* Companion Life Insurance Company is rated A+ (Excellent) by A.M. Best Company, Inc., a widely recognized rating agency that rates insurance companies on their relative financial strength and ability to meet policyholder obligations (an A++ rating from A.M. Best is its highest rating).

Five Short Term Health Insurance Trends*

  1. 61% of short term health plan buyers just need a temporary coverage solution
  2. 27% buy short term medical plans because of their affordability
  3. 51% of short term health plan buyers say they would be uninsured if not for the availability of short term medical
  4. In 2017, the average short term premium was $79 a month for a 30-year old.
  5. Comparing deductibles of 2017 short term health plans, the average deductible was $3,434 — $2,658 less than the average deductible for a bronze plan ($6,092)

* Trend data

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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.

Updated:

Why Short Term Health Insurance Can Be The Right Choice 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 affordable alternative. 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 plan
  • 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.

How Is Short Term Health Insurance Different Than Obamacare Health Insurance?

The monthly cost of health insurance is rising each year

With a short term health insurance plan, you have a health insurance option that can be purchased for 90-days or up to 364 days, depending on your state of residence, providing you the financial protection you need should an unexpected medical emergency occur.

Short Term Health Insurance Provides Flexibility

Many people who do not qualify for a financial tax subsidy find marketplace Obamacare insurance too expensive to afford. Short term medical plans generally cost significantly less than Obamacare.

In addition, some 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.

Is Short Term Health Insurance ACA-Compliant (Obamacare)?

Short term health insurance is not required to comply with certain federal market requirements for health insurance, principally those contained in the Affordable Care Act (ACA). These ACA requirements are called “essential benefits” that include preventive care and other benefits the government has deemed “essential” to the life of a health insurance policy. Since short term health insurance is meant to be a temporary option while you decide to commit to a permanent major medical insurance plan, it does not cover long-term medical treatment like maternity care or substance abuse, in most cases. The insurance carrier is also allowed to ask medical questions to ensure you qualify for this type of insurance. Be sure to read through a policy’s plan details carefully to make sure you are aware of any exclusions or limitations regarding coverage of preexisting conditions or health benefits. If you already have a known pre-existing condition or have been told by a doctor that additional medical care might be needed in the future, short term health insurance might not be the best health insurance coverage for you.

If you qualify for a tax subsidy to reduce your monthly health insurance costs or have a pre-existing condition, an Obamacare plan could be the best plan solution for you. Start at the federal marketplace or state exchange to see if you qualify for a subsidy. From there you can determine if you should compare costs and benefits with a short term medical insurance plan. In the end, review all of your options before purchasing.

How Does Short Term Medical Meet Your Needs?

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.
  • On many plans, there are no doctor or hospital network restrictions. Some of our short term medical plans allow you to choose where you want to receive care.
  • Apply online in minutes and, in most cases, get instant approval. You can purchase coverage for 30 days or buy up to 364-days 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 non-insurance 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 $49
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 health 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%-30% 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

See exclusions and limitations of short term health insurance plans in our product brochure.

When Do 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 a problem.

Mary knows that one accident or serious illness could be financially devastating for her family and wants to make sure she has coverage while she looks for another job with health benefits.

That’s why she chose our short term health insurance plan. It is temporary coverage for the protection she and her family need – AND includes added non-insurance benefits.

Meet Dylan

  • Lost job and offered COBRA
  • Age 28 so can’t get back on parent’s plan
  • Driving for ride-sharing service in the meantime to supplement income

Dylan’s department was terminated and he has been offered a COBRA plan for 18 months to take him to the next position that offers permanent, employer health insurance. But COBRA is extremely expensive. His employer was subsidizing the cost of his health insurance, but now that he is no longer an employee, Dylan has to pay 100% of the health insurance premium plus a 2% administration fee. At Dylan’s age, he doesn’t have the savings to pay for his everyday bills plus COBRA insurance, even while picking up “gig” jobs like ride-share driving. He looks into the federal marketplace but his household income is too high to qualify for a financial subsidy to lower his monthly health insurance premium. So Dylan looks at temporary health insurance that is meant to cover him for the unexpected while looking for a new job that offers major medical group insurance.

