Obamacare vs. Short Term Health Insurance

Example Male, February 2, 1980 DOB, $50,000 Household Income

Obamacare Silver Plan
Deductible
$5,000
$2,750
Monthly Premium
$388.29
$567.06
Pivot Health Short Term
Deductible
$5,000
$2,000
Monthly Premium
$93.41
$182.84
Cost difference $3,538.56
  tax penalty $992.50
Save $2,546.06
buying the Pivot Health Plan

† Example pricing and penalty calculations obtained from eHealth, Pivot Health, and healthinsurance.org.

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Get health
insurance

No health insurance? No problem. Apply for affordable short term health insurance in minutes, and in most cases, get instant approval. Plans can last for one month to several months depending on your state, so you are never left without coverage. It’s health insurance on your terms.

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Flexible
coverage

Never worry about only seeing a doctor in-network. With short term insurance, see any doctor you want. There are no restrictions on which physician, urgent care center or hospital you use. It’s your choice.

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Extra benefits
included

Our short term medical includes low cost video consultations with board certified doctors that can diagnose and provide prescriptions in minutes, plus discount vision services and a discount prescription drug card.

Why short term health insurance is right for you

You want options that fit your situation and budget

There are many reasons why short term health insurance is an excellent choice for individuals looking for temporary coverage or an alternative to an Obamacare health insurance plan. Here’s why:

We all have life circumstances that cause us to need different types of insurance from time to time, and you want options that fit your situation and your budget.

Short term health insurance is a temporary medical insurance plan that provides important coverage to protect you from unexpected medical bills. If you are among the following, you should consider the value of a short term plan:

  • Individuals and families looking for an alternative to high-cost Obamacare plans
  • Those who miss the open enrollment period
  • Temporarily unemployed
  • Looking for COBRA alternative
  • Adult children losing coverage from a parent’s plan when they turn 26 years old
  • Recent graduates who do not have coverage under a parent’s plan
  • Employees without group health insurance coverage
  • Waiting for employer benefits to start
  • Uninsured due to life circumstances
  • Not eligible to apply for coverage on the marketplace during the special enrollment period

Don’t be caught without health insurance when unexpected sickness or injury occurs. Avoid many thousands of dollars in medical debt by applying for coverage now.

Short term health insurance vs. Obamacare health insurance plans

The monthly cost of health insurance is rising each year

The monthly cost of health insurance plans for individuals and medical deductibles are rising every year, leaving millions without an affordable health insurance option. Short term medical plans can cost up to 50% less than Obamacare plans, and offer many of the same benefits. With a short term plan, you have a low cost health insurance option that can be purchased for 90-days or, for extended coverage, four back-to-back 90-day policies, depending on your state of residence, providing you the financial protection you need should an unexpected medical emergency occur.

Short Term Health Insurance Can Save You Money and Provide You More Choice

Health insurance is expensive with the monthly cost and medical deductibles increasing each year.

Many people find marketplace Obamacare insurance too expensive to afford. Short term medical plans generally cost significantly less than Obamacare.

In addition, many marketplace and off-marketplace major medical insurance plans have narrow medical networks, meaning you have fewer choices of doctors and facilities to use. When you need medical care, most people want the freedom to choose where they receive care. A short term health insurance plan can offer you that freedom.

We answer your needs with short term medical

Up to 50% less than Obamacare
  • At Pivot Health, our goal is to provide products that help you pivot to meet your own individual health insurance needs today.
  • Our short term medical plans are up to 50% less than Obamacare.
  • There are no doctor or hospital network restrictions. Our short term medical plan allows you to choose where you want to receive care.
  • Qualifying is easy. Apply online in minutes and, in most cases, get instant approval. You can purchase coverage for 30 days or buy four back-to-back 90-day policies for extended coverage, depending on your state.
  • Coverage can start in 24 hours.

But Pivot Health goes further. In addition to the medical benefits of our short term health insurance plan, our membership package includes many benefits that help reduce everyday health care costs, and covers other expenses incurred if ill or injured. Benefits include:*

Doctor Consultations by Telephone or Video, 24/7 for only $40
Skip the waiting room and connect with a physician at a cost much lower than a standard office visit or convenient care facility.
Savings of up to 70% Off Prescription Drugs
Members can save at more than 66,000 pharmacies nationwide.
Discounts of 15%-30%
Off Eye Exams, Lenses, Frames and Contacts

Short Term Medical Insurance Benefits include:

  • Up to $1,000,000 in benefits per coverage period
  • A range of deductible choices, to meet your budget, from $1,000 to $10,000
  • Only 20% coinsurance
  • Hospitalization, surgery and medical services coverage
  • Physical therapy
  • Mental health services
  • Home health care and extended care facility
  • On select plans, separate prescription drug benefits and copays on physician visits

 

People like you need short term health insurance coverage

Meet Mary.
Mary is between jobs.

Meet Mary

  • Between jobs
  • Two children
  • In good health

It happens quite often: Mary’s job was cut unexpectedly.

She is looking for her next job right now, but until then she needs health insurance for herself and her two young children.

They are all in good health, so a few simple medical questions on the application are not problem.

Mary knows that one accident or serious illness could be financially devastating for her family.

That’s why she chose our short term health insurance plan. Affordable temporary coverage for the protection she and her family need – AND added features that are not included on other short term health insurance plans.

Example is for illustration purposes only.

Short term health insurance key benefits

Short term health insurance offers a wide variety of invaluable benefits and opportunities to save your hard-earned dollars.

1. Unbeatable Insurance Savings

The monthly costs of health insurance plans are rising every single year. Consequently, many individuals in the U.S. are struggling to pay for sufficient coverage, especially those who are recovering from a recent job loss. The primary advantage of short term health insurance plans is that they can provide many of the same benefits that long term plans (like Obamacare) offer at a fraction of the cost. In fact, Pivot Health’s short term medical plans can cost up to 50% less than Obamacare, making it an ideal coverage option for individuals who are struggling financially or saving up their income for large expenses like a new house, children, or additional schooling. Last but not least, short term health insurance can cover your spouse and any dependents, which makes it perfectly viable for families of any size.

To give you a brief glimpse at just how much our short term plans can save you, let’s review a few features:

  • Up to $1,000,000 in benefits per coverage period
  • Deductible options of $1,000, $1,500, $2,000, $2,500, $3,000, $5,000, $7,500 and $10,000
  • 20% or 30% coinsurance on all plans
  • On select plans, separate $500 prescription drug deductible, plus generic and brand prescription copay options
  • On select plans, $30 primary physician copay, $60 Urgent Care and specialty physician copay benefits
  • Maximum out-of-pocket as low as $3,000 per person, per coverage period on select plans

Bear in mind that short term health insurance plans do not satisfy the health coverage requirement of the Affordable Care Act (ACA). If you don’t have minimum essential coverage, then you may be required to pay a penalty at tax time, which is typically taken from your refund amount. However, in most cases, the incredible savings that these plans offer will more than make up for any tax penalties incurred.

