Turning 26

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Turning 26​

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Turning 26? Let’s Keep the Coverage Going

When someone turns 26, they may no longer be eligible to stay on a parent or guardian’s health insurance. But we’re here to help make the transition easy for everyone involved.

Have questions? Call 832.400.5184 or reach out to your Broker.

Why This Matters

  • No coverage gaps – Avoid going without health insurance
  • Peace of mind – Know there’s coverage for doctor visits, prescriptions, and emergencies
  • Flexible options – We offer affordable plans that fit students, workers, or anyone in between

 

What You Can Do Now:

  • Talk with your dependent— or your parent or guardian – about getting a new plan
  • Click below to explore available options
  • Need help? Fill out the form below or give us a call — we’re happy to help

Turning 26? Get Answers Here:

Check out our FAQ for answers to common questions — like when coverage ends, what documents are needed, and how to sign up. 

Most health insurance plans allow young adults to remain on their parents’ policy until they turn 26. Once you hit that birthday, this coverage ends. It’s important to have a new plan in place to avoid gaps in your healthcare coverage. Going without insurance means you’ll be responsible for the full cost of any medical care you need, which can be incredibly expensive. 

Your parents’ health insurance typically ends at the end of the month when you turn 26. However, this can vary depending on your insurance provider. It’s important to confirm the exact date with your parents’ insurance company well in advance of your birthday. 

  1. Employer-Sponsored Insurance: If your employer offers health insurance as a benefit, this is often the most straightforward and affordable option. You may be able to enroll in coverage immediately upon turning 26, regardless of your employer’s usual open enrollment periods. Check with your employer’s HR department. 
  2. Marketplace Plans (Healthcare.gov): The Health Insurance Marketplace allows you to compare and purchase individual health insurance plans. You might qualify for government subsidies (financial assistance) to lower your monthly premiums. The open enrollment period typically runs from November 1st to January 15th, but because you’re turning 26, you have a special enrollment period providing a 60-day window before and after your birthday to select a plan. 
  3. Community Health Choice: We offer affordable and comprehensive health insurance plans designed to meet the needs of individuals and families in our community. 

To enroll in any of these plans, you’ll need some basic information: 

  • A government-issued photo ID 
  • Your Social Security number 
  • Proof of income (e.g., pay stubs, tax returns) 

Depending on the specific plan, additional documentation may be required. 

Don’t wait until the last minute! We highly recommend starting your search at least 60 days before your 26th birthday. This ensures a smooth transition and prevents any potential gaps in your coverage. 

Selecting the right plan can feel overwhelming, but focusing on these key factors will help: 

  • Your healthcare needs: How often do you typically visit the doctor? Do you have any pre-existing conditions? 
  • Network provider: Make sure your preferred doctors and hospitals are part of the plan’s network to avoid higher out-of-pocket costs. 
  • Cost: Carefully consider the monthly premium, deductible, copay, and out-of-pocket maximum. 
  • Additional coverage: Some plans include additional benefits, such as dental, vision, and mental health services. 

We’re here to assist you! 

  • Visit HealthCare.gov 
  • Contact your employer’s HR department 
  • Speak with a Community Health Choice Sales Representative: Call 832.400.5184  or reach out to your Broker 

We understand that navigating the health insurance system can be tricky, so don’t hesitate to reach out. We’re committed to helping you find the right coverage to meet your needs and budget. 

Need Help? Contact Us

Call us, fill our the form, or connect with your Broker.  We’re here for you. We’ll never share your information.

How would you like us to contact you?
Please let us know what's on your mind. Have a question for us? Ask away.

Make your first payment

You have multiple ways to make a premium payment:

Please note: Invoices are sent out automatically. If you have already made a payment, thank you! Some payments can take up to a week to process.

Complete Step 1

Community Tip: Make A Choice
Remember, your payment must be received by the date on your invoice. If you miss this date, your plan is automatically canceled, and you will lose your coverage. You must re-enroll if you are still eligible.

Choose a primary care physician

It’s important to choose a primary care physician from the Community Health Choice network to coordinate your care. Use our Find a Provider to see if your primary care physician is in the network or to find a new one.

Make your selection by signing in to your Member account, go to the “Message Center” and email us the Provider First and Last Name/Clinic Name and phone number. You can also call us at 713.295.6704 or toll-free at 1.855.315.5386 to let us know your choice.  Please note that we are currently experiencing unexpected long hold times.

Complete Step 2

Community Tip: Make A Choice
If you do not choose a primary care doctor, we will match you to one based on where you live. Please note that your ID cards will be mailed once you have selected a Primary Care Physician or you have been matched with one.

Create your online Member account

Your health plan, personalized. Your personal My Member account makes it easy to manage your health plan. Everything that you need is at your fingertips. New Members create your My Member Account five to seven business days after your first premium payment is processed.

Your My Member Account lets you:

  • Pay premiums online and set up auto-payments.
  • Print a copy of your Member ID card.
  • Check claim status.
  • Send secure messages to our Member Services team.
  • And much more!

Complete Step 3

Community Tip: Set up automatic payments
Once you have made your first payment in your Member account you can schedule future premiums to be paid automatically on the 15th or 25th of each month. If you had set up automatic payments in 2022, we recommend you log in to your account to review your recurring payment amounts.

See if you need to send supporting documentation

The Advanced Premium Tax Credit (APTC) is a federal subsidy available to individuals and families who earn less than 400% of the Federal Poverty Level (FPL) when enrolling in plans through the Health Insurance Marketplace. This subsidy helps to pay part of your health insurance premiums to make your insurance more affordable.

If you have been asked for supporting documentation by the Health Insurance Marketplace, send your supporting documents in to the Health Insurance Marketplace now. You have just 30 days from the day you enroll to show proof to the Centers for Medicare & Medicaid Services (CMS) that you qualify for financial help with your premiums. It is important to send any missing documents or you will lose your eligibility for Marketplace coverage.

Complete Step 4

Community Tip: Make the Deadline
If you miss the deadline, you could lose your financial assistance, and your premiums could be higher—possibly much higher. So, please get those documents to CMS, not Community, immediately.

Why Choose Community?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

“Community Health Choice is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.”

– Cecily
Member of Community Health Choice

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Ya sea que se trate solo de ti o de toda tu familia, encuentra hoy mismo una cobertura médica asequible y confiable. ¡Ya llegó la Inscripción Abierta del Mercado! ¡Llame ahora! 832.501.3254