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Temporary
Major Medical Health Insurance
Short-term major medical insurance also known as temporary health insurance
plans are very popular and serve as a perfect solution for individuals
and/or their families who may be without any health insurance coverage.
VIPER Short-term major medical insurance plans are uniquely tailored with
convenient features that put you and your family in the driver seat when
purchasing a health insurance policy. Short-term major medical insurance
plans give individuals and/or their families the ability to design a plan
that fits their specific needs, with the option to choose your own
deductible and co-insurance you and/or your family have complete control
over what you save, and how much you spend monthly on health insurance
premiums.
Making Health Insurance Fast, Easy, & Affordable!
What is
Short-Term Major Medical Insurance?
Short-term major medical insurance is major medical insurance offered on a
temporary basis. Coverage is provided for physicians services, surgery,
outpatient and inpatient care. Short-term major medical insurance plans at
time of purchase, give the insured the ability to choose a period of
coverage that may be as short as 30 days, up to 365 days (i.e.,
approximately 1 month to 12 months of coverage available), with some plans
allowing unlimited re-applies, and other plans allowing for three
consecutive coverage periods allowing coverage up to 36 months or 3 years of
coverage. Unlike HMO's and PPO's, which operate on a pre-negotiated basis
and have a pre-determined network of doctors and hospitals, short-term major
medical insurance gives the insured the freedom to choose any doctor or
hospital.
Short-Term
Major Medical Insurance - What situations give rise to a need for temporary
health insurance?
Several commonly occurring situations create a possible need for short-term
major medical insurance. Individuals who are between jobs and are
temporarily without an employer-sponsored health insurance plan, individuals
laid-off from their jobs, individuals gaining new employment who must
satisfy a waiting period before being eligible to receive group health
insurance benefits (i.e. 90 day waiting period), individuals who have
declined COBRA continuation of health coverage and are looking for a more
affordable COBRA alternative health insurance plan, and college students or
graduates who may no longer be covered under their parents health insurance
plan.
What
medical expenses are typically covered by Short-Term Major Medical
insurance?
Short-term major medical insurance plans offer coverage for a broad range of
medical services and medical expenses. Although short-term major medical
coverage may differ from plan to plan or from one insurance company to
another, short-term major medical insurance will typically offer coverage
for physician services, surgery, outpatient and inpatient care. After
satisfying the deductible amount that has been selected by the insured, the
short-term major medical insurance plan will pay the co-insurance the
insured selected for covered expenses, up to the plans lifetime maximum per
insured person per coverage period. Benefits are limited to the usual,
reasonable and customary charge for a covered expense in addition to any
specific limits.
Short-Term
Major Medical Insurance plans include the following convenient features...
Doctor Office Visit
Physician Services
Prescription Drug Card
In-Hospital regular care charges
In-Hospital Intensive or Critical Care charges
Outpatient Hospital Surgery & Ambulatory Surgical Center charges
Out-Patient Emergency Room
In-Hospital Doctors visits
Surgeon and Anesthesiologist
Assistant Surgeon Services
Out-Patient or Doctors Office miscellaneous charges
Ambulance Services
Organ Transplants
Acquired Immune Deficiency Syndrome (AIDS)
Mammography
Pap Smear and Screens (Includes PSA)
X-Ray Exams, Laboratory
X-Ray and Radioactive
Blood
Organ Transplants
Is Short-Term Major Medical Insurance a more affordable Alternative to
COBRA?
Many individuals have the option of continuing their health benefits
provided by their group health plan through the Consolidated Omnibus Budget
Reconciliation Act, more commonly known as COBRA. COBRA is available when
health benefits are lost under certain circumstances, such as voluntary or
involuntary job loss, reduction in the number of hours worked, transition
between jobs, death, divorce, and other life events. Individuals who qualify
for COBRA continuation of health insurance may be required to pay the entire
premium for coverage up to 102 percent of the cost of the plan. When faced
with the unexpected high cost associated with COBRA, most individuals find
themselves not able to financially manage the cost of the entire premium,
therefore a very large group of individuals (approximately 93% who qualify)
are forced to walk away without any type of health insurance coverage.
Short-term major medical insurance plans are very popular among individuals
and families who decline COBRA - When forced to look for a more affordable
COBRA health insurance alternative plan, many individuals find short-term
major medical insurance plans to be a perfect solution. A large number of
individuals prefer short-term major medical insurance plans because they
offer the same convenient features like that of traditional major medical
plans but offer more flexibility - with choice of deductibles, co-insurance,
and length of coverage period - short-term major medical insurance plans
typically offer major medical coverage from 30 days up to a maximum of 365
days, with plan options that allow the insured to re-apply for a maximum of
three consecutive coverage periods offering a total of 36 months or 3 years
of health insurance coverage, and plan options that include unlimited
re-applies of non-continuous coverage periods.
Do
Short-Term Major Medical insurance plans cover pre-existing conditions?
Like most health insurance policies, short-term major medical insurance
plans do not cover pre-existing conditions. The pre-existing conditions
limitation includes conditions that were treated or produced symptoms within
five years prior to effective date of your short-term major medical
insurance plan. However, some short-term major medical insurance plans like
VIPER's Secure 12 x 3 temporary health insurance gives the insured the
opportunity to submit a simplified application form and re-apply within 30
days prior to the termination date of coverage, if the application is
approved in underwriting, a new coverage period will be issued and the
effective date will be the first day following the termination date of
insured's coverage period. The insured will then receive a new certificate
of insurance and new deductibles and co-insurance will apply. However, the
pre-existing conditions limitations will not apply to any condition(s) that
were covered during a prior prior coverage period. Any other pre-existing
conditions will remain subject to the pre-existing conditions limitation as
described in the certificate of insurance.
Do college
graduates & college students have a need for Short-Term Major Medical
insurance?
Many college graduates and college students may no longer be covered under
their parents health insurance plan, or may temporarily lose health
insurance coverage under their parents plan because of a decrease in college
credit hours or classification from full-time student to part-time student.
Short-term major medical insurance is a perfect solution for any college
student or graduate looking for an affordable health insurance plan.
Are Short-Term Major Medical Insurance plans considered "Creditable
Coverage" under HIPAA?
Under HIPAA, temporary health insurance plans like short-term major medical
insurance coverage is generally considered creditable coverage to help
satisfy any pre-existing condition period.
Note: All health insurance plans, health insurance coverage, and affordable
COBRA alternatives offered through VIPER Health Insurance are generally
considered "creditable coverage" under the Health Insurance Portability and
Accountability Act of 1996 (HIPAA).
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