- What is TriTerm Medical insurance?
- How do TriTerm Medical plans compare to other short term medical plans?
- How are TriTerm Medical plans similar to other health plans?
- Which TriTerm Medical plan is a good fit for you?
- Which doctors do you have access to on a TriTerm Medical plan?
- Who can benefit from a TriTerm Medical plan?
- Who might not benefit from a TriTerm Medical plan?
- Where can you learn more about TriTerm Medical insurance?
Maybe you just quit your job and lost your employer-sponsored health insurance benefits. Or you’re self-employed and need coverage. Or perhaps you turned 26, can no longer be on your parents’ health insurance, and need a quick fix.
Whatever your circumstances, UnitedHealthcare branded TriTerm Medical insurance, underwritten by Golden Rule Insurance Company, could be a solution to your health insurance needs.
Learn what TriTerm Medical plans cover, who can benefit from them, and what to ask before you enroll.
TriTerm Medical insurance is a short term limited duration insurance plan, sometimes called a temporary health plan. But unlike other short-term plans, TriTerm Medical insurance lasts 3 consecutive terms in the states where it is available. In most of those states, that means it lasts 3 years minus 1 day.1
Need help finding a TriTerm Medical insurance plan? Enter your zip code to see if plans are available in your state.
How do TriTerm Medical plans compare to other short term medical plans?
TriTerm Medical insurance is generally the same as other short term medical plans. But you don’t have to reapply or answer any health questions for the second or third term. That saves time and can mean less hassle for you.
“Every time you start a short term medical plan, you have to pass the medical underwriting questions again,” says Kyle Henson, owner of Nomad Insurance in Livingston, Texas. “With TriTerm you have continuity of coverage, which would be crucial if you were mid-claim when a short term medical term ended.”
Another big difference: TriTerm Medical covers preexisting conditions after the first term. “In the second and third year of the plan, that policy will have no preexisting-condition exclusions,” says Dave Trout, managing agent for Trout Insurance in Weaverville, North Carolina.
How do TriTerm Medical plans differ from Affordable Care Act plans?
Individual plans you purchase through the federal Health Insurance Marketplace or your state insurance exchange must follow the rules of the Affordable Care Act (ACA). Simply put, TriTerm Medical plans and other short-term plans don’t have to. It’s important to understand some key differences so you know what you are buying.
Here are 3 key differences between TriTerm Medical and ACA coverage:
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What’s covered: ACA plans must cover 10 essential health benefits, including outpatient care, emergency services, prescription medications, and preventive and wellness services.2 TriTerm Medical plans focus more on helping you pay for major medical expenses. Other services are included, though. Most TriTerm Medical plans include coverage for outpatient prescription drugs. And, after a 6-month waiting period, some plans include limited coverage for preventive care.3
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When you can enroll: You can apply for an ACA plan only during the Open Enrollment Period (OEP), which is generally November 1 through January 15. The exception is if you qualify for a Special Enrollment Period or SEP because you experience a qualifying life event such as:4
- Losing your job
- Getting married
- Getting divorced or legally separated
- Having a baby or adopting a child
- Someone on your health insurance policy dies
- Moving to a different state
- Turning 26 (and being removed from your parents’ insurance)
- Becoming a U.S. citizen
With a TriTerm Medical insurance plan, you can apply at any time, and your coverage will begin as early as 5 days after you are approved.3
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Can you be denied coverage? You can’t be turned down or charged more for an ACA plan because of the state of your health. So if you have a preexisting condition such as diabetes or cancer, health insurance companies on the federal Health Insurance Marketplace cannot deny you coverage.
That’s not the case with TriTerm Medical Medical insurance and other short term plans. These plans require you to go through medical underwriting. That’s when your insurance provider can check your health status.5 For example, they can then deny or limit coverage if you have a preexisting condition. Your monthly premium is also based on several factors, including your age and whether you smoke.
Even though they last just 3 terms, TriTerm Medical insurance has a lot in common with conventional health insurance.
“TriTerm plans are similar in their benefits as well as their user experience to traditional health insurance,” says Henson. “These plans have typical health insurance structures consisting of a deductible, coinsurance, copays, and out-of-pocket limits.”
Whether or not you decide on TriTerm Medical insurance, it’s always good to review the plan’s brochure for your state to learn more about it.
If you find yourself without health insurance or just need a short term plan, consider TriTerm Medical insurance. Enter your zip code to find a plan in your state.
Why do TriTerm Medical plans list multiple deductibles?
You can choose your deductible based on how much you’re comfortable paying out of pocket. The higher the deductible, the lower the monthly premium.
