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Short-Term Health Insurance vs. ACA Plans

What short-term plans cover, what they don't, and when they make sense compared with an ACA-compliant plan.

Short-term health plans are sold as temporary coverage. They can cost less than ACA plans, but they work very differently.

What's different

  • Not ACA-compliant. They don't have to cover essential health benefits such as maternity care, mental health or prescription drugs.
  • Medical underwriting. Insurers can ask health questions, decline applicants and exclude pre-existing conditions.
  • Benefit limits. Plans may cap what they'll pay.
  • No subsidies. Premium tax credits can't be used for short-term plans.
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State rules vary

Some states ban short-term plans or limit how long they can last; others allow longer terms. Federal rules on maximum length have changed several times. An agent can tell you what's sold where you live.

When they can make sense

For a healthy person with a short gap between other coverage and no access to an affordable ACA plan, a short-term plan may fill the gap. For anyone with ongoing health needs, an ACA plan is usually safer.

Fixed-indemnity and supplemental plans

Hospital indemnity and other fixed-indemnity plans pay set cash amounts for certain events. They can supplement major medical coverage but are not a replacement for it.

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