2. No Doctor or Hospital Network Restrictions

When your spouse or child experiences a severe illness or injury, your primary concern is ensuring that they receive the best treatment possible from reliable clinicians at a reputable hospital. Regrettably, many coverage providers have an incredibly limited selection of doctors and treatment facilities, forcing participants to work with in-network clinicians and locations in order for their medical care to be covered. In the face of adverse health conditions and medical complications, most people prefer to choose their physician and where they receive treatment without constraint.

As a member of one of Pivot Health’s short term medical plans, you’ll never need to worry about choosing a doctor in-network again. Short term insurance allows you to see any doctors you want with absolutely no network restrictions. You just pay the deductible or copay amount you are responsible for under your insurance plan. Regain control of your care and work with the doctors you respect and trust at any urgent care center or hospital that’s convenient for you and your family. Pivot Health will back your choices and support you every step of the way.

3. Easy and Instant Approval

If you are currently uninsured for any reason, you need to be approved for a new insurance plan as quickly as possible. After all, there are steep consequences for those who are injured or become ill without coverage. Considering the steep costs of medical procedures and medication, just one serious health issue could put you and your family under massive financial strain, particularly if you’re already short on money due to unemployment or the loss of a loved one. Unfortunately, accidents and illnesses can strike at any time. That’s why it’s imperative to choose an insurance provider that allows you access to coverage quickly and efficiently. You and your loved ones simply can’t afford to wait for several weeks or months for your application to go through and be approved.

Signing up for one of our short term medical plans is simple and easy. You can apply for them in minutes, and in most cases, receive immediate approval. With Pivot Health, your coverage can start within 24 hours! If you are healthy and do not have a pre-existing condition, odds are very good that you will be accepted without any complications. Don’t put your family’s financial future at risk when unexpected medical issues occur. Apply for a short term insurance plan today to help protect yourself from crippling medical debt.

4. Superb Extra Benefits

Did you know that Pivot Health includes extra non-insurance benefits for our short term health insurance members to help them save money on medical expenses? Here’s a quick rundown of each:

Doctor Consultations by Telephone or Video, 24/7 for only $49
Have you ever stopped to consider how much money and time you spend on visits to the waiting room to address minor health complications? In many cases, people commit hundreds of dollars towards visits to their local doctor’s office or convenient care facility to receive medical advice on conditions that could easily be treated from home. Wouldn’t it be fantastic to have access to a qualified doctor at any time and any place to avoid these time-consuming and pricey trips?All of Pivot Health’s short term insurance plans include unlimited doctor consultations by video. These remote sessions are available 24/7 at a much lower cost than standard doctor visits. The clinicians you’ll receive care from are passionate and dedicated medical experts with an average of 15 years of experience. They can quickly and efficiently address any health concerns you have and send any necessary prescription medication directly to your pharmacy of choice to ensure optimized convenience.
Savings of up to 70% Off Prescription Drugs
Prescription drugs are undeniably expensive, but they’re also a vital commodity for protecting and maintaining your health. To mitigate the strain that these materials place on your finances, Pivot Health offers a discount of up to 70% on prescription drugs. As a member of one of our short term plans, you’ll be able to text or email discounts directly to your phone for immediate use at over 67,000 pharmacies nationwide. Alternatively, you can capitalize on these savings by printing off a discount prescription drug card.
Discounts of 15%-30% Off Eye Exams, Lenses, Frames and Contacts
As we age, our vision naturally starts to deteriorate, making it more difficult for us to read and examine close objects effectively. And, of course, many of us grapple with sight problems at an earlier age, necessitating expensive eyewear. To assist you with the cost of proper eye care, Pivot Health provides discounts of up to 30% on eye exams, lenses, frames and contacts. This is an incredibly useful benefit for individuals with poor vision or those who frequently purchase prescription eyewear.

5. Customizable Coverage Periods

When you’re unemployed or seeking an alternative to your current medical insurance plan, you need a coverage option that will continue to support and protect your family from medical expenses until you can find an employer with suitable benefits. Depending on your current life circumstances and the state of your industry, it could take several years to find a new job with sufficient pay and coverage. One of the largest drawbacks of insurance options like COBRA is that they’re often limited to certain coverage periods (COBRA only provides coverage for 18 months), leaving you completely without insurance and vulnerable to medical debt once they end. To prevent gaps in your coverage, it’s important to choose an insurance provider that can pivot to match your unique needs.

Short term medical plans are incredibly flexible. If you aren’t sure when you’ll find a new position that can support you and your family in terms of insurance benefits, then simply apply for 90 days of insurance and begin a new coverage period once it ends. We also allow members of our short term health plans to enroll in up to four 90-day plans at once, effectively providing coverage for an entire year (depending on state of residence). With Pivot Health, you’ll never have to chase the clock to find alternate insurance to avoid gaps in your coverage ever again. We’re always available to support you and your family.

Receive Your Quote Today

Now that you have a solid grasp on some of the core benefits that Pivot Health’s short term health insurance plans offer, it’s time to take the next step and receive your quote.

Have More Questions?

If you have any additional questions or concerns about Pivot Health or our high-quality insurance options, then call or contact us today.

Short term health insurance as an alternative to COBRA

Many events can cause your insurance coverage to be terminated, including voluntary or involuntary job loss, reduction in working hours, job transitions, death, divorce and several others. To mitigate the financial strain and stress that these situations can place on uncovered citizens, Congress passed a federal law called the Consolidated Omnibus Budget Reconciliation Act (COBRA). This act can provide you and your family with continuing coverage of group health benefits for up to 18 months while you search for new work or coverage. Regrettably, COBRA can be incredibly expensive, forcing you to pay substantial premiums in order to match the benefits that you used to have. This is an especially distressing problem if you’re already struggling with money after losing your job.

It’s incredibly unwise to entirely forgo coverage as well. Just one serious accident or illness could put you and your family in dire financial straits if you are uninsured. Fortunately, there are excellent and affordable COBRA alternatives that provide all of the benefits you need while reducing the amount of cash you spend on coverage each month. For example, enrolling in a high-quality short term medical insurance plan will protect you from the extreme costs of unexpected medical complications. Depending on your state’s laws, plans can last 30 days, 90 days or longer, and some of them even offer additional benefits to help you save money on everyday expenses.

To help you determine which type of coverage is ideal for your situation, let’s review the benefits and drawbacks of both options.

The Pros of COBRA

COBRA can provide applicants with a respectable range of benefits. With COBRA, you can maintain your health coverage on the same group plan, almost regardless of why your employment or coverage status changed. That means that your insurance won’t be lost even if you were fired by your employer (with the exception of gross misconduct), giving you a solid window of time to seek out new professional opportunities or insurance providers.

Additionally, COBRA extends to a wide range of employers. The law generally applies to all group health plans that are maintained by private-sector employers with 20 or more employees, or by state or local governments. (However, this law does not apply to plans that are sponsored by the Federal Government or by churches.) Additionally, many U.S. states have laws that apply to health insurers of employers with less than 20 employees. These are often called mini-COBRAs. If you’re interested in determining whether this coverage option is viable for your situation, then you can contact your state insurance commissioner’s office for more information.

