Short Term health insurance plans, sometimes called Term health insurance or Temporary health insurance, are designed to bridge gaps in your health care coverage during times of transition.9
Short Term or Temporary health insurance plans may make sense if you are:
In these situations and others where you find yourself temporarily lacking health care coverage, choosing a Short Term health insurance plan may be just the security you need to get you to that next stage of your life.
Yes, you can cover spouses and dependents with Short Term insurance. Note: All family members will be subject to the same series of medical questions to determine if they are eligible for the plan.
No. Short Term health insurance plans are not minimum essential coverage under the ACA, and you may face a tax penalty for not carrying health insurance. If you are looking at Short Term insurance, you should make the cost of that potential tax penalty a part of your decision.
In 2016, the ACA tax penalty is 2.5% of your yearly household income or $695 per person, $347.50 per child under 18, for not having insurance. You pay whichever is greater, and pay 1/12 of the total fee for each full month a family member has no coverage. The total tax penalty a family can pay for 2016 is $2,085 or the total annual premium for the national average price of a Marketplace Bronze plan, again, whichever is greater. For 2017 and beyond, the penalty will be adjusted for inflation.
Possible exemptions to the ACA tax penalty include:
Consult your tax advisor for more information.
No. Unlike health insurance plans that comply with the Affordable Care Act (ACA), also known as Obamacare, which you can buy only during Open Enrollment each year or during a qualified Special Enrollment time, you can apply for Short Term or Temporary health insurance at any time.
No. Short Term plans are not ACA, or Obamacare, health plans. While both ACA and Short Term health insurance plans are considered major medical, or comprehensive, health plans and cover major health events in your life, there are important differences.
ACA health plans are guaranteed issue, meaning you cannot be denied coverage based on preexisting conditions. Also, ACA health plans are required to cover 10 essential health benefits:
In contrast, Short Term health insurance is not required to cover all these benefits, so plans can vary in what they cover. Also, Short Term insurance plans typically do not cover preexisting medical conditions. You must apply and answer a series of medical questions to determine your eligibility for these plans.
Short Term medical insurance typically does not cover preexisting medical conditions. The definition of preexisting condition varies by state, but, in general, Short Term health insurance plans exclude coverage for conditions that have been diagnosed or treated within the previous 2 to 5 years.
If you have an existing medical condition, you may want to find out whether you can extend your current insurance. Employer-sponsored insurance may be extended under COBRA (or a similar state program).
Yes. Your premium is the amount you pay for health insurance coverage for a specific period of time, usually paid monthly. If premium cost is one of your main concerns, you can make some choices that can help you find the best Short Term health insurance rates for your situation:
No. Because Short Term insurance plans are not minimum essential coverage as defined by the ACA, you are not eligible for tax subsidies to help pay for them. However, generally, Short Term health insurance plans cost less than ACA health plans.
No problem. You can drop your coverage at any time without penalty and receive back premium paid after termination date.
Yes. UnitedHealthcare offers one of the largest networks in the U.S. With access to nearly 1,000,000 physicians and other health care professionals, and approximately 6,000 hospitals and other medical facilities,12 chances are your current doctor is already a part of our nationwide network.
Health care professionals in our network agree to provide you quality care at lower fees.
Sometimes. Prescription coverage is available with some plans. Check specific plans for details.
30 TO 360 DAYS
in many states.
in South Carolina;
AND 1-6 MONTHS
in Georgia and Missouri.
in Arizona, Connecticut, Delaware, Indiana, Louisiana, Michigan, Nevada, Oklahoma, Virginia and Wyoming;
No. Short Term health insurance plans are issued for a specific period of time and are not renewable.
Not necessarily. Your deductible is what you have to pay of the expenses covered by your insurance plan before the insurance will pay anything. Short Term Medical plans13 underwritten by Golden Rule Insurance Company allow you to choose your deductible level from options starting at $1,000.
No. You are under no obligation to buy a plan when using our site. After submitting your application, you may cancel it at any time during the underwriting process.
We do charge a $20 application fee for our Short Term health insurance plans in most states.
No. Some health plans make you select a primary care provider or primary care physician (PCP) to be the main health care professional who takes care of you. With Short Term Medical plans,5 you can go to any qualified health care provider you choose at any time.
No. A referral is a type of pre-approval some health plans require where your primary care provider (PCP) must refer you to another doctor or for a specific service for that visit or service to be covered by the plan. With Short Term Medical plans,5 you can go directly to any specialist of your choice without needing a referral.
Picking a health care provider or a specialist that is in the extensive UnitedHealthcare network may save you money because the providers agree to provide quality care at reduced rates.
1 Short term health insurance is medically underwritten and does not cover preexisting conditions. It does not meet minimum essential coverage requirements, meaning signing up for this coverage may result in a tax penalty.
2 Lump sum savings apply only to the medical plan premium. Savings do not apply to premiums for optional benefits added to the medical plan.
3 Check your state’s plan brochure for more information.
4 UnitedHealth Group Annual Form 10-K for year ended 12/31/16.
5 Underwritten by Golden Rule Insurance Company.