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Missed Open Enrollment in Texas? How to Still Get Health Insurance This Year

Texas open enrollment dates

Texas uses the federal marketplace at HealthCare.gov. Open Enrollment for individual and family coverage runs from November 1 through January 15. To have coverage start January 1, you generally need to enroll by December 15; enroll between December 16 and January 15 and coverage usually starts February 1.

Miss that window and you can't just sign up for a marketplace plan any time you feel like it — but you're not necessarily out of options for the rest of the year.

Special Enrollment Periods (the main way in)

The primary way to enroll outside open enrollment is a Special Enrollment Period (SEP), triggered by a qualifying life event. When one happens, you typically get 60 days to enroll. Common qualifying events include:

  • Losing other health coverage (a job loss, aging off a parent's plan at 26, losing Medicaid or CHIP)
  • Getting married
  • Having or adopting a child
  • Moving to a new county or state
  • Certain changes in income that affect subsidy eligibility

If any of these fits you, you may be able to enroll right now. (Our guide on life-event Special Enrollment walks through each one in detail.)

Medicaid & CHIP enroll year-round

There's no deadline for Medicaid and CHIP — you can apply any time of year, and coverage can start quickly if you qualify. This matters most for children (Texas CHIP covers kids in many working families) and for pregnant Texans, who have broader eligibility.

Texas note: because Texas hasn't expanded Medicaid, many low-income adults fall into a coverage gap — earning too little for marketplace subsidies but not qualifying for adult Medicaid. If your income is very low, it's worth checking both Medicaid and whether projecting income at 100% of poverty could make you subsidy-eligible.

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If you don't qualify for an SEP

If no qualifying event applies and you're not Medicaid/CHIP eligible, your realistic options are more limited:

  • Wait for the next open enrollment (November 1) and mark the date now.
  • A short-term plan can bridge a gap — but understand it's not comprehensive, can exclude pre-existing conditions, and isn't a long-term solution (see our short-term plans guide).
  • New job-based coverage — starting a job that offers insurance opens its own enrollment window.

How to not get stuck again

Put November 1 and December 15 in your calendar every year. If a life change happens mid-year — a move, a marriage, a new baby, a lost job — act within 60 days, because that's your window. When in doubt, a licensed advisor can tell you in minutes whether you currently qualify for a way in.

Frequently asked questions

When is open enrollment in Texas?
November 1 through January 15 on HealthCare.gov. Enroll by December 15 for January 1 coverage; enroll December 16–January 15 and coverage typically starts February 1.
What counts as a qualifying life event?
Losing other coverage, getting married, having or adopting a child, moving to a new area, and certain income changes are common qualifying events. Each generally opens a 60-day Special Enrollment Period.
Can I get covered mid-year with no qualifying event?
For an ACA marketplace plan, generally no — you need a qualifying event or to wait for open enrollment. But Medicaid and CHIP enroll year-round, and short-term plans can bridge a gap (with significant limitations).
Is losing my job-based coverage a qualifying event?
Yes. Losing job-based coverage opens a Special Enrollment Period, and you typically have 60 days to enroll in a marketplace plan. See our guide on COBRA vs. marketplace options for how to compare them.
How long does a Special Enrollment Period last?
Usually 60 days from the qualifying event. For some events, like a planned loss of coverage, the window can start up to 60 days before the event. Don't wait — the clock is short.

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