Short term health insurance FAQs

How do I know if short term health insurance is a good choice for me?

Short term medical insurance, also called temporary health insurance or term health insurance, can provide a temporary solution to help fill gaps in coverage. Consider short term if you’re:

Between jobs
Waiting for other coverage to begin
Waiting to be eligible for Medicare coverage
Without health insurance, outside of Open Enrollment

Learn About Short Term Health Insurance

Video Transcript: How Short Term Plans Work

You’ve done your homework.

You’ve learned about all the various types of health insurance on the market.

Your pick – for right now – is a Short Term Medical plan – because you think it may be the right choice to help you bridge a gap in your coverage.

Before you make that final decision, it’s important to understand exactly how short term insurance works.

Short Term Medical plans -- underwritten by Golden Rule Insurance Company – offer a number of options in terms of: deductible, coinsurance, out-of-pocket maximum and lifetime maximum benefit.

But what does that mean to you … and your budget?

Let’s take a closer look.

A deductible is what you pay before your plan starts paying some of your covered expenses.

In general, a plan with a lower monthly premium may typically have a higher deductible.

After you’ve met your deductible, you then pay a percentage of covered expenses.

That’s called coinsurance, which you pay up to the out-of-pocket maximum amount you selected.

For example – let’s say your plan has 30 percent coinsurance.

Assuming you’ve met your deductible -- that means on a medical bill for 100 dollars, the policy pays 70 dollars and you pay 30 dollars.

If your plan has a 5-thousand dollar out-of-pocket maximum, the plan will pay 100 percent of eligible expenses once you’ve met that maximum.

Short Term plans also have what is called a lifetime maximum benefit. That’s the maximum total dollar amount the plan will pay, per person.

Here are a few other things to consider:

In most cases, it’s best to use in-network providers.

A UnitedHealthcare Choice or Choice Plus network provider offers significant discounts for medical services.

This network gives you access to more than 1.3 million physicians and other health care professionals and more than 6-thousand hospitals and other facilities across the United States.

To see if your doctor is in-network for a Short Term Medical plan you’re considering, go to UHOne-dot-com and look up providers by selecting the “Find a Doctor” link.

If you still need coverage after your plan is over, you may be eligible to apply for another short term plan.

If so, be aware that medical treatment for a condition covered on one plan might be considered a pre-existing condition on the next Short Term plan you purchase – and might not be covered.

Also: Different states have different rules for Short Term plans, so it’s best to read up on the rules where you live.

But no matter where are -- Short Term plans do offer flexible and budget-friendly solutions to help you bridge those gaps in your health care coverage.

For these situations and more where you are stuck in a coverage gap, finding the best short term health insurance plan you can may be just the right solution for you.¹

How long can I get coverage?

Term lengths vary by state, but in some states you can apply for up to 360 days of coverage. Ready to see some short term plans underwritten by Golden Rule Insurance Company?

Can I renew this type of health insurance coverage?

If you need coverage for longer, you may be able to apply for another short term insurance plan.² However, for any subsequent plan, whatever you received treatment for under a preceding plan will be considered a preexisting condition.

Is Short Term health insurance available for families?

Yes, spouses and dependents can be covered under a short term insurance plan. However, because short term is medically underwritten, all family members will need to meet medical requirements of the plan.

Does short term health insurance provide coverage for preexisting conditions?

No. In most cases short term insurance plans do not cover preexisting conditions, which depending on your state’s definition would mean something you received diagnosis or treatment for within the last 2 to 5 years. If you are in this situation, you may want to explore other options or see if you can extend your current insurance plan.

How quickly can I get coverage?

The earliest a short term health insurance plan can take effect is the day after your application is received. You may also choose a later effective date based on your individual needs.

Is preventive care covered under short term health insurance?

Preventive care can sometimes be covered under a short term plan but may be limited. Check plan details for more information.

Will prescriptions be covered if I get temporary health insurance?

Prescriptions may be covered on some plans. Check specific plan details to learn more.

Is my current doctor covered under this plan?

It is possible, but check the network offered by any short term health insurance you plan to buy for the inclusion of doctors that are important to you.

Do I need to select a Primary Care Provider (PCP)?

While some plans may require you to select a PCP as your main point of contact for your health care management, temporary health insurance plans often give you the flexibility to see any qualified health care provider you choose.