Dylan discovers that he can sign up for as little as 30-days or up to 364-days depending on how long he thinks it will take to land permanent employment. He also likes the fact that doctor office copays are offered on select plans, in case he needs to see a physician. Otherwise, Dylan doesn’t expect to use his insurance so the monthly price is appealing and fits within his budget.

Dylan decides he doesn’t want to be tied down with permanent insurance right now because he knows he will find employer health insurance when he gets a new job. So Dylan opts for short term health insurance for 180 days. If he gets a job before the 180 days are up, he can cancel at any time. Dylan is confident in his decision and thrilled that he isn’t breaking the bank.

These examples are for illustration purposes only.

What Are The Key Benefits Of Short Term Health Insurance Plans?

Short term health insurance offers a wide variety of benefits and opportunities to save money.

1. Potential Insurance Savings

Many individuals in the U.S. are struggling to pay for health insurance coverage, especially those who are recovering from a recent job loss. COBRA insurance can be unattainable due to the cost. One advantage of short term health insurance plans is that they can offer temporary health insurance benefits that take individuals and families to their next permanent insurance coverage for less than COBRA. And, short term health insurance can cover your spouse and any dependents, which makes it viable for families of any size.

To give you a brief glimpse of our short term health insurance plans, 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 medical insurance plans do not satisfy the health coverage requirement of the Affordable Care Act (ACA). See brochure for exclusions and limitations associated with short term health insurance plans.

2. No Doctor or Hospital Network Restrictions on Classic Plans

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. However, many coverage providers have a 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 where they receive treatment without constraint.

As a member of one of Pivot Health’s short term health plans, you’ll never need to worry about choosing a doctor in-network again. Many Pivot Health short term insurance plans allow you to see any doctor 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.

Pivot Health Core and Quantum short term health plans include a doctor PPO network, so examine the names of plans to ensure you enroll in the plan you desire.

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 financial costs of medical procedures and medication, just one serious health issue could put you and your family under serious 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.

Signing up for one of our short term medical plans takes just minutes. When you begin the enrollment process you receive immediate notification if you are approved. With Pivot Health, your coverage can start within 24 hours! If you are healthy and do not have a pre-existing condition, it’s quite likely 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. 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 at participating pharmacies. Alternatively, you can capitalize on these savings by using mail-order pharmacy services.
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 offer flexible coverage durations. 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 364-days of coverage (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. And you can cancel at any time.

Receive Your Quote Today

Keep reading for more information or take the next step and receive your quote.

Have More Questions?

If you have any additional questions or concerns about Pivot Health or our insurance options, then call or contact us today. Or check out our FAQ section for more details. 

See exclusions and limitations of our most common short term health insurance plans in our product brochure.

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. However, 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 not recommended to forgo coverage. Just one serious accident or illness could put you and your family on a road to debt if you are uninsured. Fortunately, there are COBRA alternatives that provide all of the benefits you need while reducing the amount of money you spend on coverage each month. For example, enrolling in a short term health 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 up to 364-days, and some of them even offer additional non-insurance 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 pros-and-cons of both options.

The Pros of COBRA

COBRA can provide applicants with a 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 lose their insurance plan and financial protection from unforeseeable adverse medical conditions. Once your coverage is terminated under COBRA, you will be responsible for paying the cost of medical services out-of-pocket.

Once again, COBRA plans can be quite expensive if you are struggling to pay the bills after the loss of employment. 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 if you have the finances necessary to cover the high cost. But it might not be a viable option for families that need to prioritize saving their money.