What’s right for you will depend on how much you use your health coverage.3
The TriTerm Medical insurance brochure details what is and isn’t covered under each plan and spells out your cost-sharing amounts.
Does TriTerm Medical insurance cover dental and vision services?
Unfortunately, no. If you want coverage for services such as annual cleanings and vision tests, you’ll need to purchase a supplemental dental or vision plan.
For TriTerm Medical insurance, what does medical underwriting involve?
A TriTerm Medical insurance plan isn’t guaranteed. That means you must answer medical questions when you’re applying, and you may be turned down for coverage.
“Medical underwriting is a yes/no questionnaire,” says Henson. “There are no physicals or other tests to speak of.”
Says Trout: “With a TriTerm care plan, the underwriting can be fairly specific. They can and do ask more health questions. They ask height, they ask weight, they ask tobacco status.”
Depending on your answers, underwriters will approve your application, deny it, or possibly approve it with exclusions.
Trout emphasizes the importance of answering underwriting questions honestly. If you don’t tell the truth about your medical history and something happens, it could result in denial of coverage or a claim. And that could wind up being a very costly mistake.
You have access to a national network of doctors and healthcare professionals, and hospitals and medical facilities.3 In some states, you can also use out-of-network providers, but you’ll have to pay more than you would if you used an in-network provider.3
“The main reason I offer these plans is for the nationwide access to medical providers it allows,” says Henson. “Most ACA plans have very strict HMO networks that only cover a member locally or regionally. My clients are frequent travelers and therefore need a plan with better provider access.”
Still, that doesn’t mean your doctor will be in network for TriTerm Medical insurance. It’s always good to check with your providers to make sure they accept whatever insurance plan you're thinking of buying.
While everyone’s situation is different, TriTerm Medical plans can be a good option for someone who will be without health coverage for a year or more.
For example, you might be a young adult who’ll be off your parent’s health plan when you turn 26. Or maybe you’re 62 and decided to retire early and you aren’t yet eligible for Medicare. Anyone from ages 19 through 63 can apply for TriTerm Medical insurance. Coverage ends if you turn 65 and qualify for Medicare.3
Trout says the ideal TriTerm Medical customer is someone who can handle potentially big out-of-pocket costs before their coverage kicks in. “In other words, financially they have stronger risk tolerance,” he says.
TriTerm Medical insurance isn’t for everybody. “If a client has moderate to significant preexisting or current medical conditions, then a TriTerm plan isn’t likely to be a good fit,” says Henson. “Also, if someone qualifies for a significant federal subsidy, then an ACA plan might be more appropriate.”
Premium tax credits can help you with the cost of an ACA plan. Historically, those subsidies have been available for people at or below 400% of the federal poverty line (FPL). (For 2025, the FPL is $15,650 for an individual and $32,150 for a family of four.6)
Henson suggests studying the documents that come with TriTerm Medical insurance before signing up for a plan. “I would recommend reading the policy itself, particularly the limits and exclusions, so you know what will not be covered and you know what the caps on benefits are, both annually and over the lifetime of a plan,” he says.
You can also learn more about TriTerm Medical insurance by going online or talking with a licensed insurance agent at 1-844-211-7730.
For informational purposes only. This information is compiled by UnitedHealthcare, and/or one of its affiliates, and does not diagnose problems or recommend specific treatment. Services and medical technologies referenced herein may not be covered under your plan. Please consult directly with your primary care physician if you need medical advice. This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or the company [whichever is applicable].
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Sources:
- UnitedHealthcare Golden Rule Insurance Company. “TriTerm Medical Plans.” Retrieved from https://www.uhone.com/api/supplysystem/?FileName=45747C1-G202008.pdf Accessed on September 3, 2025.
- HealthCare.gov. “What Marketplace health insurance plans cover.” Retrieved from https://www.healthcare.gov/coverage/what-marketplace-plans-cover/ Accessed on September 3,2025
- UnitedHealthcare Golden Rule Insurance Company. “TriTerm Medical Plans.” Retrieved from https://www.uhone.com/api/supplysystem/?FileName=45712P-G202012.pdf Accessed on September 3, 2025.
- HealthCare.gov. “Special enrollment opportunities.” Retrieved from https://www.healthcare.gov/coverage-outside-open-enrollment/special-enrollment-period/ Accessed September 3, 2025.
- HealthCare.gov. “Medical underwriting.” Retrieved from https://www.healthcare.gov/glossary/medical-underwriting/ Accessed on September 3, 2025.
- HealthCare.gov. “Federal poverty level (FPL).” Retrieved from https://www.healthcare.gov/glossary/federal-poverty-level-fpl/ Accessed on September 3, 2025.
