BLOG
Health Insurance

Options for Temporary Health Insurance

6 min read

30 sec brief

If you don’t have health insurance, getting seriously injured or sick is pretty much a worst-case scenario.  Luckily, you have options other than paying for everything yourself.  Temporary health insurance, aka short-term health insurance or gap insurance, was created for these kinds of situations.

If you don’t have health insurance, getting seriously injured or sick is pretty much a worst-case scenario.  Luckily, you have options other than paying for everything yourself.  Temporary health insurance, aka short-term health insurance or gap insurance, was created for these kinds of situations.

What is Temporary Health Insurance?

Temporary health insurance is health insurance meant to cover you and your family in the case of serious injury and hospitalization for a specified period of time.  Up until October of 2018, most states required you to purchase this insurance in 3-month chunks.  Now, you can buy temporary health coverage with an initial term of up to a year, with a renewal of up 36 months.

Temporary health coverage is usually cheaper than traditional medical coverage and you can purchase it at any point during the year, even if you haven’t had a qualifying life event like getting married or losing your employer-based health coverage.

But temporary coverage isn’t subject to the same rules that govern more permanent plans.  While insurance is regulated on a state level, meaning that insurers might have to offer different plans in different areas, the majority of temporary health plans will only cover a minimal amount of medical services that don’t include maternity care and sometimes not even prescriptions.

Here’s a look at some options that might be available in your area:

Protector 360

Who’s eligible: adults aged 18 to 70 years

What’s covered on an annual basis:

  • 2 hospital stays: 1 for sickness, 1 for injury, for a maximum of 60 days.
  • 2 ER visits.
  • 1 stay in the burn unit: maximum of 15 days.
  • 1 inpatient surgery and anesthesia.
  • 1 outpatient surgery.
  • A flat reimbursement for ambulance services.
  • 5 doctors’ visits for either sickness or injury.
  • 1 wellness visit.

Limitations and Exclusions include (but are not limited to):

  • 12-month waiting period for previously existing conditions. This means insurance under this plan won’t cover the costs of medical care resulting from or related to a previously existing condition unless it’s been 12 months or more since you’ve been last treated for this condition.
  • No coverage for injuries that are purposefully self-inflicted.
  • No coverage for injuries resulting from illegal activity.
  • No coverage for injuries resulting from dangerous activities such as sky-diving.

Protector 360 has many other limitations and exclusions, so please check the plan before purchasing.

Core Shield

Who’s eligible: no limitations

What’s covered on an annual basis:

  • Inpatient hospital stay up to 30 days.
  • Intensive care stay up to 5 days.
  • 2 inpatient surgeries.
  • 5 doctors’ visits for sickness or injury.
  • 2 wellness visits.
  • 2 wellness visits for children under the age of 4.
  • 2 ER visits.
  • 1 outpatient surgery.
  • 3 labs.
  • 4 diagnostic tests.
  • 2 CT/PET/MRI scans.
  • A maximum critical illness benefit of $10,000.

Limitations and Exclusions:

  • 12-month waiting period for previously existing conditions. This means insurance under this plan won’t cover the costs of medical care resulting from or related to a previously existing condition unless it’s been 12 months or more since you’ve been last treated for this condition.
  • No coverage for injuries that are purposefully self-inflicted.
  • No coverage for injuries resulting from illegal activity.
  • No coverage for injuries resulting from dangerous activities such as sky-diving.

Core Shield has many other limitations and exclusions, so please check the plan before purchasing.

Axis Legion Limited Medical

Who’s eligible: adults aged 18 to 64 years.

What’s covered on an annual basis:

  • Inpatient hospital stay up to 30 days.
  • Intensive care stay up to 5 days.
  • 2 inpatient surgeries.
  • 1 outpatient surgery.
  • 2 ER visits.
  • 3 doctor visits for injury or sickness.
  • 1 wellness visit.
  • 1 newborn wellness visit.
  • 2 labs (e.g. blood work, pap smear, urine analysis).
  • 2 diagnostic tests like ultrasound, radiology, and mammograms.
  • 1 MRI, colonoscopy, endoscopy, etc. (PET and CT scans are NOT covered).

Limitations and Exclusions:

  • 12-month waiting period for previously existing conditions. This means insurance under this plan won’t cover the costs of medical care resulting from or related to a previously existing condition unless it’s been 12 months or more since you’ve been last treated for this condition.
  • No coverage for injuries that are purposefully self-inflicted.
  • No coverage for injuries resulting from illegal activity.
  • No coverage for injuries resulting from dangerous activities such as sky-diving.
  • No coverage for injuries or sickness occurring during travel outside the U.S., Canada and Mexico.

Axis Legion Limited Medical has many other limitations and exclusions, so please check the plan before purchasing.

These are just overviews of possible temporary health insurance options and should not be used in place of reading the actual plan for which you are purchasing.  Before deciding on any plan, make sure to read through your options carefully.  You don’t want to count on a service being covered only to find out it isn’t.

Disclaimer: the content presented in this article are for informational purposes only, and is not, and must not be considered tax, investment, legal, accounting or financial planning advice, nor a recommendation as to a specific course of action. Investors should consult all available information, including fund prospectuses, and consult with appropriate tax, investment, accounting, legal, and accounting professionals, as appropriate, before making any investment or utilizing any financial planning strategy.

Ready to get started?

See Why Lively is the #1 Rated HSA Provider