The Pros of Short Term Health Insurance

The most attractive aspect of short term health insurance is its cost savings compared to COBRA. By investing in a temporary plan while you wait to get permanent coverage, you will 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, many short term health insurance plans can offer you a wide range of choices regarding which doctors or facilities you seek care from compared to other COBRA alternatives. As a member of a short term health insurance plan, you’ll have the 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-apply for a plan if you still need coverage once your coverage duration has expired (subject to state rules). This feature is 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 employers to find the one that perfectly suits your needs and preferences.

Last but not least, short term health insurance can offer you a diverse range of additional non-insurance benefits to help you manage your health care expenses. Here at Pivot Health, our short term members are given the following extra non-insurance 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.

Extra benefits are not insurance benefits and are not associated with Pivot Health’s insurance partners. 

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 good choice for people with serious chronic health issues. Additionally, some of these plans don’t offer coverage for certain types of medical care, including maternity care and preventive 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 can provide insurance stability, 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 just 30 days or up to 364 days (depending on your state), and your coverage can start within 24 hours.

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 Short Term 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 terminologies such as short term medical insurance, supplemental health insurance, fixed indemnity or limited benefit insurance, 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.

The Flexibility of a Pivot Health Short Term Health Insurance Plan

Do you need temporary medical coverage for a specific 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 health care 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.

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 364 days.
Networks
Visit the providers you want with no restrictions on many short term health insurance plans. Or, look for a plan that has a “PPO Network” which gives you a national list of providers that you can choose from to receive in-network care.
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, doctor office visit copays and specialty benefit copays for Urgent Care visits.
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 range of choices and flexibility in plan features and length of coverage, short term health insurance is a 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 monetary 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 money from their supplemental health plan to pay for everyday living expenses, such as car payments, rent or mortgage, or childcare.

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 qualifying medical emergencies or critical illnesses.
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
  • Accidental death insurance (like a small life insurance policy)
  • Disability insurance from a covered accident

Other non-insurance benefits offered by Pivot Health supplemental health plans include:

  • Discounted vision services
  • Prescription drug savings cards
  • Unlimited telephone or video consultations with doctors 24/7

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, you must purchase a health insurance plan that meets the ACA 10 essential benefits regulations, and you must do so during the designated annual enrollment period. Check websites like healthcare.gov for state and federal enrollment dates.

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 2.1 million Americans 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 only had 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. The market has gotten brighter for 2019 with more insurance companies getting back into the marketplace, but the stability of leveling the playing field is unknown. To date, 2020 plans on the ACA exchange are looking more abundant and pricing has leveled in many states due to reinsurance programs. 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 If a Short Term Health Insurance Plan Is The Right Choice

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 Short Term Health Insurance Is So Budget-Friendly

When most people realize that short term medical plans can cost 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 health care coverage be so budget-friendly? Here at Pivot Health, we’re passionate about connecting families across the U.S. with high-quality 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 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 insurance option when they’re between jobs, waiting 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 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 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 90-days to 364-days (depending on your state of residence).  And you can cancel at any time. 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 many 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 benefits, short term plans aren’t for everyone. The primary reason that these plans are so affordable is that they don’t offer some services and treatments that major medical 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 preventive services like immunizations, well-women health care and birth control. With these plans, you get a 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.

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 help 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

Some short term health insurance providers like Pivot Health offer additional non-insurance benefits to its members to help them save money on health care costs that would most likely be out-of-pocket. 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.

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?

Fortunately, the overall impact 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.

What’s the Best Short Term Health Insurance Plan for Me?

Now that you have a better understanding of why short term health insurance plans are 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 up to 364-days 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.

See a list of exclusions and limitations of short term health insurance plans and non-insurance benefits in our product brochure.

Lost Your Job? Short Term Health Insurance Can Be a 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 may 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 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 without coverage if you can’t find another employer with 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 some unemployed citizens prioritize other coverage options over COBRA.

