Short-term Health Insurance

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Short-Term Coverage

These plans can provide you with some coverage but can lead to substantial out-of-pocket costs. Is primarily intended to provide you with valuable protection against out-of-pocket costs in case of unexpected injury or hospitalization.

With short-term policies, healthy applicants can secure immediate individual and family coverage, with plans that can kick in as early as the next day. If you already know the number of days you will need to be covered, your insurer may allow you to make a single payment for the whole coverage period.

Short-term plans are typically offered with a selection of premiums, deductibles, and benefit maximums. The policies are considerably less expensive than ACA-compliant major medical plans, so you may find that you can afford to purchase a plan with a low deductible and a high benefit maximum.

The policies also cover a range of physician services, surgery, outpatient and inpatient care. In addition, policyholders can sometimes choose their own doctor and hospital without restrictions, though there may be financial incentives for using in-network providers.

The enrollment process is quick and easy, with just a handful of yes/no questions regarding major health concerns (even if your health conditions are not included, bear in mind that virtually all short-term plans have blanket exclusions that apply to any pre-existing condition, regardless of whether it’s one of the conditions that determine eligibility for coverage).

In states that allow it and where insurers offer the option, an applicant can buy a short-term policy and keep it for up to three years. The insurer may offer the option to lock in guaranteed renewability, without additional medical underwriting, when the policy is purchased, meaning that the applicant would only have to apply once and could be covered for up to three years. (Note that in most states, short-term health insurers are not required to offer renewability; check the plan details carefully before purchasing coverage, to make sure you understand what you’re buying.)

Need extra health coverage? Between jobs? Self-employed?

Individual ACA health insurance plans

Individual ACA plans offer comprehensive benefits required by the Affordable Care Act of 2010. Thinking long term? We’ll help you find the coverage you need.

Health insurance if you’re unemployed

Though many newly unemployed Americans opt for short-term plans, we can help find your marketplace and Medicaid options as well.

Health insurance if you’re self-employed

If you’re self-employed, we can take you through all your options—including plans available through the Health Insurance Marketplace.

Short Term FAQs

A lower monthly premium is the primary draw for short-term plans. Consider a family of four, living in southwestern Wyoming and earning a household income (there’s an ACA-specific calculation for household income) of $105,000/year, which is just over the upper limit for premium subsidy eligibility in 2019. The parents are around age 45, with two young children. For 2020, the cheapest Bronze plan they can get in the exchange would cost more than $2,000 per month in premiums. And that particular plan has a family deductible of $9,000 and a maximum out-of-pocket exposure of $13,500 for the family.

Healthy people might benefit from a short-term plan’s low premiums as long you don’t need health services. These plans can provide you with some coverage but can lead to substantial out-of-pocket costs. A short-term plan is likely not a good idea if you plan to start a family. “Short-term plans are not a panacea

Most short-term plans limit your coverage to a maximum of 12 months at a time, or less. And most short-term health insurance companies will limit how many times you can repurchase coverage in a row.

Drawbacks of Short Term Health Insurance

Short-term policies typically do not cover maternity care and may not include prescription drugs, for example. They generally require medical underwriting, which means, unlike ACA-qualified plans, you can be denied coverage because of your health history or current condition.

Short-term plans generally cover the services and treatments related to unexpected illness and injury, such as outpatient visits to the doctor, emergency room visits, hospital stays, surgeries, and related x-rays and laboratory services

Short-term plans can deny coverage or charge higher prices to people with pre-existing conditions, and they typically do not cover medical services related to a pre-existing condition.In most states, short-term plans are exempt from pre-existing-condition protections and benefit standards that individual-market plans.

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