Caralee Johnson Adams has 25+ years of journalism experience. She has covered topics such as health insurance, politics and money, and cybersecurity.
Updated September 02, 2023 Reviewed by Reviewed by Anthony BattleAnthony Battle is a CERTIFIED FINANCIAL PLANNER™ professional. He earned the Chartered Financial Consultant® designation for advanced financial planning, the Chartered Life Underwriter® designation for advanced insurance specialization, the Accredited Financial Counselor® for Financial Counseling and both the Retirement Income Certified Professional®, and Certified Retirement Counselor designations for advance retirement planning.
If you move across state lines, your health insurance coverage may or may not move with you. There are things you can do to make sure you keep your coverage or pick up new coverage to avoid gaps.
Learn more about your health care options when you move to a new state or split your time between two or more states.
If your employer transfers you to another state, you’ll likely stay on their sponsored plan, providing it has a complete network in the new city. If it doesn’t, the employer might find you a new, accommodating plan.
If you’re leaving your job and moving to a new state (or even if you’re not changing states) you can extend your coverage through COBRA, short for the Consolidated Omnibus Budget Reconciliation Act of 1985. As your existing health insurance ends, you can get coverage extended another 18 to 36 months (depending on your circumstances), which could tide you over in the new state. But this only works if the insurer has a network in the new state that makes it feasible to get treatment.
Although this is a great benefit, you'll face a bit of sticker shock. Under COBRA coverage, you pay the full cost of premiums, which may bring awareness to how much your employer paid for their share of your coverage.
As part of the American Rescue Plan Act of 2021, the federal government paid COBRA insurance premiums for individuals (and their covered relatives) who lost their job as a result of the coronavirus pandemic from April 1 through Sept. 30, 2021.
The exchange, in most instances, will accept your statement regarding the state residence change without verification. However, you may need to provide documentation that you have moved and intend to reside in a new state if there is some information available that suggests you may live in a different state.
For example, say you have coverage through an ACA exchange and are a snowbird—living part of the year in one state up north and the winter in a state with a warmer climate. You should buy coverage in the state where you spend most of the time, pay taxes, and officially reside. If you truly split your time in half or even in thirds, it might be worthwhile to consider plans offered by insurers that use a national provider network so you could find participating providers in more than one state.
You can cover your adult children who attend college in another state under your healthcare plan. It is important to verify if your student will be able to find in-network medical providers nearby. Some insurers have agreements with companies in other states. Otherwise, you may need to look into a separate plan.
If you need to buy insurance in the new state, the Affordable Care Act makes the process easier. Under the 2010 health insurance law also known as "Obamacare," you can move and become eligible to buy insurance in the new state. Moving triggers a special enrollment period, allowing you to select a plan right away. If your state doesn’t run an exchange, you can use the federal exchange (healthcare.gov). The Affordable Care Act has many essential benefits.
Much of the uncertainty of moving to a new state has vanished with provisions of the new law. If you move to a new state but don’t immediately have a permanent home, you are still eligible to get insurance in your new state as long as you intend to remain there.
Yes, moving can affect your health insurance, particularly if your plan isn't available in your new state or if there are no in-network providers in your new state. You may need to switch doctors or insurance providers after your move.
Yes. It’s very important to report your out-of-state move as soon as possible so you can enroll in a new plan without a break in coverage. That way, you will avoid paying for coverage that doesn’t apply in your new state. You’ll need to start a new Marketplace application and enroll in a plan in your new state. How you apply depends on whether your new state has its own website or uses HealthCare.gov.
If you live in one state and work in a different state, you should usually buy health insurance in the same state as your home address. People who split their time among multiple states should buy health insurance in the state where they live most of the year.
Most health insurance problems can be solved without too much effort when you or your child moves across state lines, but it is important to plan ahead to avoid gaps in coverage.