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How Short-Term Rate Is Determined in Idaho | Chris Antrim Insurance

Chris Antrim • Mar 09, 2022

How Short-Term Health Insurance Works In Idaho

Short-term health insurance is a type of health insurance that covers you for a short amount of time, usually less than a year. These plans are meant to cover people while they are between jobs or waiting for their new health insurance to start. In this piece, we'll talk about how short-term health insurance works and what you should know before getting it.


Traditional health insurance plans are not the same as short-term health insurance plans. The Affordable Care Act (ACA) does not apply to these plans, so they do not have to provide the same amount of coverage.


This is one of our offices most popular plans. It fills the perfect gap if you are waiting for group coverage to start or for open enrollment on the yourhealthidaho.org exchange program. Learn more at Chris Antrim Insurance!

Short-term health insurance options can cover a wide range of medical costs, such as visits to the doctor, stays in the hospital, and emergency care. But they might not cover health problems that were already there, prevention care, or prescription drugs.


Short-term health insurance plans also have a restricted period of coverage, which are usually between 30 and 364 days. After the coverage time ends, the plan can be renewed for another term, but the insured must fill out a new application and go through the underwriting process again. This means that if the insured gets a new medical condition during the coverage time, it might not be covered in the next term.


What Are the Benefits of Short-Term Health Insurance?

People who are between jobs or waiting for new coverage to start can benefit from short-term health insurance plans. Most of the time, these plans are cheaper than traditional health insurance plans, and they may cover unexpected medical costs for a short time. People who don't want to commit to a long-term plan can also benefit from short-term health insurance plans.


What Are the Drawbacks of Short-Term Health Insurance?

Even though short-term health insurance plans can cover you for a short time, there are some problems to think about. First of all, these plans don't have to follow the ACA, which means that they might not cover important health benefits like preventive care, care for pregnant women, and mental health services. Short-term health insurance plans may also have high deductibles, copays, and out-of-pocket maximums, which can add to large out-of-pocket costs.


Also, short-term health insurance plans are not guaranteed to be renewed. This means that after the initial coverage time, the insurance company can choose not to renew the plan. This can be a problem for people who get sick during their coverage time because they may have trouble getting insurance in the future.


How Short-Term Health Insurance Costs are Determined
Short-term health insurance costs can vary a lot based on a number of factors. Among these things are:


  • Age and health: People who are younger and healthier tend to pay less for care than people who are older or who already have health problems.
  • Deductible and out-of-pocket maximum: Monthly premiums tend to be lower for plans with bigger deductibles and out-of-pocket maximums.
  • Coverage period: Monthly fees tend to be higher for plans with longer coverage periods than for plans with shorter coverage periods.
  • Coverage level: Plans that cover a wider range of medical services and treatments may have higher premiums than those that only cover a few.
  • Geographic location: Depending on where you live, the price of short-term health insurance can be different. In places where health care prices are higher, premiums may also be higher.


Things You Need To Know When Buying a Short-Term Health Insurance

Short-term health insurance plans cover you for a short amount of time, usually less than a year. These plans are meant to cover people temporarily while they are between jobs or waiting for their new health insurance to start. If you're thinking about getting short-term health insurance, there are a few things you should know. We'll talk about the most important things to think about when getting short-term health insurance in this article.


  1. Short-term health insurance plans are not the same as traditional health insurance plans. It is important to know that short-term health insurance plans are not the same as regular health insurance plans. Short-term plans may not cover all of the same medical services and procedures as standard plans, and they may have limits and exclusions that you need to be aware of. Also, short-term plans might not cover pre-existing diseases, which can be a big deal for people who need medical care all the time.
  2. Short-term health insurance plans may have limited networks. Some short-term health insurance plans may only let you see a small number of doctors. This means that if you see a doctor who is not in the plan's network, you may have to pay out of pocket. It's important to look carefully at the plan's network of providers and make sure it includes the doctors and hospitals you see regularly or want to see in the future.
  3. Short-term health insurance plans may have higher out-of-pocket costs. Some short-term health insurance plans may have higher deductibles, copays, and out-of-pocket maximums than regular health insurance plans. This means that if you need health care, you may have to pay more out of pocket. It's important to look over the plan's benefits and out-of-pocket costs carefully to make sure you're okay with the possible costs.
  4. Short-term health insurance plans have limited coverage periods. Short-term health insurance plans are meant to cover you for a short time, usually less than a year. This means that when the plan ends, you will need to find new insurance. You should have a plan for getting new coverage after the short-term plan ends, since you might not be able to get coverage if you have a pre-existing condition or other health problems.
  5. Short-term health insurance plans may not meet the requirements of the Affordable Care Act (ACA). The Affordable Care Act (ACA) may not be met by short-term health insurance plans. If you don't have ACA-compliant coverage, you may have to pay a tax penalty. Also, plans that comply with the Affordable Care Act (ACA) may offer more complete coverage and protection against huge medical bills.


Blue Cross Of Idaho Short-Term PPO Insurance

Offers a limited benefit program for temporary coverage.. You can protect yourself and eligible dependents during those times between coverage or outside enrollment periods, choosing coverage for just one month, or up to six months. Be sure to read the "exclusions and limitations" in the 2020 Short Term PPO Brochure pdf icon before buying a plan.


  • Short Term PPO is designed to cover typical, short term illness or injuries that could occur while you’re between full-benefit plans.
  • Short Term PPO is available to an Idaho resident who is under age 65. It does not cover any preexisting conditions.
  • Short-Term PPO plans do not meet the definition of minimum essential coverage (MEC) as defined by the Affordable Care Act.
  • Once enrolled, you may not enroll any additional dependents with the sole exception of a newborn or an adopted child.

Note: There are no benefits available under the policy for services, supplies, drugs, or other charges related to any symptoms or conditions, including COVID-19, that existed for six months prior to your enrollment in Short Term PPO.

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