For more than 54% of Americans, employer-sponsored health insurance is the primary gateway to accessing medical coverage. But what if an employee does not qualify for this crucial benefit? Whether they are in an employer waiting period, recently lost employment and only have a COBRA option, or simply don't qualify for an employer's plan, navigating the healthcare landscape can feel daunting. Thankfully, short-term medical insurance can offer a temporary safety net for a couple of months up to nearly three years, depending on state laws. This provides uninsured individuals and families an affordable way to get health insurance coverage without relying on employer assistance.
Understanding short-term Insurance
Short-term medical insurance is a temporary policy that offers flexible health coverage for a defined period. Unlike traditional plans, it's not intended to be a permanent long-term solution, but rather a helpful bridge between periods of major medical insurance. That’s why they are often more affordable than comprehensive coverage, making them a viable option for budget-conscious individuals who need coverage right now.
Benefits for uninsured employees
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Comfort: Some form of coverage can alleviate the stress of unexpected medical bills. Short-term plans can help cover a portion of doctor visits, hospital care, and sometimes even common prescriptions, offering a safety net for unforeseen circumstances.
- Flexibility: Unlike the fixed enrollment periods of employer plans, short-term insurance allows employees/former employees to enroll and disenroll on their own terms, aligning with their specific needs and coverage gaps. Plus, coverage starts the next day, not the next month.
- Affordability: Generally, short-term plans are more budget-friendly than major medical insurance, making them an attractive option for part-time employees or those on a limited budget.
Important considerations to note
- Limited coverage: Short-term medical plans have coverage limits and typically higher deductibles compared to employer plans. Pre-existing conditions also are excluded, making them less suitable for individuals with previous or ongoing medical needs.
- Renewability restrictions: While many states offer re-application of an expired policy, some limitations on duration, and may not be guaranteed.
The bottom line
Short-term medical insurance can be a valuable tool for employees navigating gaps in coverage. Remaining uninsured can be financially catastrophic, so offering a bridge to coverage in the near term can help provide protections that can last well into the future.
Pivot Health Short Term Medical (STM) is designed to provide great short-term coverage for every day medical expenses like doctor office visits and outpatient care and, optionally, prescription drug costs. Check with your broker to learn about the various Pivot Plans or visit www.alliednational.com/short-term.
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