The Cons of COBRA

One of the biggest drawbacks of COBRA is that it limits your coverage window to a maximum of 18 months after your employment ends (unless you have a disability). As a result, individuals who don’t manage to find stable employment with health coverage within this timeframe will completely lose their insurance plan and financial protection from unforeseeable adverse medical conditions. Once your coverage is terminated under COBRA, you will be completely responsible for paying the cost of treatment for your family.

Once again, COBRA plans can be exceptionally pricey. When you are employed, your company will often subsidize a portion of your insurance premium. This benefit is completely removed when you continue your plan under COBRA, forcing you to pay much more for your coverage than before. In fact, you might even be charged with an administrative fee just for using COBRA. Individuals who qualify for COBRA may be required to pay the entire premium for coverage up to 102 percent of the cost to their plan.

Simply put, COBRA is a solid coverage choice, but only if you have the finances necessary to cover its incredibly high costs. It’s just not a viable option for families that need to prioritize saving their money.

The Pros of Short Term Health Insurance

It’s no secret that the monthly cost of health insurance plans for individuals and medical deductibles are rising each year. All across the nation, individuals are struggling to find affordable health insurance options that don’t compromise the quality of their care. The most attractive aspect of short term health insurance is its affordability. Did you know that short term medical plans can cost up to 50% less than regular health insurance plans while offering many of the same benefits? By investing in one of these plans, you’ll be able to commit much more of your income towards living expenses, retirement, house payments, or anything else you’d like to spend your hard-earned dollars on.

Additionally, short term health insurance plans can offer you a wider range of choice regarding which doctors or facilities you seek care from compared to other COBRA alternatives. A significant number of marketplace and off-marketplace major plans have incredibly narrow medical networks, which means you’ll be constrained to their selection of available clinicians and hospitals. As a member of a short term health insurance plan, you’ll have total freedom to choose where you receive care. You’ll be able to work with doctors you trust and respect in locations that are convenient for you.

Unlike COBRA, short term health insurance plans allow you to re-enroll in plans every 90 days. This feature is incredibly valuable for individuals who need to hop between a few jobs before finding one that sticks. Instead of being subjected to the immense pressure of finding a great job with sufficient insurance benefits, you’ll be able to take your time and feel out new new employers to find the one that perfectly suits your needs and preferences.

Last but not least, short term health insurance providers can offer you a diverse range of additional non-insurance perks to help you save money. Here at Pivot Health, our short term members are given the following extra benefits:

1. Doctor Consultations by Telephone or Video, 24/7 for only $49
It’s time to say goodbye to sitting in the waiting room for hours on end to have minor health problems diagnosed and addressed. With Pivot Health, you will have unlimited remote access to experienced physicians for a fraction of the cost of standard office visits. These health care experts can diagnose any medical issues you or a family member experience within minutes and quickly send any needed prescriptions to your preferred pharmacy. This benefit is available 24/7 for the entire duration of your plan.
2. Savings of up to 70% on Prescription Drugs
Pivot Health members can text or email prescription drug discount deals directly to their phone (or print out a discount drug card) for use in over 67,000 pharmacies nationwide, ensuring maximum convenience. After signing up with us, you’ll never have to worry about providing sufficient funding for the medication your family needs.
3. Discounts of up to 30% on Eye Exams, Frames, Lenses and Contacts
If you or any of your family members need prescription glasses or contacts, then you have an intimate understanding of just how expensive these vital visual tools are. And even if you aren’t struggling with vision problems yet, your eyesight will likely start to deteriorate as you age. Fortunately, signing up for a Pivot Health short term health insurance plan will make you eligible for substantial discounts on eye exams, frames, lenses, and contacts. This benefit is a massive boon for any individuals who want to save significant amounts of money on eye care or head vision problems off at the pass with preemptive eye examinations.

The Cons of Short Term Health Insurance

Unfortunately, a majority of short term medical plans won’t cover certain pre-existing medical conditions. They usually aren’t a great choice for people with serious chronic health issues. Additionally, some of these plans don’t offer coverage for certain type of medical care, including maternity care and preventative services. That’s why it’s always a good idea to read through their terms and conditions very carefully before applying.

Remember, short term plans are designed to keep your family covered while you transition between work or find a different insurance provider. The benefits they offer are fantastic, but they aren’t a permanent insurance product.

Get a Quote for Short Term Health Insurance From Pivot Health

Signing up for a Pivot Health short term plan is fast and easy. Just spend a few minutes applying online and, in most cases, you’ll be approved instantly. You can purchase coverage for up to 90 days or more than 90 days (depending on your state), and your coverage can start within 24 hours.

Be sure to look through our product brochure for short term medical for more information.

If you have any questions about Pivot Health or the coverage we offer, then don’t hesitate to call or message us today. We’re here to help.

Which health insurance plan is right for you?

Are you among the millions of Americans who are in the market for health insurance coverage? If you’ve already started researching your options, you’ve probably come across insurance terminology such as short term medical insurance, supplemental health insurance, fixed indemnity, major medical and private insurance plans. But what distinguishes these plans from one another? And with so many choices available to you, how can you decide which type of insurance plan best meets your needs?

Let’s take a closer look at each of these insurance coverage options. The more you know, the easier it will be for you to decide which plan to select.

Flexibility Through a Pivot Health Short-Term Health Insurance Plan

Do you need medical coverage for a limited amount of time? If so, short term medical insurance might be right for you. Uninsured people who may benefit from a short-term medical plan include those who:

  • Are looking for an alternative to COBRA
  • Missed the annual enrollment period for plans purchased on or off the healthcare exchange
  • Are temporarily unemployed
  • Recently graduated, or are adult children who lack coverage under a parent’s plan
  • Are employed but do not have group insurance coverage
  • Do not qualify to apply for coverage on the marketplace during a Special Enrollment period
  • Are waiting for employer benefits to start

A short term health plan from Pivot Health is all about choice. It provides you with the option to select the deductible amount that best meets your coverage and budget needs. Because short-term medical plans do not meet the Affordable Care Act (ACA) requirements for major medical plans to provide essential minimum coverage, you should be sure to check terms and conditions of each type of plan that you are considering. However, many short term medical plans provide coverage for up to $1,000,000 in benefits per coverage period, and also offer affordable coinsurance rates.

There are many advantages to choosing a short term medical plan for your temporary health care coverage needs, such as:

Coverage duration
You choose how long you need insurance protection: anywhere from one month up to several.
Networks
Visit the providers you want with no restrictions. This is a significant advantage over many plans sold through the government insurance exchanges, which usually specify coverage through limited provider networks.
Plan features
Choose additional benefits based on your health care needs and budget, such as prescription drug coverage, low out-of-pocket maximums, and in some cases, extra non-insurance savings such as access to vision benefits and telemedicine consultations.
Options
You receive a medical coverage solution until the time when you may select a major medical plan.

When you want a plan that offers you a great range of choices and flexibility in plan features and length of coverage, short term health insurance deserves your consideration.

Supplemental Health Insurance for Coverage Gaps

Do you already have a major medical insurance plan either through your employer or one that you purchased on or off the health care exchange? Even with this coverage, you may struggle financially with high out-of-pocket expenses when medical emergencies occur. That means it’s time for you to consider purchasing a supplemental health insurance plan.

