What is Short Term Medical Insurance

Written and researched by Michael Kays (Travel Insurance Expert) | Fact Checked by Danya Kristen (Insurance Agent).

Short-term medical insurance is a type of health insurance that provides coverage for a set period of time, usually between one and twelve months. It is designed to fill in the gaps between major medical plans, and can be used to cover unexpected medical expenses or as a temporary replacement for a lost or canceled health insurance policy.

Short-term medical plans are not required to provide the same level of coverage as major medical plans, and as such, they typically have lower premiums and deductibles.

However, they also tend to have more limited benefits, and may not cover pre-existing conditions or preventive care.

If you are considering purchasing a short-term medical plan, it is important to compare different policies to find one that best meets your needs.

You should also make sure to read the fine print carefully, as some short-term plans may have exclusions or other restrictions that could leave you with significant out-of-pocket costs in the event of an accident or illness.

Who Needs Short Term Medical Insurance?

Short term medical insurance is a type of health insurance that provides coverage for a short period of time, usually between 30 and 180 days. It is designed to fill temporary gaps in your health insurance coverage.

Short term medical insurance can be a good option if you are:

  • Between jobs and waiting for your new employer’s health insurance to start
  • A recent graduate who is no longer covered by your parent’s health insurance
  • A seasonal worker who is only employed for part of the year
  • Not eligible for Medicare or Medicaid
  • A foreign national who is visiting the United States for a short period of time

Short term medical insurance typically covers doctor visits, prescription drugs, hospitalization, and other medical expenses. Some policies may also provide coverage for preventive care, such as vaccinations.

While short term medical insurance can be a helpful safety net, it is not intended to be a long-term solution. It typically does not cover pre-existing conditions, and it may have exclusions for certain types of care.

In addition, short term medical insurance plans are not required to provide the same level of coverage as major medical plans.

If you are looking for a long-term health insurance solution, you may want to consider a comprehensive health insurance plan.

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How does Short-Term Medical Insurance Work?

Short-Term Medical Insurance (STM) is a type of health insurance that provides temporary coverage for a limited period of time, usually between 30 and 180 days.

STM plans are designed to fill the gap in coverage when you are between jobs, waiting for employer-sponsored health insurance to begin, or if you are ineligible for government-sponsored health insurance programs like Medicaid or the Children’s Health Insurance Program (CHIP).

STM plans are not required to provide the same level of coverage as major medical health insurance plans, so they typically have much lower premiums.

However, they also have much higher deductibles and out-of-pocket maximums, so you could end up paying a lot of money out of your own pocket if you need to use your STM plan for anything other than routine care.

STM plans are not right for everyone, but they can be a good option if you need temporary health insurance and you are sure that you will be able to get major medical coverage within a few months.

Who is Eligible for Short-Term Medical Insurance?

To be eligible for short-term medical insurance, you must generally be between the ages of 18 and 64, although some plans may have different age requirements.

You also must not be currently enrolled in another health insurance plan, such as Medicare or Medicaid. In addition, most plans will not cover pre-existing conditions.

What are the Benefits of Short-Term Medical Insurance?

Short-term medical insurance can be a good option if you are between jobs, waiting for your employer-sponsored health insurance to begin, or if you are a student or recent graduate.

Short-term medical insurance plans typically have lower premiums than major medical plans, but they also have higher deductibles and do not cover pre-existing conditions.

In addition, most short-term plans do not cover preventive care, prescription drugs, or mental health and substance abuse services.

Despite these limitations, short-term medical insurance can still provide some financial protection in the event of an unexpected illness or injury.

And, if you are healthy and do not use many health care services, you may find that a short-term plan is more affordable than you think.

What are the Coverage Options for Short-Term Medical Insurance?

There are a few different coverage options for short-term medical insurance. The most common is to choose a plan with a deductible and coinsurance.

This means that you will pay a certain amount out-of-pocket each year before your insurance plan kicks in. The amount you pay will depend on your deductible and coinsurance rate.

Another option is to choose a plan with a copay. This means that you will pay a set amount for each doctor’s visit or prescription, regardless of the cost.