Short Term Health Insurance for Unemployed Workers

1. COBRA Alternative

Short term medical plans are one way to provide budget-friendly coverage for your family compared to full-price COBRA. At Pivot Health, our plans cost less than conventional plans available through the Affordable Care Act (Obamacare). 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. 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 as little as 30 days or up to 364 days, depending on your state of residence. 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, in most states you can reapply for a new short term coverage policy if you still need insurance protection after your initial term is up, allowing you access to coverage for while you explore new career opportunities. No matter what 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. Coverage For Right Now

Pivot Health short term plans can provide you with many 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, most of 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 364 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 health insurance plans are another insurance option for a wide variety of people. Here’s a list of ideal candidates who might desire a temporary health insurance option:

  • 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.

See exclusions and limitations of short term health insurance plans in our product brochure.

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 you 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 short term medical plans to keep your family covered while you wait to turn 65. Our also plans offer non-insurance benefits to help save costs on everyday medical expenses. To 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. Premium Costs.

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 over $1,000 every month when you are 60 years old, putting sizeable dents in your savings while you wait for Medicare eligibility.

2. Outstanding Plan Features

Short term medical gives you access to benefit 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 highlight of short term health insurance is that many plans don’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 canl 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. Additional PPO network plans are also available, however, if you prefer that style of coverage.

Furthermore, short term health plans can be customized to last anywhere between 30 and 364 days. 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 don’t need to be subjected to high monthly premiums or remain uninsured 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 can suit your needs for as long as you require 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.

See exclusions and limitations of short term health insurance plans in our product brochure.

Short Term Health Insurance And 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 nearly 50% of Americans take at least one prescription drug. 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%. 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

Pivot Health does offer short term health insurance options for those needing prescription coverage. Our short term plans can cost less while still offering 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: On Standard plans, however, the deductible is waived for generics on Deluxe plans (name-brand drugs still subject to a 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 on monthly premiums and still have access to coverage with prescription drug coverage. 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 lower 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 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). Note, there is a 5-day waiting period from time of enrolling until the prescription benefit is available.

Additional Pivot Benefits That Affect Prescription Acquisition

One benefit of short term health insurance is that most plans don’t constrain you to a small network of clinicians and hospitals. Consequently, as a member of one of these 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 advantage 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 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 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 just 30 days or up to 364 days, depending on your state. 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). Additionally, you may not be eligible for a short term plan if you have a pre-existing medical condition that existed prior to the plan effective date.

See exclusions and limitations of short term health insurance plans in our product brochure.

Short Term Health Insurance FAQ

Short term health insurance provides temporary healthcare benefits when you are in between major medical insurance plans (i.e., ACA plans, Obamacare) or other minimum essential coverage under the Affordable Care Act.

 

Short term plans can  be an affordable option when you need benefits for a transition period such as being in between jobs as well as when you simply need a cost-effective coverage alternative for unexpected medical expenses. Short term medical plans are designed to be flexible when you need flexibility most, allowing you to choose your policy length (30 to 364 days, depending on where you live), deductible amount, and how you would like to pay for coverage (a monthly premium or one lump-sum payment).

 

You may also see short term health insurance referred to as short term medical insurance or temporary health insurance.

You can enroll in a short term health insurance policy for as few as 30 days and up to 364 days, depending on your coverage needs and your state of residence. Policy duration limits vary by state.

 

That means short term health insurance coverage could be a good fit whether you need coverage for a month to get you through an employer waiting period or for a few months while you look for a new job with benefits.

While both provide healthcare benefits, they are not the same. There are several key differences of which you should be aware.

 

Short term health insurance 

  • Provides temporary benefits to help with medical bills resulting from injuries and unexpected illnesses.
  • Doesn’t include all of the essential health benefits or no-cost preventive care that major medical insurance is required to have under the Affordable Care Act (ACA)
  • Is not considered minimum essential coverage under the ACA.
  • Is not guaranteed issue, which means you could be denied coverage based on your health history.
  • Budget-friendly because they don’t include all of the services and treatments ACA plans include; however, they do not qualify for ACA subsidies.

