Short Term Health Plans
Short-term coverage that’s long on benefits Change is a part of life. And sometimes it can affect your health insurance. Like when you’re starting a new job and your health coverage hasn’t kicked in yet. For times like these, one of our Individual Short-term PPO plans can fill the gap. These convenient plans let you:
- Protect your health and finances with traditional health coverage on a short-term basis
- Get coverage for as little as 30 days to a maximum of 180 days.
- Choose from a wide range of annual deductibles from $250 to $2,000.
- Begin coverage on any day of the month.
It is important to note that because this policy offers coverage for a limited period of time, past or present health conditions are not covered.
If you have any questions:
Click here for our Short Term PPO brochure
Get a Quote and Apply Now (When getting a quote choose option that is 6 months or less)
Benefits-at-a-glance for Short-term PPO plans
| Plan Benefits | Short-Term PPO Plan | ||
| These amounts show your share of costs after deductibles, if any. | |||
| In-Network | Out-of-Network | ||
| Lifetime Maximum (the amount the plan pays up to, per member) |
$3,000,000 | ||
| Deductible (Waived for emergency treatment of accidental injuries) |
$250, $500, $1,000, $2,000 per member, depending on plan chosen | ||
| Out-of-Pocket Maximum | $1,000 per member, participating and non-participating combined (plus deductible) | ||
| Professional Services Including X-ray, lab and office visits |
20% of negotiated fee | 20% of negotiated fee plus any excess charges | |
| Hospital Inpatient/Outpatient | Preferred Participating Providers and Participating Providers: 20% of negotiated fee |
You pay all charges except $650 per day inpatient; $380 per day outpatient |
|
| Ambulatory Surgical Centers | 20% of negotiated fee | You pay all charges except $380 per day | |
| Emergency Services (Deductible waived for emergency treatment of accidental injuries) $50 copay for each visit; waived for accidents or if admitted |
20% of negotiated fee | Physician: 20% of customary and reasonable charges plus any excess charges Hospital: 20% of customary and reasonable charges for the first 48 hours plus any excess charges |
|
| Ambulance Up to $1,000 maximum |
20% of negotiated fee | 20% of negotiated fee plus any excess charges | |
| Prescription Drugs1 30-day supply; retail only; No mail-order benefits |
$10 generic; $30 brand-name; brand-name drug maximum of $500 per member | In California: you pay all charges except 50% of drug limited fee schedule; Outside California: you pay drug limited fee schedule amount less copay as stated for participating pharmacies | |
| Maternity Care | No benefits | No benefits | |
| Physical Therapy, Occupational Therapy, Chiropractic Care $1,000 per member maximum |
20% of negotiated fee | 20% of negotiated fee | |
1. If you request brand-name drugs, you pay the difference in cost between brand-name and generic, in addition to the brand-name copay. Generic drugs are based upon our Generic Rx Formulary.
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