Short term medical insurance in 2025. What is short term health insurance?
December 20, 2023
Ian Westwood
December 20, 2023
Ian Westwood
Short term medical insurance, also known as short term health insurance, can provide temporary medical coverage under certain circumstances.
These temporary health insurance plans include different features compared to standard health plans.
In this guide to short term medical insurance, we will examine what it is, when you might need it, its benefits, and if it’s the right choice for you.
Table of contents
As the name implies, short-term medical insurance is a type of insurance policy that provides temporary medical coverage, usually from a few months up to a year.
It is particularly useful when you’re switching health plans and when you need coverage in an emergency.
Short-term health insurance generally isn’t regulated, and it’s not your average insurance plan. Typically, these plans don’t have to meet any minimum health benefits.
Therefore, short-term plans don’t have to cover pre-existing conditions. These plans are designed for the temporary needs of healthy people.
Generally, these plans have caps on how much they will pay for certain services.
Short-term plans make good options for the following scenarios.
Like most standard health insurance, you can buy a short-term health insurance plan if you meet the criteria and pass the insurance company’s medical underwriting.
Underwriting determines your health status so the insurance company can decide how much coverage you need, with what exclusions, and how much to charge you.
You must usually be above and under a certain age bracket and in relatively good health.
Most short-term health insurance plans are straightforward. In most cases, you apply as you would any standard plan and start paying for coverage.
You will need to answer questions about your medical conditions (if any) and state whether you have a pre-existing condition.
As these policies are not standard or regulated, short-term medical insurance coverage varies significantly between insurers depending on their policy terms.
Short-term medical insurance typically covers doctor visits, emergency care, or preventive and urgent care. In addition, some coverage may include prescriptions.
To understand a short-term plan, make sure to check for any “exclusions and limitations” before making a commitment.
In summary, short-term health insurance generally covers the following:
What does short-term health insurance not cover?
As noted, short-term health insurance doesn’t have to cover pre-existing conditions, unlike standard medical insurance.
In addition, most short-term plans aren’t required to cover maternity care, mental health care, or substance abuse treatment.
Also, this type of insurance generally doesn’t include prescription coverage, with the exception of hospital stays. However, you may be able to get prescription drugs with a discount.
There are many pros and cons of short-term health insurance.
Here are some of the pros you can consider when deciding if a short-term health insurance policy is right for you.
Here are some of the cons you can consider when deciding if a short-term health insurance policy is right for you.
There may be age restrictions for temporary health coverage
After weighing up all of the pros and cons of short-term medical insurance, it’s a good idea to compare them to other temporary plans.
Short-term health plans are not regulated, so they do not need to comply with legal standards.
It’s uncommon to find short-term health insurance that covers pre-existing conditions.
Typically, you may be denied coverage or a claim for payment of your medical treatment for an issue you’ve previously been treated for.
Sometimes, conditions that were not diagnosed before you signed up for the plan may also be denied.
Like any insurance, you might be denied short-term insurance due to your current health status or medical history.
The insurers may still accept you based on your medical history, but your premiums may be more expensive.
Chronic conditions make up most of the pre-existing conditions. Some of these conditions include the following:
Some insurers generally consider pre-existing conditions within the last six months to five years.
If you purchase a new short-term policy (or renew one) after the first policy expires, it may not cover new conditions that developed in the meantime.
Generally, people who remain in good health can renew as often as they’d like. Those who are not in good health are typically denied insurance or sometimes charged extra.
Short-term medical insurance is ideal for certain situations but may not be suitable for you in the long run.
There are some situations in which a short-term health plan could prove to be invaluable. Some of these situations include the following:
Generally, you should check what a plan covers to ensure it’s right for you.
Remember to look for exclusions. Some plans don’t cover hospital bills for weekend admittance, a visit related to alcohol, or an injury resulting from risky activities.
Look out for the waiting period (the duration before coverage begins.) Waiting periods vary drastically, anywhere from one week to months.
Note: Plans often have a three-month expiry date but can be renewed for up to three years.
Short-term medical insurance is generally sold through most private insurance companies, but not all companies offer it.
To buy a short-term plan, you need to find a private insurance company that offers them.
Remember, some companies may provide alternatives to short-term insurance that may better suit your needs. You can speak with an insurance agent to know your options.
Short-term health insurance isn’t for everyone, but if you are considering this insurance option, it’s wise to shop around for various quotes.
You may find an alternative option that is better suited to you than most short-term plans.
You only have to rely on short-term coverage in particular circumstances, and if it is right for you, factor in the following to ensure you choose the best plan for your needs.
Short-term medical insurance tends to be cheaper than standard health plans.
However, your short-term insurance cost will vary depending on your needs. The price of temporary insurance fluctuates based on the following:
Deductible
The deductibles on temporary plans can be higher than other traditional plans. You pay for the services until you meet your deductible.
Premium
This is the fee you pay (monthly or otherwise) for having coverage. The premium amount depends on the amount of coverage you choose, including deductible and coinsurance.
Coinsurance
This is the amount you share with your plan after you meet your deductible. Most short-term health plans have a deductible and coinsurance.
Copay
This includes fees for doctor visits that you may be required to pay.
Other costs you pay
If your short-term plan has limits and exclusions, you could end up paying all other costs for your healthcare.
Suppose your plan does not cover mental health, maternity, or dental care. You would need to cover these healthcare costs yourself.
Other costs may apply depending on the coverage. Read the terms of a plan carefully before choosing so you have an idea of the costs.
Why choose Pitsas Insurances for your medical insurance needs?
To find out more about our medical insurance plans, see our website.
To apply for a hassle-free quote, see here.
Pitsas Insurances Team
Limassol, Cyprus