 

Major medical insurance (ACA plans)

  • Designed for long-term coverage, including everything from preventive care to conditions that require ongoing medical care.
  • Must include all of the essential health benefits and no-cost preventive care as required by the ACA.
  • Is considered minimum essential coverage under the ACA.
  • Is guaranteed issue, which means you can’t be denied coverage or charged more based on your health history.
  • Offer eligibility for an ACA subsidy when you enroll through a state or federal health insurance exchange and qualify based on income.

 

With these differences in mind, you can choose the option that makes the most sense for your situation. For example: A short term health insurance plan may appeal to someone who doesn’t qualify for an ACA subsidy, and wants coverage to help with unexpected medical bills, whereas a major medical plan may be best for someone who qualifies for a subsidy and needs the full range of ACA-mandated benefits.

Yes, which is why it may be considered as an alternative to COBRA. That said, short term plans and COBRA are not alike and it is important to understand the differences when making your decision. 

 

In short, the comparison is similar to that of short term and ACA plans. Short term health insurance premiums will be lower and coverage will be more limited while COBRA premiums will be higher and coverage will include all essential health benefits and preventive care as required by the ACA.

Temporary, short term medical insurance plans and ACA plans are different types of coverage. 

 

To compare them at a high level: 

 

Temporary health insurance is designed to help fill the gaps between other healthcare plans, which means it typically includes benefits related to injury and unexpected illness. Monthly premiums tend to be lower than unsubsidized Obamacare plans.

 

Obamacare is designed for long-term coverage, which means it includes all of the benefits required by the Affordable Care Act—from no-cost preventive care, as specified by the law, to care for pre-existing conditions. These plans are subsidy-eligible when you qualify based on income and enroll through a state or federal exchange

 

What you consider affordable will depend on whether or not you qualify for an ACA subsidy along with what kinds of out-of-pocket healthcare expenses you anticipate.

 

At a more granular level: 

 

Temporary health insurance

  • Doesn’t have an open enrollment period, and coverage begins as soon as the day after your application is approved.
  • May not have a network—see any provider or visit any hospital you prefer (some plans may have a PPO network, so read the details before you make a decision and enroll).
  • Are not guaranteed issue.
  • May not be available in every state, and policy length limitations vary by state
  • Policies are not guaranteed renewable, which means you have to apply and qualify to enroll again.

 

Obamacare

  • Is available during open and special enrollment periods.
  • Network restrictions apply—you may not have benefits for out-of-network care or you may pay more for it.
  • Is guaranteed issue.
  • Is available in every state, and your policy will last the entire year.
  • Policies are guaranteed renewable, which means you can enroll again as long as the plan is still available.

There are many individuals who may consider short term benefits to help fill a gap in coverage, including those who are: 

 

  • In between jobs with benefits.
  • In a waiting period before their job-based health insurance begins.
  • Looking for an alternative to COBRA.
  • Unable to qualify for an ACA subsidy and want a budget-friendly alternative.
  • Turning 26 and losing coverage from a parent’s health plan.
  • Getting married or going through a divorce.
  • Graduating from college and without health insurance.
  • Attending college and looking for an alternative to a school health insurance plan, parent’s plan, etc.
  • Working part time and don’t qualify for employer benefits.
  • Returning from military duty.
  • In need of coverage outside Obamacare open enrollment but are not eligible for a special enrollment period. 

 

Short term medical insurance plans are not guaranteed. You will have to fill out an application and answer a few health questions to see if you qualify. You can enroll if your application is approved. If you have pre-existing conditions or medical conditions that require ongoing care, you may want to consider an ACA plan instead.

The affordability factor can make short term plans attractive to those who don’t qualify for ACA subsidies. 

