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.
How Is Short Term Health Insurance Different From Obamacare?
Affordable Care Act plans have broader benefits than those found in Short Term Health Insurance plans and, without the premium subsidies available to some qualified purchasers, they cost much more than Short Term Health Insurance plans.
As mentioned before, all ACA health plans must have the 10 essential health benefits. Short Term Health Insurance plans, in comparison, do not have a standardized set of benefits. Short Term Health Insurance plans usually offer what would be described as streamlined major medical coverage that covers healthcare costs in the event of accidents and illnesses. Most Short Term Health Insurance plans also cover doctor visits for routine illnesses and injuries.
The chart below details some of the major benefit differences between Short Term Health Insurance and Affordable Care Act plans. It is important to note that Affordable Care Act plans do not deny care for pre-existing conditions nor do they reject applicants based on health problems. In addition, states’ rules regarding Short Term Health Insurance are changing so while our chart is a general breakdown, always read your plan brochure before selecting your plan.