Pros And Cons Of Short-Term Health Insurance Policies
Amidst the increasing inflation of healthcare procedures, including paying doctor bills, doctors, annual
doctor visits, specialists, and many more, considering one or the other type of healthcare insurance has
become more than a necessity for your patients. Statistics show that because of the higher healthcare
costs, people are less likely to take care of 8.7% of adults in 2021 were reported not to visit the
doctor or take hospital care just because of the extensive costs. Moreover, as estimates suggested, the
total healthcare expenditure of the US nation touched $4.3% trillion in 2021, slightly higher than in
2020, when expenditures totaled $4.1 trillion and significantly higher than pre-pandemic healthcare
expenditures, which totaled $3.8 trillion in 2019. Short-term health insurance policies are significant
contributors to financial planning and overcoming increasing medical costs. Regardless of the need for
long-term healthcare policy benefits, these traditional policies are the shield from many unanticipated
occurrences, such as sudden accidents, injuries, and birth or death events in individuals’ families.
However, to get the guarantee of short-term policy benefits, one must have an in-depth understanding of
the policy terms and conditions, specifically the pros and cons of getting full out of the
temporary-coverage health care policies. Stay with us in this guide to learn the extras and drawbacks of
the policies and how your patients can benefit from the temporary coverage of healthcare insurance.
However, have an immediate look at the different features and conditions associated with short-term vs.
long-term healthcare insurance policies.
Short-term Health Policy |
Long-term Health Policy |
What is it?
- Frequently called “travel-insurance” or term-insurance plans
- Cover both travel and medical experiences for a year or less
- Allow individuals to create their own policy maximum, deductible, and control coverage
and price
What does and doesn’t it cover?
- Do not cover long-term conditions such as maternity, mental health conditions, and
pre-existing conditions.
- Cover new illness or injuries, doctor visits, and hospitalizations.
Who is it for?
- Support individuals and families traveling outside to get coverage.
- Work for students on shorter study abroad programs avoiding the need for strict
insurance requirements.
Premiums and cost options available:
- Buyers can purchase coverage for the exact period of time, decreasing overall policy
costs.
- For instance, individuals traveling to the US under the age 30 can buy a lower package
as $30 monthly.
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What is it?
- These plans are annually renewable and allow individuals to stay longer on the same
plan.
- Medically underwritten and require individuals to answer several questions to get
eligibility for the plan.
- Less-flexible for your patients to choose maximum but offer higher coverage and
additional benefits.
What does and doesn't it cover?
- The plans are costly but offer many benefits.
- These plans cover almost every visit unlike other insurance plans.
Who is it for?
- Support both individuals and expatriates need coverage for one year or more than a year.
- International students can also get the benefit of using coverage throughout their study
time-period.
Costs and payment options available:
- Plans like Global Medical cost a family about $265 per month.
- Premium payments are flexible to pay monthly, annually, or quarterly, or semi-annually.
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The Pros Of Short-term Health Insurance Policies
- The policies are affordable for many individuals who face the difficulty of inflation or financial
crisis.
- Short-term health insurance offers flexibility in coverage duration, serving individuals who are in
transitional periods, such as graduates or between jobs.
- The policy has a quick application process and provides coverage almost immediately after the
approval.
- Individuals who require urgent medical care or need access to healthcare benefit the most from these
plans.
- Policyholders can customize coverage by choosing specific benefits and coverage limits aligning with
their healthcare needs.
- Your patients can purchase plans throughout the year.
- Some of the short-term plans offer a broader provider network and hospital visits compared to
several plans available for exchange.
- Families can acquire short-term policies, which offer practical solutions at times because many
organizational policies do not cover extended families.
- These plans also benefit self-employed individuals due to their flexibility and lower premiums.
- Short-term health plans are a convenient option for those looking for temporary healthcare coverage.
- Short-term plans are beneficial for young, healthy individuals without the responsibility of their
families, as well as middle-aged to senior citizens.
The Cons Of Short-Term Health Insurance Policies
- The primary drawback of short-term policy is that it has limited coverage, leaving buyers facing
out-of-pocket costs.
- Individuals cannot attain coverage for pre-existing conditions such as preventive care, maternity
care, or mental health-health services.
- These plans may not cover some significant health benefits stated by the Affordable Care Act (ACA),
including prescription drugs, hospitalization, and pediatric services.
- Individuals may end up facing substantial financial risk in a medical emergency.
- Contrary to long-term health insurance policies, short-term coverage does not guarantee renewal.
- Individuals may need to reapply for coverage once the policy expires, and lack of continuity leads
to gaps in healthcare protection and continuity of care.
- Short-term health insurance policies often contain limitations and exclusions such as waiting
periods for coverage, restrictions on pre-existing conditions, and annual or lifetime coverage
limits.
- Such restrictions can significantly impact the scope and quality of healthcare services available to
policyholders.
- Short-term plans have a duration of less than a year, requiring reapplication at each term.
- The plan does not guarantee acceptance of renewal, especially when the individuals experience a
serious illness during coverage.
- The policy doesn't benefit extended family, middle-aged, or senior citizens' healthcare services.
Meds Dental Is Your Best Insurance Guide To Get The Full Out Of Short-Term Policies
Short-term health policy may not be the go-to solution for many individuals or patients who need
essential care. There are benefits and drawbacks of the policy to consider before deciding. However,
temporary or term health insurance policies may be beneficial unless they meet specific conditions of
individuals. Therefore, reviewing the policy details carefully or consulting with experts like medsdental Medical Billing and Coding may be helpful for your practice. They will weigh the policy features
and measure their effectiveness for your patient’s particular needs to get the best short-term health
policy. At Medsdental, we also propose our efficient medical billing and coding solutions for
providers that need both productivity and accuracy of practices.