Lastly, you can choose a plan with a high deductible and no coinsurance.

This means that you will be responsible for paying the entire cost of your medical care up to your deductible limit. After you reach your deductible, your insurance will cover the rest.

How Much Does Short-Term Medical Insurance Cost?

The cost of short-term medical insurance varies depending on the state in which you reside, the length of the policy, the deductible, and the coinsurance. However, the average cost of a short-term medical insurance policy is $90 per month.

How Do I Get Started with Short-Term Medical Insurance?

Short-term medical insurance is designed to fill gaps in coverage, such as when you are between jobs or waiting for your employer-sponsored health insurance to kick in.

Unlike traditional health insurance, which is typically more comprehensive and can last for years or even decades, short-term health insurance plans have much more limited coverage and do not provide long-term protection.

They also generally have higher deductibles and out-of-pocket costs than traditional health insurance plans.

If you are considering buying a short-term health insurance plan, there are a few things you should keep in mind. First, make sure you understand what is and is not covered by the plan.

Short-term plans typically have very limited coverage and may not cover things like pre-existing conditions, preventive care, or prescription drugs.

Second, be aware that short-term health insurance plans are not required to comply with the Affordable Care Act’s (ACA) coverage requirements.

This means they do not have to cover essential health benefits like hospitalization, maternity care, or mental health, and substance abuse services.

Finally, keep in mind that short-term health insurance plans can be Cancelled at any time and are not renewable. Once your coverage period ends, you will need to reapply for coverage if you still need it.

If you are healthy and do not have any pre-existing medical conditions, short-term health insurance can be a good option for you if you need coverage for a brief period of time.

Just make sure you understand the limitations of the coverage and compare prices from different insurers before you buy.

What Are the Disadvantages of Short Term Medical Insurance?

There are a few disadvantages of short term medical insurance to be aware of. First, this type of insurance is not meant to be a long-term solution.

It is designed to fill in the gaps for a specific period of time, such as when you are between jobs or waiting for your employer-sponsored health insurance to kick in.

This means that if you have an ongoing health condition, short term medical insurance will not provide the coverage you need.

Second, short term medical insurance plans typically have much higher deductibles than traditional health insurance plans.

This means that you will have to pay more out of pocket before your insurance plan starts to cover the costs of your medical care.

Third, short term medical insurance plans often have stricter eligibility requirements than traditional health insurance plans.

This means that you may not be able to qualify for coverage if you have certain pre-existing medical conditions.

Fourth, short term medical insurance plans typically do not cover preventive care, such as routine physicals and vaccinations.

This means that you will have to pay for these services out of pocket.

Finally, short term medical insurance plans are not required to provide the same level of coverage as traditional health insurance plans.

This means that you may have to pay more for your medical care if you need to use services that are not covered by your plan.

How Do I Compare the Best Short Term Health Insurance Providers?

When you are looking for short-term health insurance, there are a few things that you will want to take into consideration in order to make sure that you are getting the best possible coverage.

The first thing that you need to do is make sure that you are familiar with the different types of plans that are available so that you can choose the one that best suits your needs. There are three main types of plans:

Major medical plans: These plans are the most comprehensive and will provide you with the most coverage. They will cover things like hospitalization, surgery, and prescription drugs.

Limited benefit plans: These plans will provide you with a limited amount of coverage, but they can be a good option if you only need a few services.

Catastrophic plans: These plans are the least expensive, but they will only cover you in the event of a major medical emergency.

Once you know what type of plan you need, you can start comparing the different short-term health insurance providers. There are a few things that you should look at when you are comparing plans:

  • Coverage: Make sure that the plan you are considering will cover the services that you need.
  • Cost: Make sure that you can afford the premiums for the plan.
  • Network: Make sure that the plan you are considering has a network of doctors and hospitals that you can use.
  • Customer service: Make sure that the company you are considering has good customer service.
  • Reputation: Make sure that the company you are considering has a good reputation.

By taking the time to compare the different short-term health insurance providers, you can make sure that you are getting the best possible coverage at the best possible price.