What do Minnesota consumers need to know about short-term medical plans?
A short-term plan is limited to six months.
Under Minnesota law, you can enroll in a short-term plan for up to six months, or 185 days or less.
You cannot renew a short-term plan, but you can buy another short term plan.
You can have coverage under short-term plans for up to 365 days (12 months) within a 555-day (18 months) period. You are not guaranteed the same plan if you choose to purchase an additional six months of coverage. Any medical condition that developed during prior coverage would be considered a preexisting condition and would not be covered by a new short-term plan.
You can be denied a short-term plan.
Based on your age or medical history, or your family’s medical history, you may be rejected by the insurer from being eligible for a short-term plan. While your premium cannot be based on health status or gender, it is possible you could be denied coverage. Be sure to check the list of exclusions on any plan you are considering.
Pre-existing conditions are not covered.
Short-term plans provide coverage for medical conditions that have not yet arisen, but they will not help for medical conditions you already have no matter how long a short term medical insurance policy is. Also, if you are pregnant when you buy the plan, it will not cover any medical expenses associated with your pregnancy.
Short-term plans are not comprehensive health coverage.
Short-term plans are not required to provide the “essential health benefits” required by the Affordable Care Act. These plans typically exclude coverage for services such as routine office visits, preventive care, maternity care, outpatient prescription drugs, and mental health or substance abuse treatment.
You may have to pay extra expenses.
You may be responsible for copayments, deductibles, and coinsurance under a short-term plan. The short-term plan may also have an annual or lifetime limit on benefits. If you have a serious illness or major accident, the plan may not cover all your expenses.
Avoid a gap in coverage.
Short-term plans can be purchased anytime and are not limited to a specific enrollment period.
For more information, please visit the State of MN webpage at the link below:
https://mn.gov/commerce/consumers/your-insurance/health-insurance/limited-duration-health-plans.jsp
