Short-term health insurance typically offers benefits for things like preventive care, doctor visits, urgent care, emergency room care, and sometimes even prescription coverage – all with the advantage of a lower premium.
However, if you or a family member have been previously diagnosed with a pre-existing condition*, you may be wondering if short-term health insurance can provide the coverage you need. Simply put, short-term health plans don’t cover pre-existing conditions. This helps keep monthly premiums as low as possible, making it an affordable health insurance options for those without pre-existing conditions.
Short-Term Health Insurance and Pre-Existing Conditions: What to Know
Short-term health insurance plans don’t provide coverage for pre-existing conditions. Therefore, they’re not required to comply with the Affordable Care Act (ACA). ACA-compliant major medical plans must include coverage for all essential health benefits, among other things, and cover pre-existing conditions. Because they aren’t ACA-compliant, short-term health insurance companies can keep their prices low by limiting the conditions they cover and the benefits they provide.
With Vera, you could have short-term medical insurance with a low monthly premium. So, if you don’t have pre-existing conditions, why should you pay for coverage that you won’t use? We don’t think you should.
Keep in mind that short-term health insurance may not be a good fit if you have pre-existing conditions, are planning a pregnancy, or need mental health treatment. Additionally, short-term health insurance companies typically ask applicants a set of medical questions to determine eligibility. Depending on your medical history, you could be denied coverage.
Instead, people with pre-existing conditions should consider checking out ACA major medical plans, which cannot deny coverage to anyone based on their medical needs. This option is typically more expensive than short-term health coverage. However, if you need health insurance that covers pre-existing conditions, you’ll pay a lot less for your major medical plan than you would for out-of-pocket medical treatments.
What Is a Pre-Existing Condition?
A pre-existing condition is a health problem that you have on or before the date that your health insurance plan starts. Pre-existing conditions can range from chronic illnesses, like diabetes, to more minor ailments, like acne. Some examples of pre-existing conditions include the following:
- Mental health conditions
- Sleep apnea
- Severe obesity
- Cerebral palsy
- Hepatitis C
If you’re not sure if you have a pre-existing condition or not, we always recommend speaking with a health insurance agent to answer any of your questions. Feel free to chat with a Vera Health expert by calling 888-499-1187. You should also view our list of limitations and exclusions to learn more about short-term health benefits through Vera in your state. Note that pre-existing conditions can also vary by state.
What Does Short-Term Health Insurance Cover?
Short-term health insurance may not cover pre-existing conditions, but it does provide benefits for unexpected medical emergencies to give you some financial peace of mind when accidents arise. Short-term health plans through Vera also include benefits for common medical services.
Here are 10 top things covered by short-term health insurance through Vera**:
- Doctor visits
- Urgent care
- Ground ambulance trips
- Emergency room care
- Home health care
- Child immunizations
- Physical therapy
- Diagnostic testing
- Emergency surgery
You can also expect Telemedicine benefits through your LIFE Association membership, access to the Aetna Open Choice® PPO network, and prescription drug benefits in some states with a short-term medical plan through Vera.
3 Reasons Why Short-Term Health Insurance May Be Right for You
Short-term health insurance can be intriguing for many reasons, especially for specific groups of people, such as:
- Gig economy workers, like:
- Independent contractors
- Rideshare drivers
- Anyone between jobs
- Anyone who wants to save money on their health insurance and doesn’t need the coverage available through the ACA
- Anyone who doesn’t have pre-existing conditions
- Anyone who doesn’t receive health insurance from their employer
If you fall into the list above, you could benefit from a short-term health plan that compliments your unique lifestyle. Here are three reasons why.
1. It has room for flexibility.
The gig economy is growing. It turns out that many adults are leaving their 9-5 jobs and switching to more flexible types of work. However, gig economy jobs don’t always include company-provided benefits, like health insurance.
At Vera, we like to be as flexible and available as possible. That’s why we offer you flexible coverage options and plan durations with no open enrollment period and the opportunity to renew your plan up to 36 months, depending on your location.
2. It’s an affordable health insurance option.
Health insurance can get expensive, especially if you’re paying for coverage that you don’t want. Short-term health insurance keeps prices low for individuals who don’t need coverage for all of the essential health benefits. That way, you can feel prepared if you experience an unexpected medical emergency.
3. It’s renewable.
Short-term health insurance is becoming more and more popular, especially now that you can keep your coverage for a longer timeframe. Did you know that you could enjoy your affordable short-term health plan for up to a year with the option to renew your coverage up to two additional times? Depending on your state, you could have short-term health insurance for up to three years!
Do you think short-term health insurance could be for you? If so, call 888-499-1187 to speak with a Vera Health expert, or visit us online to learn more! If you need coverage for pre-existing conditions, we can still help you find the right health insurance, even if it’s not with us. We’re looking forward to talking with you and helping you get the coverage you want at a price that meets your budget.
* Pre-Existing Condition means:
A Sickness, Injury, or condition, including any related or resulting complications: For which medical advice, consultation, diagnosis, care, or treatment (includes receipt of services, supplies, or diagnostic tests) was received or recommended from a provider or prescription drugs were prescribed during the 1 year period immediately prior to the Covered Person’s Effective Date, regardless of whether the condition was diagnosed, misdiagnosed or not diagnosed; or That produced signs or symptoms during the 1 year period immediately prior to the Covered Person’s Effective Date.
- The signs or symptoms were significant enough to establish manifestation or onset by one of the following: The signs or symptoms reasonably should have allowed or would have allowed a medical provider to diagnose the condition; or
- The signs or symptoms reasonably should have caused or would have caused an ordinarily prudent person to seek medical advice, consultation, diagnosis, care, or treatment.
- A pregnancy that exists on the day before the Covered Person’s Effective Date will be considered a Pre-Existing Condition
May vary by state.
**Benefit amounts may vary by state. Limitations and exclusions apply. Please view our full list of limitations and exclusions to learn about benefits in your state.
Short Term Medical coverage is not required to comply with 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 pre-existing conditions or health benefits (such as hospitalization, emergency service, maternity care, preventive care, prescription drugs, and mental health and substance use disorder services). 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.