Supplemental health insurance plans, including fixed indemnity plans, are structured to help fill in the coverage gaps that exist with many major medical plans. You receive additional insurance protection to help you pay for expenses when unexpected medical accidents or illnesses occur. That’s because a supplemental health insurance plan provides you cash benefits that you may use for any type of expense you choose, including your deductible, copayments or coinsurance. Some people find they even use the cash benefits from their supplemental health plan to pay for everyday living expenses, such as car payments, rent or mortgage, or child care.

Just as with short term medical coverage, supplemental health insurance does not meet the ACA requirements for minimum essential coverage. This type of plan is designed to work with your existing major medical coverage, not replace it.

What are other advantages to purchasing a supplemental health insurance plan?

Low premiums
Supplemental health insurance provides you with a cost-effective means of managing your out-of-pocket expenses during medical emergencies.
Guaranteed coverage
Coverage starts as soon as you purchase the plan. (Be sure to check your state’s regulations on pre-existing conditions and limitations).
Daily hospital benefit
This benefit extends to any illness or injury covered by your plan.
No provider restrictions
Benefits are paid at a predetermined rate as outlined in your policy, without requiring you to see providers within limited networks.

Depending on the specific supplemental health insurance plan you select, your coverage may even provide:

  • Critical illness coverage for children
  • Unlimited telephone or video consultations with doctors 24/7
  • Accidental death insurance (like a small life insurance policy)
  • Disability insurance from a covered accident
  • Discounted vision services
  • Prescription drug savings cards

Keep in mind that not all supplemental plans offer the same benefits and advantages. Be sure to carefully review plan provisions and evaluate your health care needs so that you select a plan that is right for your situation.

What Coverage Does The ACA Offer Me?

The Affordable Care Act (ACA), also known as Obamacare, was signed into U.S. law in 2010. The ACA itself is not a health insurance plan. Rather, the ACA law significantly reformed the health care delivery and health care insurance markets in the United States.

The ACA had several key objectives: to increase the number of Americans who have insurance, to improve the quality and accessibility of health care, and to reduce the cost of health care. As one step towards achieving these goals, the law introduced health insurance exchanges (also called marketplaces) for shoppers to compare and purchase health insurance plans. Depending on where you live, your exchange is organized either by the federal government or your state.

To make it easy for shoppers to review plan coverage options and pricing, all plans sold through the exchanges fit into one of four standard levels of coverage. In addition, all exchange plans are considered major medical plans. To comply with ACA regulations each plan also must provide the following 10 essential health benefits:

  • Outpatient care
  • Emergency care
  • Hospitalization
  • Maternity and newborn care
  • Mental health services and addiction treatment
  • Prescription medication
  • Rehabilitative services and devices
  • Laboratory services
  • Preventive and wellness services, including chronic disease treatment
  • Pediatric services

The ACA also included new protections for all insurance shoppers, regardless of whether plans are purchased through the exchange. These protections serve to:

  • Eliminate pre-existing condition restrictions and gender discrimination.
  • Prohibit your coverage being dropped if you become ill or make an honest mistake on your application.
  • Enable adult children (up to age 26) to remain covered under their parent’ insurance.
  • Give consumers more power to appeal denied insurance claims.

For consumers who qualify, subsidies in the form of premium tax credits and cost-sharing reductions may be available to help lower the price you pay for insurance coverage. This can be an advantage to purchasing plans through the exchange.

Other Key Factors to Consider

As part of the ACA law, all Americans (except those who qualify for an exemption) are required to purchase health insurance coverage. If you don’t buy an ACA-compliant health insurance plan either on or off the exchange, you may be subject to a tax penalty.

In addition, if you plan to purchase a health insurance plan that meets the ACA 10 essential benefits regulations, you must do so during the designated annual enrollment period. For 2017, the open enrollment period ended on January 31, 2017.

If at any time you experience a qualifying life event you may be eligible to purchase coverage on or off the exchange via a special enrollment period. Qualifying life events include a change in family status, the loss of your coverage or a hardship.

Health insurance coverage purchased through the government exchange may be a good option for many consumers. However, there are still many people who compare their options and then decide to purchase private health insurance coverage.

Why Would I Consider a Private Insurance Plan?

Private health insurance plans, including short-term medical coverage, supplemental health insurance and ACA-compliant major medical policies, continue to be a popular purchase decision. In fact, a recent study shows that 2.5 million Americans who are eligible to receive subsidies for health insurance plans bought via the government exchange still decide to purchase private health insurance coverage.

So, what are the top reasons for buying private health insurance?

Price

If you don’t have employer-sponsored health care insurance, and you don’t qualify for cost-reducing subsidies, purchasing insurance directly from a health insurance company or a broker might be a good choice. Rates in the private insurance marketplace may be more affordable, due to greater competition and more choices of benefit plans.

How do you know if you qualify for subsidies that help reduce costs for insurance plans purchased through the exchange? Qualification is based on income. You may qualify for subsidies if you meet several criteria and earn less than 400% of the Federal Poverty Level. Keep in mind that you may only use subsidies to purchase health insurance plans through the exchange—and only during the open enrollment period or a special enrollment period if you qualify.

Plan Features

All health insurance plans sold through the federal exchange must conform to standard (or tiered) coverage levels and plan features. But these standardized plans might not be right for everyone. Ask yourself: do any of these situations apply to you?

  • Your health care circumstances require that you have access to more medical services and benefits than provided by an exchange plan.
  • You would like coverage for only a short-term basis.
  • You want to be able to access a wider variety of medical providers (doctors, hospitals, and other medical facilities).
  • You want additional plan benefits that aren’t offered through an exchange plan.
  • You seek different plan structures for deductible, coinsurance, copayment or out-of-pocket cost than those offered through the marketplace plans.

If you answered yes, take some time to check into private health insurance coverage.

Choice of Insurers

Health insurance consumers will find a greater number of plan options and providers available to them through the private insurance market. In fact, throughout 2016, a number of health insurance companies announced their decision to withdraw from offering plans on the government exchanges, leaving health insurance plan shoppers in some states with very limited options. On the extreme end, five states have only one insurer offering plans through their state exchanges in 2017. For 2018, the choice of insurance companies/plans are expected to be even more limited, as premium rates on the exchanges are expected to continue to increase significantly. If you prefer to receive coverage through a specific insurer, purchasing coverage through the private marketplace might be your only option.

Provider/Network Availability

Do you have a chronic condition that requires you to receive health care services from specific providers or facilities? Do you have a strong sense of loyalty to a group of providers? Many health insurance plans offered through the exchange have limited provider networks. If you don’t receive treatment from that network provider, your coverage benefits may be reduced or you may not be covered at all. You may find that private health insurance plans offer greater network flexibility and benefits coverage.

Deciding Which Plan to Choose

Choosing a health insurance plan is a major decision that can have a significant impact on your health care and finances. When researching which plan is best for you, be sure to take stock of your needs and carefully compare your choices. Whether you need coverage for a short period of time, supplemental coverage to complete gaps in your major medical plan, or you want to purchase a major medical plan on or off the exchange, there are many options from which you may choose.

