Short-term health insurance offers financial protection for unforeseen, expensive medical costs, and it might provide more coverage than you realize. Although short-term medical doesn’t include as many benefits as major medical plans regulated by the Affordable Care Act (ACA), it could still provide the coverage you need at a lower price point. So, what does short-term health insurance cover?
Keep scrolling to learn more about the benefits of short-term health insurance and whether it might be a good option for you.
10 Benefits of Short-Term Health Insurance
Short-term health insurance has served as a temporary placeholder to help those without major medical coverage pay for unexpected health emergencies, like those who lost their employer-sponsored health care or are in-between jobs. However, changes to federal laws allow you to keep short-term coverage for up to 364 days with the option to renew your coverage for up to two years, depending on the state where you purchase your plan.*
If you’re shopping for short-term health insurance, it’s crucial to pay close attention to a plan’s limitations and exclusions. That’s because short-term health insurance is not required to adhere to regulations mandated by the ACA, so it does not provide coverage for pre-existing conditions and does not have to include coverage for all 10 of the ACA’s essential health benefits.
Short-term health insurance doesn’t cover everything, but many short-term plans include benefits not just for unexpected health emergencies but also for preventive care. A short-term health insurance plan through Vera Health typically includes benefits for:
1. Ground Ambulance Trips
A short-term medical plan with Vera could provide you with a $500 benefit for emergency ground ambulance trips that can apply to as many ambulance trips as necessary, depending on the state where you purchase your plan.**
2. Doctor Visits
A short-term health insurance plan through Vera includes benefits for doctor visits, telemedicine, and access to the Aetna Open Choice® PPO network. Some states offer copay options. If copay options aren’t available in your state, your doctor visit benefit will usually apply to your deductible and coinsurance – the portion of a covered medical service you are responsible for paying.**
3. Emergency Room Care
Vera offers short-term health plans with benefits for emergency room visits. Exact benefits vary from state to state, but all ER visits apply to your deductible and coinsurance with an additional $250 access fee.
Short-term insurance plans, including those offered through Vera, usually include hospitalization benefits, except in cases of pre-existing conditions. Plan benefits vary by state. Hospital stays apply to your deductible and coinsurance.
5. Home Health Care
With short-term medical coverage, you can get benefits for home health care with a $50 benefit toward each visit. This coverage is subject to a maximum visit limit.**
6. Child Immunizations
Although short-term health insurance does not typically include vaccination benefits, some plans offer benefits for child immunizations and even some adult immunizations, depending on your plan and eligibility.
7. Physical Therapy
If you need physical therapy after an injury or surgery, short-term health insurance can help with coverage of $150 per day.
8. Urgent Care
Need to visit an urgent care clinic for a non-life-threatening health issue? With a short-term plan through Vera, you are typically responsible for a $50 access fee per visit. The rest applies to your coinsurance.
9. Diagnostic Testing
Short-term medical plans, including those offered through Vera, provide benefits for some diagnostic testing, including mammograms and cancer screenings, as well as interpretation of test results.
10. Emergency Surgery
Short-term medical insurance can help with inpatient and outpatient hospital benefits during and after emergency surgery.
Bear in mind that covered services may be subject to waiting periods, visit limitations, deductible, coinsurance, copays, and/or benefit maximums depending on the plan you purchased.
Are you interested in learning more about short-term health insurance and the benefits it provides? If so, Vera Health can help you choose the right plan for your lifestyle, budget, and health needs. Use our handy plan builder to get a free, personalized quote or chat with a Vera pro by calling 844-961-9645 to get covered as soon as tomorrow!
*Maximum 12-months less one day/364 days in NE.
**Benefits vary by state. Coverage differs in Nebraska, North Carolina, and Virginia.
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.