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Short Term Insurance

Short-Term Medical Insurance

These plans are underwritten by Independence American Insurance Company (IAIC), a member of the IHC Group.

Plan Highlights

Life changes — often unexpectedly. When life leaves you temporarily uninsured, short-term medical (STM) coverage can help protect you in the meantime. STM short-term coverage is designed for individuals or families in transition who need 30 to 90 days of coverage to protect against unexpected major medical expenses. STM is great if you:

  • Missed signing up during open enrollment and are not eligible for special enrollment
  • Are between jobs or waiting for coverage to start through your job
  • Recently graduated and are looking for a job
  • Waiting for your long term coverage to start

Whatever your situation, STM is available to help fill the gap in your health coverage.

 

Network Information


Who Your Care Comes From

With an STM plan, you have access to discounted medical services through national networks. While you have the option to choose any healthcare provider, the discounts available through network providers for covered services may help to lower your costs.

 

Eligibility and Enrollment


To purchase an STM plan through Medica, you must:

  • Be a resident of Iowa, Kansas Minnesota, Nebraska, North Dakota, South Dakota or Wisconsin
  • To hold a family policy, primary applicants must be between age 18 and 64. Dependents must be under age 26.
  • Child-only coverage available for ages 2 through 17. Once you are 18 you're considered an adult and cannot be on a child-only policy with other children.
  • Each applicant must qualify based on the plan's application questions and underwriting guidelines.

Enrollment is accepted year round — meaning you don't need to wait for open enrollment. If approved, your coverage can begin as early as the day following your online application and payment verification.

 

Short Term Coverage and Health Care Reform


STM doesn't comply with the minimum health plan essential benefit requirements of the Patient Protection and Affordable Care Act; however, it's not required that this product meet these requirements1.

What does this mean for you?

  • You could be subject to a tax penalty if you're without minimum essential coverage more than three months of the year.
  • You will not be able to apply for cost sharing assistance or subsidies. These mandates do not apply.
  • Short-term coverage helps protect against unexpected illnesses or injuries. It does not cover pre-existing conditions (including for those younger than 19) or all the essential health benefits.
  • Coverage is subject to underwriting. Each applicant must be able to qualify based on set underwriting guidelines.

These plans are not qualifying health coverage ("Minimum Essential Coverage") that satisfies the health coverage requirement of the Affordable Care Act. If you don't have minimum essential coverage, you may owe an additional payment with your taxes. The termination or loss of this policy does not entitle you to a special enrollment period to purchase a health benefit plan that qualifies as minimum essential coverage outside of an open enrollment period. These products may include a pre-existing condition exclusion provision.



A pre-existing condition is any medical condition or sickness for which medical advice, care, diagnosis, treatment, consultation or medication was recommended or received from a doctor within five years* immediately preceding the covered person’s effective date of coverage; or symptoms within the five years* immediately prior to the coverage that would cause a reasonable person to seek diagnosis, care or treatment.

STM is non-renewable. The amount of benefits provided depends on the plan selected and the premium will vary with the amount of benefits selected. For complete details, refer to the Short Term Medical Expense Insurance Policy Forms (Policy number may vary by state): IAIC ISTM POL 0913.   
                     
STM is underwritten by Independence American Insurance Company, (IAIC), a member of the IHC Group and is marketed and distributed by Medica. 

About Independence American Insurance Company
Independence American Insurance Company is domiciled in Delaware and licensed to write property and/or casualty insurance in all 50 states and the District of Columbia. Its products include short-term medical, hospital indemnity, fixed indemnity limited benefit, group and individual dental, and pet insurance. Independence American is rated A- (Excellent) for financial strength by A.M. Best, 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).

*In the following states, the time period varies: 12 months: SD and 6 months: ND.

1LII / Legal Information Institute. (2018). 45 CFR 148.220 - Excepted benefits.. [online] Available at: https://www.law.cornell.edu/cfr/text/45/148.220 [Accessed 14 Jun. 2018]. 

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