Why is short term health insurance so affordable?

The monthly cost of health insurance plans and medical deductibles for individuals are rising every single year. In response, American families across the nation are seeking cheaper alternatives to Obamacare. When most people realize that short term medical plans can cost up to 50% less than Obamacare plans (while offering many of the same benefits), they think it’s too good to be true. After all, how could a service that provides you with such extensive coverage be so cheap? Here at Pivot Health, we’re passionate about connecting families across the U.S. with high-quality and inexpensive medical coverage to protect them from unforeseeable health complications. Today, we’ll be walking you through what short term health insurance is, discussing why it’s so affordable and reviewing some of the incredible benefits it can offer you and your loved ones.

What is Short Term Health Insurance?

Short term health insurance is a unique type of coverage that is designed to protect individuals from the financial strain of medical costs when they need to fill the gaps between other health care plans. Many people take advantage of this invaluable insurance option when they’re between jobs, waiting for for a new coverage plan to begin, waiting to qualify for Medicare coverage or lacking any other form of coverage. These plans are also an excellent alternative to COBRA because of drastically lower costs.

Bear in mind that short term health insurance plans can cover spouses and dependents as well, making them a viable option for families. However, all family members will need to meet the specific health requirements of the plan in order to benefit. Additionally, short term plans can be activated significantly faster than most alternatives. In fact, Pivot Health’s short term health insurance plans can start in as little as 24 hours, making them a fantastic choice for people who need to find quality coverage in good time.

Best of all, the coverage periods of short term health insurance plans are customizable. They can last any length of time between 30 days and 90 days (depending on your state of residence). That means that you can strategically purchase this form of insurance for a few months while hunting for new work that offers sufficient benefits for your situation. And unlike COBRA, you aren’t limited to a certain time frame with short term coverage because you can continuously reapply (in most states), granting you a safety net even if your new long term coverage plan doesn’t work out.

What Short Term Health Insurance Doesn’t Provide

Despite their robust benefits, short term plans aren’t for everyone. The primary reason that these plans are so affordable is because they don’t offer some services and treatments that major medal plans do. For example, many short term insurance providers will refuse coverage for individuals with serious pre-existing conditions that require pricey medication or professional care. Additionally, very few short term plans will cover maternity care or prescription drug costs. With these plans, you get a much lower premium every month, but you also receive less coverage compared to long term health insurance options. That’s why it’s imperative to carefully check their terms and conditions to make sure that you, your spouse and any dependents receive sufficient coverage.

Last but not least, short term plans do not meet the minimum essential coverage requirements that satisfy the Affordable Care Act. If you don’t have minimum essential coverage, you may owe an additional payment with your taxes. Despite this penalty, it’s worth remembering that, in most cases, the incredible amount of money that you save with these coverage options will more than make up for any tax penalty you might incur.

Ultimately, short term health insurance plans are ideal temporary solutions for healthy families who want to ensure that they’ll be covered in the event of a serious injury or illness. They exist to keep your finances safe when you have no insurance plan until you find a permanent coverage option.

How Much Short Term Health Insurance Can Save You

To demonstrate just how much money a short term health insurance plan can save you over time, take a look at this comparison between a Pivot Health Short Term Plan and an Obamacare Silver Plan. As you can see, that individual saved over $2,500 with his short term health coverage, and that’s after taking his tax penalty into consideration. And this calculation doesn’t factor in the additional non-insurance benefits that Pivot Health offers its members.

That’s right, some of the best short term health insurance providers will offer participants access to special perks to help them save even more money on medical provisions and services. For example, members of Pivot Health’s short term medical plans have access to the following:

1. Doctor Consultations by Telephone or Video, 24/7 for only $49
Pivot Health members can skip the waiting room and connect with a remote physician at any time from the comfort and security of their homes. These physicians are passionate and dedicated healthcare professionals who have an average of 15 years of experience in patient care. Best of all, this service is significantly less expensive than standard visits to the doctor.
2. Savings of up to 70% Off Prescription Drugs
Members can text or email prescription drug discount deals directly to their phone for use in over 67,000 pharmacies nationwide, ensuring optimal convenience. Additionally, participants can print out a prescription discount drug card for immediate use.
3. Discounts of 15%-30% Off Eye Exams, Lenses, Frames and Contacts
Whether you’re in need of prescription eyewear or an evaluation of your sight to assess and manage visual problems, Pivot Health has you covered with 15 to 30% discounts on eye exams, lenses, frames and contacts.

If you would like more information on Pivot Health’s plans, then be sure to see our brochure for short term medical.

Note: Each short term provider will offer a wide range of different insurance benefits for members. It’s always a good idea to explore your options and do thorough research on each plan you’re thinking about signing up for. That way, you can guarantee that the plan you accept will save you as much money as possible on your medical expenses.

Will the Price of Short Term Health Insurance be Affected By New Legislation?

In October of 2016, the Obama administration issued a rule in order to limit the effectiveness of short term health insurance plans as an alternative to Obamacare. Now, all short term plans must be less than three months in duration. However, participants can still request a renewal at the end of every coverage period. Additionally, all short term plans must display prominent warnings that they don’t meet the requirements for ACA-compliant coverage.

Fortunately, the overall impact of this rule on short term insurance pricing is insignificant. These plans still aren’t required to meet the strict coverage requirements to qualify as sufficient insurance under the Affordable Care Act. As a result, they can still offer substantially lower monthly premiums than alternative coverage options. Bear in mind that all offered plans created after April 1st of this year will only be able to last a maximum of 90 days, but this has no influence on their pricing. Furthermore, some insurance companies even allow members to sign up for four three-month coverage periods at the same time, effectively providing one year of coverage without violating the rules set forth by this new legislation.

Choosing the Right Short Term Health Insurance Plan

Now that you have a better understanding of why short term health insurance plans are so affordable and what benefits they offer members, it’s time to explore your options and find a coverage option that perfectly meets your requirements and preferences. Once again, each insurance provider will offer a different package of benefits and perks. Do your research and look through the product brochure of each prospective plan you’re considering before signing up for one. If you’re in need of coverage that will last more than 90 days, we also recommend choosing a health insurance company that allows you to apply for multiple coverage periods simultaneously to save you the hassle of having to constantly reapply throughout the year.

Reach out to Pivot Health for More Information on Short Term Medical

Pivot Health understands that the world of health insurance can be complex and confusing. If you need any advice on finding great coverage or want more information about our services, then don’t hesitate to call or message us today.

Lost job? Short term health insurance solution

Losing your job is one of the most stressful and challenging events you can face in life, particularly if you were relying on employer health insurance to protect your finances from the costs of medical complications. In situations like these, many of us struggle with the process of finding sufficient and affordable coverage while we seek out new employment opportunities. After all, the monthly cost of health insurance plans for individuals and medical deductibles are continuously on the rise, making most long term plans financially unviable, especially considering the fact that you’ve just lost your primary source of income.

