Call or Text (623) 826-4258

Pinnacle Family Insurance
  • Home
  • More Information
    • Health | Dental | Vision
    • Short Term Medical Plans
    • Annutities
    • Life Insurance
    • Disability Insurance
    • Reviews
    • Where do we cover?
    • Buisness Coverage
  • More
    • Home
    • More Information
      • Health | Dental | Vision
      • Short Term Medical Plans
      • Annutities
      • Life Insurance
      • Disability Insurance
      • Reviews
      • Where do we cover?
      • Buisness Coverage
Pinnacle Family Insurance

Call or Text (623) 826-4258


  • Home
  • More Information
    • Health | Dental | Vision
    • Short Term Medical Plans
    • Annutities
    • Life Insurance
    • Disability Insurance
    • Reviews
    • Where do we cover?
    • Buisness Coverage

Short Term Medical Insurance

What is Short-Term Medical Insurance?

 Key Characteristics

  • Designed as bridge coverage during transition periods
  • Limited duration policies with defined start and end dates
  • Generally less comprehensive than traditional health insurance
  • Often called "gap insurance" or "temporary health insurance"

How It Works

  •  Application process (often simplified, may include health questions)
  • Coverage periods available
  • Renewal limitations and restrictions
  • Premium payment structure

Coverage Details

What's Typically Covered

  • Emergency medical services
  • Urgent care visits
  • Some hospital stays
  • Basic physician services
  • Diagnostic tests and imaging
  • Prescription drugs (limited)

What's Usually NOT Covered

  • Pre-existing conditions
  • Preventive care and routine checkups
  • Maternity and childbirth
  • Mental health services
  • Prescription drugs for chronic conditions
  • Rehabilitation services
  • Dental and vision care

Pros of Short-Term Medical Insurance:

Financial Benefits

  • Lower monthly premiums compared to ACA plans
  • Quick access to coverage
  • No open enrollment restrictions
  • Potential cost savings for healthy individuals


Flexibility Advantages

  • Can start coverage quickly (often within 24-48 hours)
  • Choose your own coverage period
  • May allow you to keep existing doctors
  • Less restrictive network requirements in some cases


Practical Benefits

  • Protection against catastrophic medical expenses
  • Peace of mind during coverage gaps
  • Option for those who missed open enrollment

Cons of Short-Term Medical Insurance:

Coverage Limitations

  • No coverage for pre-existing conditions
  • Limited or no prescription drug coverage
  • Excludes essential health benefits required by ACA
  • No preventive care coverage
  • Annual and lifetime benefit caps


Financial Risks

  • High deductibles and out-of-pocket costs
  • No cap on annual out-of-pocket expenses
  • Medical underwriting may increase costs or deny coverage
  • No premium subsidies available


Regulatory Concerns

  • Not ACA-compliant (may result in tax penalties in some states)
  • Limited consumer protections
  • Can be cancelled or non-renewed by insurer
  • State regulations vary significantly

Who Should Consider Short-Term Insurance?

Good Candidates

  • Healthy individuals between jobs
  • Recent graduates aging out of parent's plan
  • Early retirees waiting for Medicare
  • Those waiting for employer coverage to begin
  • COBRA alternatives seekers


 

Poor Candidates


  • People with pre-existing conditions
  • Those needing regular medications
  • Individuals requiring ongoing medical care
  • Families planning pregnancy
  • People eligible for ACA subsidies

Interested in Health Insurance?

Contact us today to get a free quote for your Health insurance needs. Our agents are standing by to help you find the perfect policy.

Get a Quote

Frequently Asked Questions

Please reach us at info@pinnaclefaminsurance.com if you cannot find an answer to your question.

Renewal options vary by state and insurer. Federal regulations allow short-term plans to last up to 364 days with possible renewals up to 36 months total. However, many states have stricter limits. Some allow renewals while others require you to reapply with a new medical questionnaire each time. Important: renewals aren't guaranteed, and insurers can deny renewal or change your premium based on claims history or health changes. 


If you develop a new illness or injury after your coverage begins, it should be covered according to your policy terms (subject to deductibles and copays). However, if your condition becomes chronic or ongoing, it will likely be considered a "pre-existing condition" if you try to renew or get a new short-term plan. This means future short-term policies probably won't cover treatment for that condition. 


Short-term plans typically exclude all pre-existing medical conditions. This includes any condition you had symptoms of, received treatment for, or took medication for before your coverage started. The lookback period is usually 12-60 months. Even minor conditions like high blood pressure or diabetes are excluded. If you have any ongoing health issues, short-term insurance likely won't cover related care. 


Short-term plans:

  • Don't cover essential health benefits (like maternity, mental health, prescription drugs)
  • Exclude pre-existing conditions
  • Have medical underwriting
  • Can have lifetime/annual benefit caps
  • Generally lower premiums but higher out-of-pocket costs
  • No premium subsidies available

ACA marketplace plans:

  • Must cover 10 essential health benefits
  • Cannot exclude pre-existing conditions
  • No medical underwriting during open enrollment
  • No lifetime benefit caps
  • Higher premiums but better coverage
  • Premium subsidies available based on income


Coverage varies significantly. Many short-term plans offer limited prescription drug coverage with high deductibles and copays. Coverage is typically limited to generic drugs or short-term prescriptions. Medications for chronic conditions or pre-existing conditions are usually excluded entirely. 


Most short-term plans can start coverage within 24-48 hours of approval, with some offering same-day coverage. This is much faster than typical employer plans or marketplace plans. However, some policies may have specific waiting periods for certain types of care, so check your policy documents. 


Open Enrollment is approaching!

Don't forget about open enrollment! Mark it in your calendars and contact us when its time so we can help you navigate the marketplace.

00

DaysDays

00

HrsHours

00

MinsMinutes

00

SecsSeconds

Open Enrollment is here!

Open Enrollment has started and you need to get insured! Contact us today so we can help you!

Copyright © 2025 Pinnacle Family Insurance - All Rights Reserved.

Website Created by Jelo Creative LLC

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept