Health Insurance

Plan Types and Descriptions

Affordable Care Act (ACA) Plans

What is this plan? A comprehensive major medical plan that's primary goal is to make affordable health insurance available to more people. For more information on ACA plans please visit Healthcare.gov. You should consider these plans if:

• You want comprehensive coverage for anything that might happen, including coverage for maternity, mental health, or pre-existing conditions, and/or
• Your income is low enough to qualify for government ACA subsidies

Short-Term Medical (STM) Plans

Short term medical plans provide an affordable solution for consumers who may find themselves temporarily without permanent coverage or unable to afford comprehensive coverage. Short-term health insurance plans are typically much more affordable than major medical plans. Most short-term plans will cover emergency hospital visits, certain prescription medications, and some doctors appointments not related to pre-existing conditions.

Most temporary health insurance plans do not cover treatment for pre-existing conditions, maternity care, and mental health, among other items. You should consider these plans if:

• You are relatively healthy and not looking for coverage with maternity, mental health, or pre-existing conditions
• You are only looking for coverage for a short period of time
• Your income is higher than the ACA qualifying bracket/You missed the deadline for ACA enrollment

Fixed Indemnity Plan

Fixed indemnity plans are supplemental health insurance that provide additional coverage for out-of-pocket expenses. These plans provide an extra layer of protection for emergency events (e.g. serious illness or accidents) by paying you a set amount of cash benefits to cover specific medical expenses. You should consider these plans if:

• You prefer affordable monthly premiums and/or
• You want a plan that offsets hospital expenses, and you are okay with paying the rest out-of-pocket and/or
• You missed the deadline for ACA enrollment