Of course, forgoing medical coverage isn’t an option. Illnesses and accidents can happen to anyone at any time regardless of how many safety precautions you take. If you or a family member experience a serious medical complication while uninsured, you’ll be forced to pay substantial amounts of money out of pocket in order to cover the cost of effective treatment and medication. Going without medical care when sick or injured will only exacerbate your condition and make it even more difficult for you to find a job and work effectively. Simply put, when you lose access to employer health benefits, you need to obtain alternate coverage as soon as humanly possible to prevent an unexpected health complication from putting your family into crippling medical debt.

The Consolidated Omnibus Budget Reconciliation Act

As you may know, the U.S. government created a law called the Consolidated Omnibus Budget Reconciliation Act (COBRA) to assist former employees who lose their work insurance. COBRA allows these individuals to stay on the group health plan of their employer for as long as 18 months. At first glance, enrolling in COBRA might seem like a perfectly feasible way to keep your family insured while you seek out a more permanent coverage option, but nothing could be further from the truth. COBRA is incredibly expensive. In fact, it often requires qualified individuals to pay the entire premium for coverage (up to 102 percent of the cost of the plan). A vast majority of U.S. families simply cannot afford to pay so much money for their insurance.

Additionally, COBRA can only last a maximum of 18 months (unless you suffer from a disability), meaning that you will be left completely without coverage if you can’t find another employer with great insurance benefits within this window of time. Depending on the current job market in your industry of work and your life circumstances, it could take several years (and several jobs) to find a great career fit that offers sufficient coverage. All things considered, it’s no surprise that many unemployed citizens prioritize other coverage options over COBRA.

Short Term Health Insurance for Unemployed Workers

1. Affordability

Short term medical plans are a fantastic way to provide excellent and inexpensive coverage for your family. At Pivot Health, our plans cost are 50 percent less than standard plans available through the Affordable Care Act (Obamacare) while offering many of the same benefits. As a member of one of our medical plans, you could save thousands every single year on the cost of insurance, allowing you to invest those hard-earned funds into a savings account for health expenses, your retirement, mortgage payments, everyday living expenses, or anything else you choose. When you are unemployed, every single dollar counts. Signing up for a Pivot Health plan will help to keep your family afloat until you find a permanent, long term insurance solution.

2. Unrivaled Flexibility

Unlike COBRA, short term health plans don’t force you to find alternative coverage within a short span of time. Short term medical can be purchased for 30 days or up to 90 days, depending on your state of residence. At Pivot Health, we also offer the option to enroll in four 90-day coverage periods to effectively provide one year of insurance. Consequently, you can customize the length of your coverage period to ensure that you won’t have to pay for two plans at once when you do find new employment.

Qualifying for our short term medical plans is simple and easy. You can apply for a Pivot Health plan within minutes and, in most cases, receive instant approval. Your plan can activate within 24 hours after being accepted, so you’ll never have to worry about waiting for your insurance to kick in. Best of all, you can reapply for a new short term coverage policy if you still need insurance protection after your initial 90-day term is up, allowing you access to coverage for while you explore new career opportunities. No matter which changes you make in your life, Pivot Health will be there to support and protect your family, giving you the flexibility to transition through any stage of life without the threat of large medical bills or lack of coverage.

3. Quality Coverage

Pivot Health short term plans can provide you with a wealth of features, including hospitalization and professional health services after deductibles, copays and coinsurance. As a member, your benefit coverage can pay up to $1,000,000 during the covered time period. Furthermore, our plans have no doctor or hospital network restrictions, granting you total freedom to work with clinicians you trust and respect at convenient medical facilities whenever you need professional care. Pivot Health even offers plans with multiple deductible options and prescription drug benefits to align with your needs and budget.

Here’s a short list of key features that our plans provide:

  • Up to $1,000,000 in benefits per coverage period
  • Deductible options ranging from $1,000 to $10,000
  • Freedom to choose any doctor or hospital without network constraints
  • Coverage from one month to 90 days (depending on your state)
  • On select plans, generic drug copays, and a separate $500 prescription drug deductible, with copays for brand and non-formulary prescriptions
  • On select plans, $30 primary physician copay and $60 dollar specialty physician copay benefits
  • Maximum out-of-pocket as low as $3,000 per person, per coverage on select plans
  • Child-only coverage available
  • Ovarian cancer screen and one annual pap smear per year, per covered female age 18 and over (state specific rules apply)

4. Additional Non-Insurance Benefits

To help you with the demanding costs of everyday medical expenses, Pivot Health provides additional non-insurance benefits with all of our short term medical plans, including:

$49 doctor consultations 24/7:
Save big on waiting room visits by connecting with experienced doctors from the comfort of your home. These telephone and video consultations will allow you to address minor medical concerns for a much cheaper price compared to standard office visits. These remote clinicians can even have prescription drugs sent to your pharmacy of choice for maximum convenience.
15-30% off eye exams, lenses, frames and contacts:
Eye examinations and prescription eyewear can cost you hundreds upon hundreds of dollars every year. These substantial discounts on eye care procedures and products are excellent perks for individuals who are struggling with their eyesight or reliant on glasses and contacts to see properly.
Up to 70% savings on prescription drugs:
Text or email prescription drug discounts directly to your phone (or print off a prescription drug card) for immediate use at more than 66,000 pharmacies nationwide.

See our product brochure for short term medical for more information on plan benefits and features.

Other Ideal Candidates for Short Term Medical

Pivot Health’s short term plans are an excellent insurance option for a wide variety of people. Here’s a list of ideal candidates:

  • Individuals and families who missed the open enrollment period
  • Individuals who are unemployed temporarily
  • Individuals and families who are looking for a COBRA alternative
  • Early retirees needed coverage before Medicare begins
  • Adult children who are about to lose coverage from a parent or guardian plan
  • Recent graduates who do not have coverage under a parent or guardian plan
  • Employees without group insurance coverage.
  • Individuals who are waiting for employer benefits to start
  • Those who become uninsured due to life circumstances
  • Individuals who do not qualify for Medicaid or tax subsidies for an ACA plan
  • Those who are not eligible to apply for coverage on the marketplace during Special Enrollment

Not sure whether short term medical coverage is the best choice for your situation? Then be sure to reach out to us with a call or message. Here at Pivot Health, we take pride in offering exceptional customer service and arming you with all the tools and knowledge you need to find the perfect health insurance solution.

Sign up for a Pivot Health Short Term Medical Plan Today

If you’re ready to acquire phenomenal health insurance with fantastic monthly premiums and benefits, then it’s time to take the next step and get your quote. We’ll ask you to fill out a short form that details your location, preferred payment option, and coverage duration in order to provide accurate quotes for plans that match your preferences. All information you share with us is secure, private, and will not be sold. Start applying right now and get approved in minutes!

If you have any questions about Pivot Health or our short term medical products, then don’t hesitate to contact us. We’re always here for you.

Short term health insurance before Medicare

Whether you’ve decided to retire early or seek out employment opportunities that don’t offer sufficient medical benefits, it can be exceptionally challenging to find affordable health insurance solutions to protect your and your family from the costs of unexpected medical complications until you are eligible for Medicare at age 65. Consequently, before the Affordable Care Act, millions of Americans between the age of 50 and 64 chose to decline access to health insurance. This might seem like a great way to save money by avoiding expensive monthly premiums for health coverage that is currently unneeded. But, in actuality, going without medical coverage for any length of time is a grievous financial risk. After all, accidents and illness can strike at any moment regardless of your current health and lifestyle. If you decide to forgo insurance and experience just one severe accident or injury before signing up for a Medicare plan, you could be forced to pay thousands upon thousands of dollars to cover the costs of proper medical care, pulling invaluable funds out of your retirement account in the process.

