Every year, insurance companies can decide what products they will offer on MNsure. From year to year, those products may change. Under federal and state law, insurance companies are required to renew you into the same plan you had last year. However, the price for that plan may have gone up and insurance companies are not required to offer you any financial help if the plan is no longer available through MNsure.
MNsure remains the only place where Minnesotans can qualify for financial help either through a federal tax credit or cost-sharing reductions or the MinnesotaCare and Medical Assistance programs to help pay the cost for their health insurance plan.
Plan choices and premium amounts change each year. Your premium amount (including tax credits and other financial help) may change on January 1 even if you stay in the same plan. It is best to review next year's plans and your updated eligibility for financial help, and then sign up for the plan that is right for you and your family by the end of open enrollment, December 22, 2020.
You must pay your premium directly to the insurance company. You will receive an invoice showing your payment amount and the due date.
Family members currently enrolled in Medical Assistance or MinnesotaCare do not have to take any action to renew their coverage unless directed by the Minnesota Department of Human Services.
If your current plan will no longer be available through MNsure, your insurance company will inform you of this change. You can also use the plan crosswalk to see if your current plan is available next year.
The easiest way to make sure you are getting the best deal is to come back to MNsure.org at the start of open enrollment to shop and compare plans. If your plan is not available and you do not sign in to your account and select a plan by December 22, your coverage through MNsure will end on December 31, 2020.
If you would like to keep your same plan, and it is still offered on MNsure, MNsure will automatically renew you into the same plan for the 2021 coverage year. You will continue to receive an invoice from your insurance company and must continue to make payments in order to maintain coverage. To ensure your coverage is renewed, you must respond promptly to any requests for additional information.
NOTE: If your plan is available next year, some features may change, like network, deductibles and co-pays. For this reason it’s a good idea to review the summary of benefits and coverage (SBC) for your plan before you renew. You can find SBCs for all plans offered on MNsure using the plan comparison tool. If you have questions about your plan, call your insurance company.
If you would like to keep your same plan but it is no longer offered on MNsure, your insurance company will automatically enroll you in that same plan if it is still available outside of MNsure and you will not receive any financial help. Because of this you are strongly encouraged to come back to MNsure.org at the start of open enrollment and shop and compare plans to ensure you are getting the best deal and the best coverage for you and your family.
If you do not want to be automatically renewed in your current plan or your current plan or insurance company is no longer available through MNsure, you must sign in to your MNsure account during open enrollment and select a different plan by the deadline for January 1 coverage. This will ensure you are getting the best deal and most comprehensive coverage for you and your family. If you do not act by December 22, 2020, you will be automatically renewed in your current plan for January 1 coverage.
If you enroll in a health insurance plan through MNsure with a different health insurance company, MNsure will alert your old insurance company of your decision. However, it would be in your best interest to contact your previous year's insurance company right away about your decision, especially if you are signed up for automatic debit payments with that company. Please work with your insurance company directly to understand the timing of when your automatic debit payment will be withdrawn and how much advance notice they require to stop that from occurring if you decide to change companies. You should assume your insurance company will process your automatic debit payment on your current schedule.
You can change plans during the annual open enrollment period using your enrollment dashboard.
You can only change plans or make changes to your current plan outside open enrollment if you qualify for a special enrollment period. Amounts you may pay toward deductibles or out-of-pocket maximums in one plan will not be applied toward a different plan if you change plans during a special enrollment period.
Please note you cannot change plans or receive adjustments to tax credits retroactively.
Report changes within 30 days of the change event. Tell us about all changes including changes to:
If you are not sure if you should report a change, call the MNsure Contact Center and explain what is happening. If you do not tell us you moved and returned mail has no forwarding address, your coverage may end. You cannot use your annual renewal notice to report changes by mail.
Please see the End Coverage section for steps to take on canceling or disenrolling from coverage. You must take action before December 31 or you will be automatically renewed in your current plan for January 1 coverage.
No. MNsure remains the only place where consumers can qualify for financial help either through federal tax credits and cost-sharing reductions or the MinnesotaCare and Medical Assistance programs to help pay the cost for their health insurance plan.
You can view your updated eligibility for next year, including any updated tax credit amounts and cost-sharing reductions, on the eligibility renewal notice that you receive from MNsure.
The answer to that depends on several things, including:
Your eligibility for financial help (advanced premium tax credit or cost-sharing reductions) is updated annually by MNsure. Your eligibility is based on the most recent information that you reported to MNsure.
In most cases, if your renewal qualifies you for a tax credit for next year you will be automatically re-enrolled in the same plan offered through MNsure and the updated amount of tax credit will be applied to your new premium amount. If your renewal qualifies you for cost-sharing reductions for next year and you are either automatically re-enrolled in the same silver plan or you select a new silver plan offered through MNsure for the coming year, you will continue to receive cost-sharing reductions.
If you are an American Indian receiving cost-sharing reductions you do not need to be on a silver plan to continue to receive the same cost-sharing reductions in your plan.
If an advanced premium tax credit was applied to your coverage in a previous year and you have not filed a tax return for that year, you will no longer be eligible for advanced premium tax credit or cost-sharing reductions in the coming year. You should file a tax return as soon as possible.
If you did not provide consent for MNsure to use your federal tax information to renew coverage for the coming year, you will no longer be eligible for financial help.
If an advanced premium tax credit was applied to your coverage in a previous year to help pay for coverage and you have not filed a tax return with IRS Form 8962 for that year, you will no longer be eligible for an advanced premium tax credit or cost-sharing reductions. You should file a tax return as soon as possible, including a completed IRS Form 8962.
You should have received a Form 1095-A – Health Insurance Marketplace Statement from MNsure to help fill out Form 8962 and file your federal income tax return for any previous year in which you received a tax credit. If you did not receive this form, call the MNsure Contact Center. After you file your tax return and IRS Form 8962, call the MNsure Contact Center to report that information.
No. The best way to make sure you are getting the best deal for you and your family is to visit MNsure.org during the annual open enrollment period to shop and compare plans and enroll in a plan through MNsure.
A tax credit lowers your monthly private health plan insurance premium costs. MNsure will apply the full amount available to you towards the cost of your premium unless you have indicated otherwise. The cost-sharing reductions are a discount that lowers the amount you have to pay out of pocket for deductibles, co-insurance and co-payments.
Your eligibility for a tax credit or cost-sharing reductions is based on the most recent information that you reported to MNsure. Be sure to report changes and submit any requested proof as soon as possible. If you submit information that is not truthful or accurate, your private health plan coverage may be terminated and you may have to repay any payments that you are not entitled to, including advanced premium tax credit payments.
If you were notified by MNsure that you need to complete an application, log in to your MNsure account and update your eligibility by completing an application for insurance WITH financial help. (If you do not want to see if you are eligible for financial help, you can apply for health insurance WITHOUT financial help.)
After you have finished the application, your eligibility to purchase a plan through MNsure and to receive financial help will be updated for the new year.
Most applicants will have their eligibility automatically renewed so they will not need to complete a new application. To ensure that you continue to receive any financial help for which you may be eligible, be sure to respond promptly to any MNsure request for additional information.