Do I need a referral from my PCP to see a specialist?

Referrals are not required to see a specialist with short term medical plans underwritten by Golden Rule Insurance Company. You can see any specialist you wish.

Other short term health insurance plans may differ, so be sure to check the details before you buy.

Do short term plans meet federal requirements of the Affordable Care Act (ACA)?

No. This coverage is not “minimum essential coverage” as defined by the ACA. If you don't have minimum essential coverage for any month in 2018, you may have to make a payment when you file your tax return unless you qualify for an exemption from the requirement that you have health coverage for that month.

Starting in the tax year 2019, the federal tax payment required if you don't have minimum essential coverage goes away.

Can I get a tax subsidy to help pay for my short term health insurance?

No. short term plans do not qualify for tax subsidies under the ACA. Generally speaking, temporary health insurance costs less than ACA health plans, so the option may still make sense for your situation.

Is short term medical insurance limited to annual enrollment periods?

No. short term insurance plans have no such restrictions and are available year-round. There’s no need to wait for Open Enrollment to apply.

Are there multiple plan choices and price ranges available with temporary health insurance plans?

Most often, the answer is yes. For example, Short Term Medical underwritten by Golden Rule Insurance Company offers multiple plans and deductible choices to meet a range of budgets and needs. As always, check the plan you are considering carefully.

Do short term health insurance plans have high deductibles?

Short term medical plans offer deductible options starting at $1,000 to meet your needs.

What if I don’t need my temporary insurance coverage for as long as I had planned?

Short term health insurance plans can be cancelled at any time without penalty. Any premium paid beyond the new termination date will be returned to you.

If I’m looking for the best short term health insurance price, do I have options to help me reduce my premium payments?

Yes. Choosing a plan with fewer benefits, or a higher deductible, or a single up-front payment option are all effective ways to potentially reduce your premiums.

Can I pair other plans with a Temporary health insurance plan?

Yes. Short Term is often combined with other supplemental health insurance plans to help round out coverage.

Dental, Vision, Accident and Critical Illness plans are commonly paired with Short Term medical insurance plans.

Ready to See Some Short Term Options?

Short Term Medical plans underwritten by Golden Rule may be the fast and flexible solution you’ve been looking for.

View plans

UnitedHealthcare’s nationwide network, one of the largest in the United States, provides access to nearly 1.3 million physicians and health care professionals, and approximately 6,000 hospitals and medical facilities.³ It’s likely that your doctor is already a part of our network.

Footnotes

Short term health insurance is medically underwritten and does not cover preexisting conditions. This coverage is not required to comply with certain federal market requirements for health insurance, principally those contained in the Affordable Care Act. Be sure to check your policy carefully to make sure you are aware of any exclusions or limitations regarding coverage of preexisting conditions or health benefits (such as hospitalization, emergency services, maternity care, preventive care, prescription drugs, and mental health and substance use disorder services). Your policy might also have lifetime and/or annual dollar limits on health benefits. If this coverage expires or you lose eligibility for this coverage, you might have to wait until an open enrollment period to get other health insurance coverage. This coverage is not “minimum essential coverage."
Some states excluded.
UnitedHealth Group Annual Form 10-K for year ended 12/31/18.

Product design, availability, term length and additional terms vary by state.

No individual applying for health coverage through the individual Marketplace will be discouraged from applying for benefits, turned down for coverage, or charged more premium because of health status, medical condition, mental illness claims experience, medical history, genetic information or health disability. In addition, no individual will be denied coverage based on race, color, religion, national origin, sex, sexual orientation, marital status, personal appearance, political affiliation or source of income.

References to UnitedHealthcare pertain to each individual company or other UnitedHealthcare affiliated companies.

Each company is a separate entity and is not responsible for another's financial or contractual obligations.

Administrative services are provided by United HealthCare Services, Inc. or their affiliates.

Products and services offered are underwritten by Golden Rule Insurance Company, Health Plan of Nevada, Inc., Oxford Health Insurance, Inc., UnitedHealthcare Life Insurance Company, UnitedHealthcare of the Mid-Atlantic, Inc., UnitedHealthcare of New York, Inc.

This policy is subject to various exclusions and limitations. For costs and complete details of the coverage, call (or write) your insurance agent or the company (whichever is applicable).

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