Fortunately, Pivot Health provides a selection of affordable, high-quality short term medical plans to keep your family covered while you wait to turn 65. Our plans can cost 50 percent less or more than Obamacare plans and offer many of the same benefits, including non-insurance perks to help you save money on everyday medical expenses. To help you determine whether a short term health plan is right for your situation, we’re going to discuss how this insurance option can assist pre-Medicare candidates.

Before we jump in, let’s review how Medicare works and who can qualify for it.

How Does Medicare Work?

Medicare is a federal health insurance program for people who are 65 or older. It can also be used by younger people with certain disabilities and severe medical conditions. This program can provide a wide range of insurance benefits for applicants, and it is split into four different parts, each of which covers a specific group of services. Here’s a brief description of all of them.

Part A (Hospital Insurance)
This component covers inpatient hospital stays, hospice care, care in a skilled nursing facility, and some home health care.
Part B (Medical Insurance)
This component covers certain doctors’ services, medical supplies, preventive services, and outpatient care.
Part C (Medicare Advantage Plans)
This component is a combination of all of the Part A and Part B benefits. As a member of a Medicare Advantage Plan, most of the services offered will be covered through the plan and won’t be paid for under Original Medicare. A majority of these plans offer prescription drug coverage as well.
Part D (Prescription Drug Coverage)
This component is an extension of select Medicare plans (including Original Medicare and Medicare Medical Savings Account Plans) that adds prescription drug coverage. Plans that feature Part D are offered by insurance companies and other private companies that have been approved by Medicare.

You can visit the official government-sponsored Medicare website for more information on each part and Medicare as a whole.

Depending on which Medicare plan(s) you select, you will be expected to pay a different premium. Here’s a simple rundown of the 2017 costs for Medicare. As you can see, these plans offer extensive coverage for a much lower price compared to most long term health insurance plans, making them a fantastic option for eligible buyers. However, if you don’t qualify for Medicare yet, you may be in need of an affordable short term medical alternative until you reach age 65. That’s where Pivot Health comes in.

How Short Term Medical Plans Assist Pre-Medicare Candidates

1. Substantially Lower Premiums.

Once you’ve retired from your career or lose access to an employer health plan and start seeking out different coverage options, the last thing you want to do is pay a huge monthly premium. Depending on your deductible, Obamacare plans can cost around $600 every single month, putting sizeable dents in your savings while you wait for Medicare eligibility.

One of the best parts about short term medical plans is that they cost much less than standard long term insurance options. As you can see in this comparison between Obamacare and short term health insurance, individuals can save more than $2,500 every year by purchasing from Pivot Health! That means that participating in one of our short term health plans from age 50 until age 65 could considerably save your hard-earned money over the course of those 15 years, offering you more financial flexibility as you enjoy your retirement.

2. Outstanding Plan Features

Short term medical gives you access to a wealth of features while you wait for Medicare to kick in. It includes hospitalization and professional health services after deductibles, copays, and coinsurance. As a member of a Pivot Health short term plan, your benefit coverage can pay up to one million dollars during the covered time period. Deductible options range from $1,000-$10,000. We also provide $30 primary physician copay and $60 specialty physician copay benefits on select plans, ensuring maximum coverage for the lowest price available.

Another key advantage of short term health insurance over long term alternatives is that it doesn’t force you into a medical network. A large number of marketplace and off-marketplace major plans require you to see in-network clinicians in order for your care to be covered. As a short term insurance plan member, you will have total control over which doctors and facilities you work with, a great boon for any individuals who want the power to select which trusted doctors they will receive care from when troubling medical afflictions occur.

Furthermore, short term health plans can be customized to last anywhere between 30 and 90 days. Here at Pivot Health, we even offer an option to enroll in four 90-day plans at once to create coverage that lasts for nearly an entire year. This feature allows you to purchase coverage for exactly as long as needed until you are eligible to sign up for Medicare. If you only need 200 days of coverage, you can cancel your plan at any time after enrolling.

Last but not least, qualifying for a Pivot Health short term plan is incredibly simple. You can apply online within a few minutes and, in most cases, receive instant approval. Best of all, coverage can start in as little as 24 hours, mitigating the amount of time you spend uninsured.

3. Additional Non-Insurance Benefits

Pivot Health is dedicated to protecting your finances from medical expenses. That’s why we provide three invaluable non-insurance benefits to reduce everyday healthcare costs. Here’s a brief description of each:

Doctor Consultations by Telephone or Video, 24/7 for only $49
All Pivot Health short term plans include unlimited access to remote consultations with expert clinicians. These passionate physicians have an average of 15 years of experience with patient care and are capable of quickly and effectively diagnosing any medical issues you may experience, saving you time and money by making trips to the hospital for minor conditions a thing of the past. Remote doctors can also prescribe medication and have it sent to a pharmacy of your choice.
Savings of up to 70% Off Prescription Drugs
Pivot Health members can text or email prescription drug discounts to their phone for use in more than 67,000 pharmacies nationwide. Alternatively, you can print off a prescription drug discount card for immediate use.
Discounts of 15% to 30% on Eye Exams, Lenses, Frames and Contacts
As we age, our eyesight naturally begins to deteriorate, making it more difficult to examine close objects and read. Unfortunately, prescription eyewear can be very expensive, especially if you need to purchase glasses or contacts for multiple people. To help you combat these costs, Pivot Health offers all plan members major discounts (up to 30 percent) on eye exams, lenses, frames and contacts, making the process of evaluating your eyesight or purchasing glasses or contacts much more affordable.

For a more detailed look at the superb benefits that our plans provide, be sure to look through our product brochure for short term medical.

Purchase Short Term Health Insurance From Pivot Health Today

You shouldn’t be subjected to high monthly premiums or inferior and inflexible care while you wait for Medicare eligibility. Signing up for a short term health insurance plan with Pivot Health is the best way to acquire coverage that perfectly suits your needs and budget for as long as you need it. Ready to get started? Then it’s time to get your quote!

If you’re interested in learning more about Pivot Health or our services, then don’t hesitate to call or message us today. We would be more than happy to answer any questions you have.

Note: A short term health insurance plan is not qualifying health coverage (“minimum essential coverage”) that satisfies the health coverage requirement of the Affordable Care Act. If you lack minimum essential coverage, you may owe an additional payment with your taxes. Additionally, these plans have pre-existing limitation provisions that may prevent coverage from applying to medical conditions that existed prior to the plan effective date.

Short term health insurance with prescription coverage

There’s no denying that the costs of prescription drugs are incredibly high in the U.S. In fact, recent studies have found that prescription drugs account for about 10 percent of total health care costs here in America. But what is the key factor causing this troubling trend? Researchers have examined various articles that were published in peer-reviewed medical journals (between 2005 and 2016) to answer this important question. According to their findings, lack of competition has allowed some generic drug prices to rise by more than 1,000 percent. Put simply, users of prescription drugs have no negotiating power since there aren’t any competitors to do business with, allowing drug providers to charge any amount they see fit. Regrettably, foregoing medication isn’t a viable option either, especially for families that suffer from chronic health conditions that necessitate continual prescription drug use.

