A major attraction of being a fulltime employee at an American company is the security of health coverage. As the cost of health insurance has skyrocketed in the past 60 years, insurance coverage provided by employers who enjoy tax benefits for giving health benefits to their workers has helped foster loyalty and reduced the stress of thousands of American employees.
Just how high those skyrocketing insurance costs really are becomes painfully apparent when someone loses a job. COBRA, which stands for the Consolidated Omnibus Budget Reconciliation Act of 1985, requires insurance companies to continue to make their plans available to people who have left a group policy due to unemployment. But when you sign up for COBRA, you suddenly find yourself paying much more than what you were paying at the time you were employed. This is at the same time that you have probably lost your primary source of income. The national average cost per family for COBRA is more than $500 a month, the price of rent in many cities. For a relatively healthy person who rarely visits a doctor, the cost of COBRA may seem unacceptably high.
Hindsight is 20/20, however, and thousands of people who have opted not to have insurance because of its costs have lived to regret it. In fact, every 30 seconds someone in the United States files for bankruptcy following a major medical emergency. Many of them found themselves sick or injured without insurance. Fortunately, an inexpensive alternative to COBRA exists that can fill in the gaps between jobs. Temporary low-cost health insurance typically has a much higher deductible than COBRA, but also very affordable rates. It's possible to receive coverage in a matter of days, if not hours.
While the affordable prices are attractive, it's important to remember that temporary low-cost health insurance is considered a "stop gap" for individuals who are between jobs that normally provide healthcare benefits. These policies have not been designed as a long-term solution.
Who generally purchases short-term temporary health insurance? Purchasers include people a)Who have left a company for another job or were laid off b)Are about to graduate from college and need a plan to cover them after they leave the Ivory Tower c)Who are spouses waiting for coverage from a wife or husband d)Who are coming off parents health plans as a dependent e)Who are now working part time or as temporary workers f)Who are waiting for permanent health insurance to begin
Who Qualifies?
If you're healthy, you likely qualify for temporary low-cost health insurance. You probably don't qualify if you are someone who has a pre-existing condition, is over the age of 65 or who has been rejected for insurance before. Pre-existing conditions are generally defined as any condition or symptom which you had during the 36-month period prior to the start of coverage.
How They Work
Many temporary low-cost health insurance policies apply on a per-illness or per-injury basis. You will likely be required to pay a deductible, with your insurance company paying some portion of the next $5,000 in healthcare expenses, before 100 percent coverage takes effect. Plan maximums are typically $1 million to $2 million. Healthcare expenses ranging from emergency services to prescription drugs to surgeries to hospital care are typically covered by the policies.
How Long They Last
Generally, the holder of a temporary low-cost health insurance policy should plan on having the policy a year or less. Some policies do last up to 36 months. Many policies allow people to renew after the policy has run its course, but usually customers are limited to renewing a policy only once.
If You Don't Qualify
If you do have a pre-existing condition, it's unlikely you will qualify for short-term low-cost health insurance. But it's still too dangerous to function without some kind of insurance. Your best bet may be to apply for a low-income health insurance plan. However, only certain groups qualify:Seniors 65 and older: Medicare, a health insurance program of the federal government, covers this group. Pregnant women: Medicaid is usually available, depending on a woman's income and family size.Young adults under 19 and children: The United States typically does not allow children to go uninsured. Programs including dental, vision, substance abuse counseling and basic medical coverage are available across the U.S.The disabled: Medicare covers this group.
Temporary Health Insurance In
You've heard it before; accidents happen. You may have not paid much attention to it before, but there's a great deal of truth in this oft-quoted statement. That being said, it's important to always have good health insurance, because without it, you may be putting yourself in serious financial straights. Below, we've provided short summaries in order to help you understand the types of coverage out there so that you won't be caught in a regrettable predicament that could cost you and your family for years to come.
Health Insurance'In General. General Health Insurance refers to many different types of insurance policies. These range from policies that cover the costs of physicians and hospitals to those that meet specific needs, such as the necessity to pay for care, long-term. Even disability insurance?which replaces lost wages if you are unable to work due to sickness or accident'is considered health insurance, even though it's not specifically for medical expenses.
However, when the discussion revolves around health insurance, it generally focuses on the type of insurance offered by employers to their employees. This is the kind that covers medical bills, surgery, and hospital expenses and is often referred to as ?Comprehensive? or ?Major Medical? health insurance.
When the dialogue turns to more general health care coverage, it is more likely that you'll hear terms such as ?Fee-for-Service? or ?Managed Care?. Further, you'll most likely hear about certain kinds of managed care plans. These span the gamut from health maintenance organizations or HMOs to Preferred Provider Organizations or ?PPOs?, and Point-of-Service or ?POS? plans.
While fee-for-service and managed care plans differ in significant ways, in some ways they are parallel. For example, both cover an assortment of medical, surgical, and hospital expenses, while most offer some coverage for prescription drugs, and some include coverage for dentists and other providers. But there are many important differences that will make one or the other form of coverage the appropriate one for you and possibly your family.
Coverage for a group is characteristically offered through many companies, although unions, professional associations, and other organizations also offer it. As an employee benefit, group health insurance has many rewards. Much?although not all'of the cost is frequently absorbed by an employer, as premium overheads are often less due to group purchasing in large groups. In this arena, by enrolling when you first become eligible for coverage, you most likely will not be asked for proof that you are insurable. (Enrollment usually happens when you first take a job, and often during a certain period each year, which is called ?Open Enrollment?). Some companies even offer their employees a choice of fee-for-service and managed care plans. Additionally, some group plans also offer dental insurance along with medical.
Health Insurance for the Short-Term. Temporary health insurance is generally a reasonably priced, short term medical plan intended for healthy people who are, in the interim, without health insurance. It can become effective as early as the following day after enrollment, it can be purchased for periods as short as 30 days or up to 180 days, and it's usually paid for in either one single payment or monthly payments.
Temporary health insurance is often utilized by those with specific, short-term needs and generally for individuals who may be:
1. In between jobs or laid off
2. Graduating from college
3. Waiting for Group Coverage
4. Coming off parents? health plan as a dependent
5. Working part-time or temporarily
6. Waiting for permanent health insurance to begin
Insurance for the Individual is also a smart choice if you work for a small company that does not offer health insurance or if you happen to have your own company and self-employed. The advantage to this insurance is that you can customize your plan to fit required needs from the insurance company that you choose. In this case, you should also be a diligent comparison shopper, as coverage and costs differ greatly between all of the companies out there. While assessing policies, you should consider what is covered, what is paid, and how much you're required to pay in deductibles and coinsurance.
A thought to ponder. Now that you have a general understanding about the types of insurance available, one idea holds true; be sure that when it comes to health insurance, you always have some. To be caught in an unlucky predicament without it can not only be a hit to your health, but it can be a dire drain to your wallet, as well.
Kurt Stammberger has sinced written about articles on various topics from Finances, Health Insurance and Gastric Bypass. Erik Espe is a veteran health writer and the Editor In Chief of Healthia Inc. Healthia provides integrated comparison-shopping information on
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