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If You Have Lost Medical Insurance, You’re Not Alone

Lost Your Health Insurance
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In the midst of the coronavirus pandemic, more than one in seven adults have become uninsured. A report by the National Center for Coverage Innovation at Families USA found more than five million Americans have lost their insurance between February and May. So yes, if you have lost your medical insurance, you’re not alone.

Trying to find a replacement job is hard enough, let alone making sure you and your family continue to receive medical coverage. If you are one of the increasing number of uninsured Americans, you may be concerned the lack of insurance could put your family finances in jeopardy or lead to overwhelming medical debt.

Let’s take a look at what we know about uninsured Americans, and some options you may have for finding health insurance.

Uninsured workers by state

Workers who live in California, Texas, Florida, New York and North Carolina have been impacted the hardest, with a combined 46% of the uninsured increases. Most of the newly uninsured live in 10 states, accounting for 63% of those without medical insurance.

State Number Becoming Uninsured Between February and May 2020
California 689,000
Texas 659,000
Florida 607,000
New York 298,000
North Carolina 238,000
Michigan 222,000
Illinois 186,000
Georgia 178,000
Massachusetts 159,000
Ohio 139,000

Source: National Center for Coverage Innovation at Families USA

As the numbers continue to increase, many people are left to figure out how to obtain health coverage on their own. Between cumbersome state and federal systems, it can be frustrating to try and understand what you need to do to get covered. To make matters worse, as of now, no federal COVID-19 legislation that’s been signed into law includes comprehensive health insurance.

States with the highest percentage of uninsured adults

Of the top 10 states that hold the highest percentage of adults who have lost health insurance, half of the states are located in the south. Not surprisingly, many of these states had high unemployment rates during the same time period. Texas experienced a 13% unemployment rate in May 2020 while Nevada skyrocketed to a 25.3% unemployment rate.

Uninsured Adults as of May 2020

Source: National Center for Coverage Innovation at Families USA

Jobless Americans still need healthcare coverage and with the number of uninsured Americans climbing, now is the time to understand your options to get covered again.

If you’re unemployed how do you get medical insurance?

You may know that programs like COBRA, Medicaid, and the Affordable Care Act marketplace are great options to find insurance once you become unemployed, but here is some more information you should be aware of as you work to get your family covered again.

If you were furloughed, not laid off

First, there may be a possibility you can still receive insurance from your employer. If you were furloughed and not laid off it might mean you still have coverage. A layoff means you are terminated either temporarily or permanently, whereas a furlough means you take temporary unpaid leave from work.

As a furloughed employee, you should also ask your employer how they are handling your health insurance premiums. Since you aren’t getting a paycheck right now, you probably won’t be paying your full share of health insurance, but you might have to pay those premiums back once you return to work.

Are you in a Medicaid expansion state?

Medicaid, the health insurance program provided to low-income Americans no matter their age, works differently state by state. For all states, you can qualify for Medicaid based on factors like income, disability, household size, and family status. In states that have expanded Medicaid coverage, you can qualify based on income alone.

Keep in mind, the CARES Act allows non-expansion states to cover COVID-19 related services for uninsured adults. Even if you live in a state that has not adopted the expansion, you can still receive coronavirus testing and avoid added medical debt as an uninsured adult. Here is a full list of states, showing which have and have not adopted the Medicaid expansion.

State Medicaid Expansion Status
Alabama Not adopted
Alaska Adopted
Arizona Adopted
Arkansas Adopted
California Adopted
Colorado Adopted
Connecticut Adopted
Delaware Adopted
Florida Not adopted
Georgia Not adopted
Hawaii Adopted
Idaho Adopted
Illinois Adopted
Indiana Adopted
Iowa Adopted
Kansas Not adopted
Kentucky Adopted
Louisiana Adopted
Maine Adopted
Maryland Adopted
Massachusetts Adopted
Michigan Adopted
Minnesota Adopted
Mississippi Not adopted
Missouri Not adopted
Montana Adopted
Nebraska Adopted, not implemented
Nevada Adopted
New Hampshire Adopted
New Jersey Adopted
New Mexico Adopted
New York Adopted
North Carolina Not adopted
North Dakota Adopted
Ohio Adopted
Oklahoma Adopted, not implemented
Oregon Adopted
Pennsylvania Adopted
Rhode Island Adopted
South Carolina Not adopted
South Dakota Not adopted
Tennessee Not adopted
Texas Not adopted
Utah Adopted
Vermont Adopted
Virginia Adopted
Washington Adopted
Washington D.C. Adopted
West Virginia Adopted
Wisconsin Not adopted
Wyoming Not adopted

Source: Kaiser Family Foundation

Use a healthcare navigator

If you aren’t furloughed or want to use something else than Medicaid, you can shop for your own health insurance. Even though navigating the health insurance system can be daunting, you can actually get a little advice in figuring out how to enroll by enlisting the help of a healthcare navigator.

A healthcare navigator helps you understand the healthcare system, including different types of insurance plans, benefits, and healthcare policies through the Affordable Care Act marketplace at Typically, healthcare navigators are experienced healthcare experts who can help you understand different plans and which ones you could benefit from the most. Usually, their services are free for consumers. Once you are in the system as a patient, a navigator can also help you understand payments and billing.

Will I owe more on my taxes if I don’t have health insurance?

In years past, if you could afford health insurance but opted out of purchasing it, you may have paid a Shared Responsibility Payment when you filed your federal taxes. For the 2019 plan year and beyond, the Shared Responsibility Payment no longer applies at the federal level.

This is good news; however, each state has their own set of rules and some still have a health insurance mandate in place. The mandate could require you to have health insurance or pay a fee on your state taxes if you aren’t covered. These states have individual mandates:

  • Massachusetts
  • New Jersey
  • California
  • Vermont
  • Rhode Island
  • District of Columbia

Don’t overlook your financial health

If you’re dealing with an unexpected event like unemployment or lost medical insurance, you don’t have to go through it alone. The Freedom Debt Relief How to Manage Debt guide will walk you through your options on how to manage all types of debt, including medical debt. Start finding a solution by downloading the free guide right now.

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Justine Nelson is the founder of Debt Free Millennials, an online community to help millennials eliminate debt and live a debt free lifestyle. As a freelance writer and YouTuber, Justine enjoys creating upbeat and educational personal finance content. This Midwest millennial paid off $35k in student loan debt and now resides in San Diego with her husband.