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Consumer tips
and FAQ.

Additional Tips for Shoppers
Tips and Suggestions for Short-Term and Intermediate-Term Health Insurance


 1. Two Reasons For You To Consider Electing A Higher Deductible

The "deductible" is the amount of covered medical expenses that an insured person pays before the insurance policy begins to pay. 

Short-Term health insurance and Intermediate-Term health insurance offer you a choice of deductibles. Here are two reasons to consider electing a higher deductible (with which you are comfortable).

#1. A higher deductible lowers your premium.

#2. The claims process is another reason to consider electing a higher deductible. Short-Term and Intermediate-Term health insurance are largely "underwritten at time of claim." This means that in the event of a medical claim, the insurance company may require that you complete a detailed health history questionnaire, as well as requesting copies of prior medical records from your doctors. (They are checking for "pre-existing" medical conditions.)

Therefore, some people might consider a higher deductible because the claims process for a relatively small medical claim may not be worth their time or effort.

Summary: The primary purpose of Temporary health insurance, including Short-Term and Intermediate-Term, is to protect you against large and unexpected medical expenses. Consider saving money by electing the highest deductible with which you are financially comfortable.

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Policy "exclusions" are medical or physical conditions and situations that an insurance policy specifically will not cover. Many exclusions are common for Short and Intermediate-Term insurance. "Immunizations" and "preventive care" are typically not covered.

"Pre-existing conditions" are not covered. This includes any condition or complication that was treated or produced symptoms five years prior to the effective date (may vary by state).

Sometimes, knowing what's not covered can be just as important as knowing what is.

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 3. Continuous Coverage And HIPAA

Short-Term health insurance and Temporary (Intermediate-Term) health insurance can be used to maintain "continuous qualifying coverage" under Federal and state HIPAA laws. 

When moving onto an employer's group health insurance plan from another "qualifying" health insurance plan, having prior "qualifying coverage" without a gap of over 62 days can be very beneficial. Continuous qualifying coverage can lessen or totally eliminate a potential waiting period ("full takeover") for pre-existing medical conditions.

The Short-Term health insurance and Intermediate-Term health insurance plans found here are "qualifying coverage" under HIPAA law. They can allow you to maintain "continuous coverage" under the law. 

Suggestion: Keep old insurance ID cards or other records of any health insurance that has been in effect during the past 2 years, including Short-Term or Intermediate-Term insurance.

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The Short-Term health insurance and Temporary (Intermediate-Term) health insurance applications contain a brief eligibility questionnaire. Typically, this is only about 5 or 6 questions. Failure to answer the questions accurately or honestly could jeopardize your coverage and in some case be considered fraud.

In the event of a major claim, a medical audit (underwriting) is usually conducted. If inaccurate information was given on the application, it is often discovered at this time. In such a case, all premium is returned and the policy is cancelled retroactively.

Most people qualify for Short-Term health insurance and Temporary (Intermediate-Term) plans found here. If you fail to qualify, we suggest you contact a licensed health insurance agent in your area for assistance.

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 5. Have You Have Been Declined For Health Insurance?

Applications for Short-Term health insurance plans usually contain this (or similar) qualifying question: "Has any person proposed for coverage been declined for health insurance in the past 12 months?" 

If the answer is "yes," then you would not be eligible for most short-term insurance plans. However, you could still be eligible for the Temporary (Intermediate-Term) health insurance plan, which does not ask "have you been declined?"

Insulin-Dependant Diabetes? The Temporary (Intermediate-Term) health insurance plan does not automatically exclude people with insulin-dependant diabetes.

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We work for you. Our Independence means we work for you. We seek to earn your business with consumer information such as 4 vital tips, additional tips, and with some suggestions on how to get the most after you buy.

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