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Once your short term health insurance plan becomes effective, what do you do with it? Using a temporary, short term health insurance plan is similar to using your major medical health insurance: You visit the doctor for health care services and present your ID card. Then, you receive a bill in the mail and pay the amount not covered by your health insurance benefits.
Whether you purchased a short term health insurance plan for the first time or the first time in a long time, there are a few things you should keep in mind when using your benefits.
Once you receive your plan materials, take time to print your ID card and keep it in a safe and accessible place. This card will provide you with details about your specific temporary health insurance plan and benefits. Be sure to bring it along when you seek health care services.
Short term health insurance plan benefits will differ from Obamacare health insurance (i.e., major medical insurance). Make sure you understand what your policy includes and excludes before you receive medical care. Short term plans frequently include benefits related to emergency room care, surgical services, intensive care or more. While some plans may include a few preventive services, not all do. Know your benefits before you buy, and review them after—this can help you avoid unpleasant billing surprises.
If you are seeking non-emergency care for services covered by your temporary health insurance plan, it may be worthwhile to look for in-network providers. While short term medical insurance sold at healthedeals.com may not require you to visit in-network providers, doing so may lower your out-of-pocket costs. Read your plan details carefully and be aware of any network restrictions or opportunities that may be associated with it. Before you receive care, confirm that the health care provider or hospital participates in the PPO network or optional plan network.
Nearly all charges will be subject to your deductible, so keep this amount in mind when receiving health care services. Once you have fulfilled your selected deductible, your plan’s benefits will kick in.
Also be aware of any applicable copayments, coinsurance, out-of-pocket limits, and daily plan limits. Review your short term health insurance plan’s benefits carefully to see what expenses are covered by its benefits.
When in doubt, call your short term health insurance plan’s carrier. If you need help understanding your policy benefits, finding an in-network provider or anything else, just ask. Getting the information you need up front can help ensure you get the right care.
Remember, temporary health insurance plans do not comply with the Affordable Care Act. Obtaining this health insurance coverage will not help you avoid the shared responsibility payment, a tax penalty for those who do not obtain ACA-compliant major medical insurance and are not exempt from doing so.
To learn more about short term health insurance plans, read 7 Things You Need to Know About Short Term Health Insurance and Is Temporary Health Insurance Right for You?, and be sure to check out our other articles at healthedeals.com.
If you have questions or need help finding short term health insurance, call 888-839-7679 to talk to an IHC representative.
SHORT-TERM MEDICAL EXPENSE (STM)
THIS IS A SHORT TERM HEALTH BENEFIT PLAN THAT IS NOT INTENDED TO QUALIFY AS THE MINIMUM ESSENTIAL COVERAGE REQUIRED BY THE AFFORDABLE CARE ACT (ACA). UNLESS YOU PURCHASE A PLAN THAT PROVIDES MINIMUM ESSENTIAL COVERAGE IN ACCORDANCE WITH THE ACA, YOU MAY BE SUBJECT TO A FEDERAL TAX PENALTY. ALSO, THE TERMINATION OR LOSS OF THIS 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. THIS POLICY INCLUDES A PRE-EXISTING CONDITION EXCLUSION PROVISION.
About The IHC Group
The IHC Group is an organization of insurance carriers and marketing and administrative affiliates that has been providing life, health, disability, medical stop-loss and specialty insurance solutions to groups and individuals for over30 years. Members of The IHC Group include Independence Holding Company (NYSE:IHC), American IndependenceCorp. (NASDAQ: AMIC), Standard Security Life Insurance Company of New York, Madison National Life Insurance Company, Inc. and Independence American Insurance Company. Each insurance carrier in The IHC Group has a financial strength rating of A- (Excellent) from A.M. Best Company, Inc., a widely recognized rating agency that rates insurance companies on their relative financial strength and ability to meet policyholder obligations. (An A++ rating from A.M. Best is its highest rating.) Collectively, the companies in The IHC Group provide insurance coverage to more than one million individuals and groups. For more information about The IHC Group, visit www.ihcgroup.com.
About IHC Specialty Benefits, Inc.
IHC Specialty Benefits, doing business as Health eDeals Insurance Solutions is a full-service marketing and distribution company that focuses on small employer, individual and consumer products. Health eDeals markets products through general agents online, telebrokerage, advisor centers, private label and directly to consumers. For more information about Health eDeals visit www.HealtheDeals.com.