Health insurance packages combine multiple alternative health plans into one solution.
Fusion: a hospital, surgical and critical illness health insurance plan
Fusion STM: a short-term health insurance plan
The Fusion bundle includes both Fusion + Fusion STM packaged into a single solution that combines hospital, surgical and critical illness health plans that provide daily fixed benefits in one plan, and a short-term health plan for covered medical expenses with maximum coverage of up to $2 million in the event of a catastrophic injury or illness.
Note: Fusion and Fusion STM will be collectively referred to as “the Fusion bundle”.
The Fusion bundle helps pay for medical expenses that range from relatively minor to catastrophic.
Individual plans vary, so you’ll want to read the plan details closely to validate the coverage and benefits you’ve selected and what exclusions apply.
Fusion fixed-indemnity and Fusion STM are two separate policies. The benefits do not coordinate. Fusion fixed-benefit indemnity insurance and Fusion STM short-term medical expense coverage are not available in all states. These products are not qualifying health coverage (“Minimum Essential Coverage”) that satisfies the health coverage requirement of the Affordable Care Act. If you don’t have Minimum Essential Coverage, you may owe an additional payment with your taxes. The termination or loss of either policy does not entitle you to a special enrollment period to purchase a health benefit plan that qualifies as minimum essential coverage outside of an open enrollment period. These products may include a pre-existing condition exclusion provision.
Inpatient hospital confinement, including ICU/CCU and physician visits
Outpatient surgical services including anesthesiologist
Chemotherapy and radiation
Covered critical illnesses, such as cancer, heart attack, stroke and kidney failure
Pregnancy, except complications of pregnancy
Injury or illness resulting from participation in hazardous avocations including mountain or rock climbing, skydiving, hang gliding, motor vehicle racing, scuba diving, rodeo or private aviation
Above is a very brief description of the important features of the Fusion fixed-benefit indemnity plan and the Fusion STM short-term medical plan. Review additional information about the Fusion bundle. For complete details about the Fusion plan, refer to the Certificate Form #IAIC HICERT D610 (may vary by state). For details about the Fusion STM plan, refer to the Short Term Medical Expense Insurance Policy Form #IAIC ISTM POL 0913.
*Fusion bundle pre-existing conditions details:
A pre-existing condition is a disease, accidental bodily injury, illness or physical condition for which a covered person had treatment, incurred a charge, took medication, or received a diagnosis or advice from a doctor during the 12-month period immediately preceding the insured person’s coverage effective date. Covered benefits are payable for a pre-existing condition after the insured person has been continuously covered under the Policy for 12 consecutive months. This does not apply to a newborn or newly adopted child placed for adoption under age 18 if such child is enrolled for coverage within 31 days from the date of birth, date of adoption or placement for adoption.
Fusion STM will not provide benefits for any loss caused by or resulting from a pre-existing condition. A pre-existing condition is any medical condition or sickness for which medical advice, care, diagnosis, treatment, consultation or medication was recommended or received
from a doctor within five years immediately preceding the covered person’s effective date of coverage; or symptoms within the five years immediately prior to the coverage that would cause a reasonable person to seek diagnosis, care or treatment.
Here are a few of the pros and cons to consider when you’re thinking about whether to apply for the Fusion bundle.
A powerful pair - The Fusion bundle provides coverage for both minor and catastrophic health events in one insurance solution
Apply year-round – There is no official open enrollment period, and in most cases coverage begins the next day after you enroll online.
Keep Your Doctor – No provider network limitations means you can visit your preferred health care provider.
Customize your solution – Multiple plan options means there’s a plan for just about every budget
Plans are limited to 30 to 90 days – Under current ACA legislation, short-term plan durations must be 90 days or less. However, that rule may be reversed soon.
Less coverage than major medical – Preventive care and many other essential health benefits such as prescription drugs, vaccinations, and pre and post-natal care are not covered. If you think you will need any of the 10 essential health benefits guaranteed by the ACA-qualifying plans, then a Fusion health insurance bundle may not be right for you.
Pre-existing conditions are not covered – Unlike major medical plans, pre-existing conditions are not covered with Fusion plans
Fusion bundles may be a good option for people who:
How long can you stay on your parent’s plan? Do you really need insurance if you're young and healthy?
Learn the 7 best health insurance options are for young adults and how to decide which one is best for you.
COBRA is not your only option for health insurance if you find yourself unemployed.
Losing your job qualifies you for a special enrollment period for major medical, and there are alternatives like short-term health (available year round) as well.
Independent Contractor or Seasonal Worker
What should you do if you don't get health insurance through your employer?
You may need to purchase major medical coverage on your own, or enroll in an alternative health plan.
Prefer Non-Obamacare Options
Can you buy health insurance that isn’t Obamacare? Yes.
It’s important to note that Obamacare alternatives are not comprehensive health plans and have less coverage than Obamacare plans.
Fusion bundle premiums vary depending on several factors some of which include your state, age, gender and the level of benefits selected.
For example, a 37-year old woman in Phoenix, Arizona can choose between three bundled Fusion plan options with varying levels of coverage with monthly premium rates ranging from $165 to $227.1