Considering the extreme prices of these invaluable medical commodities, it’s no surprise that many individuals and families in the United States are struggling to manage the cost of their prescription drugs, especially when subjected to the additional pressure of house payments, tuition bills, or substantial credit card debt. Some long term medical plans offer coverage for prescription drugs with smaller deductibles and copays, but these insurance options can end up pricing a consumer out of the market when they need medication, not less. Additionally, a majority of permanent, long term plans force participants to use medical facilities and physicians that are in-network to contain costs, making the process of being diagnosed by a professional clinician and having medication prescribed even more cumbersome, especially for those living in rural or small communities.

Prescription Coverage With Pivot Health Plans

Fortunately, Pivot Health offers an affordable short term health insurance option for some individuals who require prescription coverage. Our high-quality short term plans can cost 50 percent less compared to Obamacare plans that offer many of the same prescription drug benefits. Best of all, Pivot offers select plans that provide a $500 prescription drug deductible, plus generic and brand prescription copay options. Here’s a quick run-through of the prescription drug benefits that are included in our Standard and Deluxe plans:

  • $500 deductible
  • Generic prescription drugs: Inpatient drugs are covered once the $500 deductible is met, and are subject to 20% coinsurance. For outpatient drugs, after drug deductible is met, a covered person pays a $10 copay for a 34-day supply.
  • Preferred-brand prescription drugs: Inpatient drugs are covered once the $500 deductible is met, and are subject to 20% coinsurance. For outpatient drugs, after the drug deductible is met, a covered person pays a $50 copay for a 34-day supply of medication.
  • Non-preferred brand name prescription drugs: Inpatient drugs are covered once the $500 deductible is met, and are subject to 20% coinsurance. For outpatient drugs, after the drug deductible is met, a covered person pays $75 copay for a 34-day supply.

Note: This is a partial list, and some benefit rules will vary depending on your state of residence. Additionally, specialty prescription drugs are not covered by the Standard or Deluxe plans.

With these insurance options, you can save significant amounts of money on monthly premiums and still have access to coverage with prescription drug coverage at an affordable rate. However, it’s worth noting that we offer even less expensive insurance options for those who are willing to give up prescription drug coverage for cheaper monthly premiums.

Prescription Discounts With Pivot Health Plans

Here at Pivot Health, our number one priority is protecting your family’s finances from the threat of catastrophic medical expenses. It’s our goal to ensure that any plan you choose will perfectly match your needs and monthly budget. As you know, prescription drugs can put significant financial strain on anyone who’s struggling with health problems. That’s why all of our short term medical insurance plans come with a discount prescription drug card, allowing you to help mitigate the cost of your prescription medication. You can save up to 70% on many prescription drugs with the help of a Pivot short term health plan! These cards can be used at 67,000 pharmacies nationwide, making it easy for you to find a local pharmacy to pick up your discounted medication. Alternatively, you can choose to email or text drug discounts to your phone for immediate use. With Pivot Health, taking advantage of prescription drug savings is effortless.

Note: Savings will vary based on prescription type and the location where you purchase your medication. Contact us for more information on this subject.

Using a Pivot Health Prescription Drug Card

Using a prescription drug card is simple. First and foremost, head to a local pharmacy that will accept your card. (Once you sign up for one of our short term plans, we’ll give you a list of applicable providers.) From there, present your card to the pharmacist every time you have a prescription filled. They’ll scan your card and check for any prescription benefits you are eligible for. After applying your discount, you’ll get your card back and complete the transaction. And, as long as you’re ordering from a participating pharmacy, you won’t have to worry about claim forms either. No tedious paperwork, no hassle, and no problems. Just be sure to contact your insurance company to find out which medications are covered by the card before using it (meaning, generic, brand or non-formulary drugs).

Additional Pivot Benefits That Affect Prescription Acquisition

One of the major perks of short term health insurance is that it doesn’t constrain you to a small network of clinicians and hospitals. Consequently, as a member of one of Pivot Health’s short term health insurance plans, you’ll have absolute freedom to choose which medical facilities and doctors you want to work with. This is an incredible boon for any individuals who want to ensure that they’re receiving care from health care professionals that they trust and respect, and it also makes the process of getting to a hospital for covered care much less stressful.

Furthermore, all of our short term plans include an additional non-insurance benefit to make the process of acquiring your prescription drugs more convenient: unlimited remote doctor consultations that cost much less than a physical visit to Urgent Care. With a Pivot Health plan, you’ll receive 24/7 access to expert doctors through live video communication. These clinicians are passionate and skilled professionals with an average of 15 years of experience in patient care, making them fully qualified to address any of your medical questions or concerns and provide superb counsel. Furthermore, this service only costs $49 per consultation, which is significantly less than standard trips to the doctor’s office (on average, about $100 in savings every time you use the service). These massively discounted evaluations allow Pivot Health plan members to save a significant amount of money on diagnosing and treating minor health issues.

Most importantly, your remote physician can prescribe your medication and have it sent directly to your pharmacy of choice, saving you valuable time and cash in the process. With a Pivot Health short term medical plan you’ll never have to worry about accessing a doctor for medical advice or a prescription assignment ever again.

Sign up for a Pivot Health Short Term Plan Today

The world of health care and insurance can be an exceptionally confusing place, and we take pride in offering you all of the tools you need to navigate it effectively. Whenever you make changes in your life, we will strive to keep pace and pivot to meet your coverage needs. That’s why thousands of Americans have already taken advantage of the unparalleled savings opportunities and services that we provide.

If you’re ready to stretch your healthcare dollars and potentially save thousands of dollars each year on your monthly premiums, then it’s time to get your quote today. Qualifying is easy. You can apply within a few short minutes and, in most cases, get instant approval. You can purchase short term coverage for 30 days or up to 90 days, depending on your state. However, we also allow members to sign up for four 90-day coverage periods at once, effectively providing insurance throughout the entire year. Best of all, coverage can start in as little as 24 hours! Don’t miss out on this opportunity to acquire flexible and affordable insurance for your family.

Thank you for taking the time to learn about how we assist our members with covering the cost of prescription coverage. If you have any questions or concerns about how our plans work or what they can offer you in terms of prescription benefits, then don’t hesitate to call or message us today.

Note: A short term plan is not considered qualifying health coverage (“minimum essential coverage”) that satisfies the health coverage requirement of the Affordable Care Act (ACA). If you do not have minimum essential coverage, you may owe an additional payment with your taxes. Additionally, you many not be eligible for a short term plan if you have a pre-existing medical condition that existed prior to the plan effective date.

‡ These short term medical plans do not provide coverage for preexisting conditions nor the mandated coverage necessary to avoid a penalty under the Affordable Care Act. If you don’t have minimum essential coverage that satisfies the health coverage requirement, you may owe an additional payment with your taxes.