 

So why are rates lower? Short term coverage does not include all of the ACA’s essential health benefits and no-cost preventive care, whereas Obamacare plans must include them. Short term plans are not guaranteed, which means your application will be subject to approval and, based on health history, not everyone will qualify for coverage

Anytime! You can buy short term health insurance year-round; there isn’t an open enrollment period. Because short term plans are available whenever you need coverage, they can be a solution if you are in between Obamacare open enrollment periods and don’t qualify for a special enrollment period.

 

Short term health insurance is a way to quickly obtain coverage. Once you compare plans and decide which one will meet your needs, the application and enrollment process will take 5 minutes or less. If your application is approved, you can even begin coverage as soon as the next day.

No, short term plans do not qualify for premium tax credits or cost-sharing reductions available—those are only available for ACA plans sold through state and federal exchanges.

If you still need coverage when your short term health insurance expires, you may be able to re-apply for a new policy for up to three years. It all depends on where you live, however. This is another area where state laws vary.<

 

Short term policies are not guaranteed renewable. If your state does allow you to enroll in back-to-back short term policies, you will still need to apply for an entirely new policy if state rules allow. Even if you qualified for coverage the first time, you may not qualify for subsequent policies.

 

If you do re-apply for coverage and your application is approved, you will start a brand new policy. Your deductible, coinsurance, and copay amounts will start at zero again.

If you enroll in a short term plan without a network, you can visit any healthcare provider you choose. That means you can continue to use your preferred doctors and hospitals.

 

Plans with PPO networks require you to see providers who participate in the plan network. Out-of-network care may not be covered or you may pay more for it.

 

Be sure to read plan details so you know which type you are selecting: a plan without a network or a PPO plan. If you aren’t sure, contact customer support to ask.

You can apply for coverage; however, you could be denied coverage or your plan could be subject to a pre-existing limitation provision that excludes medical conditions that existed before your short term policy takes effect.

Short term health insurance plans typically include benefits for medical care related to a serious injury or illness. These benefits will vary by plan but may include doctor office visits, hospitalization, emergency care, surgery, and physical therapy, among others.

Some plans, such as those offered by Pivot, include non-insurance benefits that can help reduce what you pay out of pocket for healthcare. Pivot’s non-insurance benefits include telemedicine as well as discounts for prescription drug and vision (eye exams, lenses, frames, and contacts).

Most doctors and hospitals will accept short term health insurance as they would an ACA plan. If you run into an issue, you’ll want to work with the claims administrator to find out how they pay providers—through a PPO network or from the Medicare reimbursement standard. A claims administrator will usually speak with your provider about payment processing.

 

Make sure you seek in-network care if you have a short term PPO plan. This will ensure you’re using providers who accept your coverage.

Short term health plans aren’t right for everyone. You may want to choose an Obamacare plan if you: 

 

  • Qualify for subsidies that help lower your premium and out-of-pocket expenses.
  • Need all of the essential health benefits (e.g., maternity, prescription drugs) and all of the preventive health services that such plans must include under the Affordable Care Act.
  • Have pre-existing conditions that disqualify you from short term coverage.
  • Have ongoing healthcare needs.

 

If you aren’t sure which coverage best suits your situation, talk with a licensed health insurance agent who can help you understand and weigh your options.

Short term coverage could be an alternative way to fill your gap in health insurance coverage. However, you will need to apply to see if you qualify. If your application is approved, you can begin coverage as soon as the next day.

‡ 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.

This coverage is not required to comply with certain federal market requirements for health insurance, principally those contained in the Affordable Care Act. Be sure to check your Policy/Certificate carefully to make sure you are aware of any exclusions or limitations regarding coverage of preexisting conditions or health benefits (such as hospitalization, emergency services, maternity care, preventive care, prescription drugs, and mental health and substance use disorder services). Your Policy/Certificate might also have lifetime and/ or annual dollar limits on health benefits. If this coverage expires or you lose eligibility for this coverage, you might have to wait until an open enrollment period to get other health insurance coverage.