adult feature of the Affordable Care Act. You can also read additional FAQs below.


What happens to my young adult insurance coverage after I turn 26?

Once you turn 26, insurance companies are no longer required to offer you coverage under your parent’s plan.

Use the resources below to find public, private, and community programs that meet your needs:

  1. Find Insurance Options: Use the insurance and coverage finder.
  2. Understanding Insurance: Learn more about your insurance options.
  3. Insurance Choices: Learn more about your alternatives to private Insurance.
  4. Find information on options for free or low-cost care.

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