Short Term Medical Coverage Now Available for up to 36 Months

Following the release of a final rule on “short-term limited-duration” on the Federal Register, insurance carriers can now offer short term medical (STM) insurance* in term limits of up to 364 days, depending upon state availability and specific enrollment limitations.

Select carrier partners of HIIQ even offer the option to reapply for up to 36 months of STM coverage.

“This final rule expands access to additional, more affordable coverage options for individuals, including those who might otherwise be uninsured, as well as to those who do not qualify for PTCs (Premium Tax Credits) or who otherwise find individual health insurance coverage unattractive,” reads the final rule document.

“Consumers who want comprehensive, individual health insurance coverage as defined by PPACA will continue to be able to purchase such coverage on a guaranteed availability and guaranteed renewability basis in the individual market.”

Not only is this a win for consumers seeking health coverage options that fit their lifestyle and budgetary needs, but also health insurance agents and brokers that currently offer short term medical insurance to their clients.

As premiums continue to rise under the Affordable Care Act and the individual mandate penalty going away in 2019, many estimate an increase in short-term health insurance enrollment over the next year. The Centers for Medicare and Medicaid Services (CMS) estimate approximately 600,000 Americans will sign up for a new short-term medical plan next year.

Some entities project even bigger numbers. The Commonwealth Fund, a private foundation “supporting independent research on health care issues and making grants to improve health care practice and policy”, estimates that up to five million Americans could enroll in short-term coverage now that these longer term limits are now available.

As it stands today, a handful of HIIQ carrier partners offer STM plans with these new term limits (including plans with a reapply option for up to 36 months) in eligible states. HIIQ-contracted agents can now provide this option to eligible clients in need of coverage for up to 364 days.

With next-day coverage available, short term medical policies on the HIIQ platform may fit the needs of your clients who are:

  • Transitioning between employers
  • No longer able to get coverage under their parents’ policy
  • Waiting for their Medicare coverage to become effective

Call 1-877-376-5831 and select option 3 or email salessupport@hiiquote.com to learn more about HIIQ and our highly rated carrier partners that provide competitive, quality options for short-term medical coverage.

*This coverage is not required to comply with federal requirements for health insurance, principally those contained in the affordable care act. Be sure to check your policy carefully to make sure you understand what the policy does and doesn’t cover. If this coverage expires or you lose eligibility for this coverage, you might have to wait until an open enrollment period to get other health insurance coverage. Also, this coverage is not ‘‘minimum essential coverage’’. If you don’t have minimum essential coverage for any month in 2018, you may have to make a payment when you file your tax return unless you qualify for an exemption from the requirement that you have health coverage for that month. 

 

Your Clients Need to Know These Tips for National Preparedness Month

September is National Preparedness Month, a time for your clients to prep for and practice how to handle disasters. This year’s theme: Disasters Happen. Prepare Now. Learn How.

When disaster strikes, time is of the essence. That’s why it’s crucial for your clients to not only have a plan of action but to also have materials they may need gathered in a safe location and to practice their plan before it’s too late.

From wildfires to hurricanes to tornados to earthquakes, your clients may face a wide range of hazardous conditions. Protecting their families can include learning life-saving skills such as first aid and CPR, collecting provisions such as food and water, securing cash and important documents such as insurance policies, and taking practical steps such as shutting off water and gas.

The Department of Homeland Security’s yearly awareness campaign invites your clients to get a plan of action ready, and we ask you as their agents to do the same.

Here are the month’s weekly themes:

Week 1 September 1-8: Make and Practice Your Plan

Talk to your clients about:

  • Making an emergency plan
  • Signing up for alerts and warnings in their areas
  • Learning their evacuation zones
  • Practicing their plan
Week 2: September 9-15: Learn Life-Saving Skills

Talk to your clients about:

  • Knowing basic home maintenance
  • Learning how to turn off utilities
  • Testing smoke alarms throughout their homes
  • Learning life-saving skills such as CPR
Week 3: September 16-22: Check Your Insurance Coverage

Talk to your clients about:

  • Checking their insurance policies for adequate coverage
  • Learning about other types of insurance they may need for their loved ones and their homes
Week 4: September 23-29: Save For an Emergency

Talk to your clients about:

  • Planning their finances for possible disasters
  • Maintain emergency savings

In times of disaster, quality health insurance may help your clients face challenges brought about by hazardous conditions. Help them make proper preparations for themselves and their loved ones. Make sure they know about:

 

Visit the National Preparedness Month campaign website for more information on this significant opportunity to raise awareness.

 

Note that STM and limited benefit insurance do not count as minimum essential coverage required by the Affordable Care Act. They are not sufficient forms of coverage to avoid facing a tax penalty. They are not suitable to serve as sole medical coverage. Review any policy terms, conditions, limitations, exclusions, and/or restrictions with your clients prior to making any product recommendations.

 

Are you ready to learn more about helping your clients choose quality and affordable coverage today?

Learn more by:

Calling 1.877.376.5831 and selecting option 3

Emailing salessupport@hiiquote.com

 

Click here to like us on Facebook for important industry updates, tips, and articles!

 

Health Insurance Innovations, Inc. (HIIQ) – (NASDAQ: HIIQ), is a market leading cloud-based technology platform and distributor of innovative health insurance products that are affordable and meet the consumer’s needs. 

For agent use only – not for use with the general public

health-insurance-innovations-healthcare-1

Guidance Finalized Allowing Extended Duration of Short-Term Medical Coverage

The Trump administration has finalized guidance to extend short-term medical coverage options, creating an opportunity for you to offer a more competitive option to your clients.

The new ruling will give consumers the opportunity to purchase this level of coverage in increments of up to 364 days (or 12 months). It also allows this type of insurance to be renewable for up to 36 months.

This move reverses guidance that limited short-term medical plans to a maximum of 3 months coverage.

However, “states remain free to adopt a definition with a shorter maximum initial contract term or shorter maximum duration (including renewals and extensions) for a policy to meet their specific market needs,” according to the final rule documentation.

While carriers may choose to not cover certain types of services including maternity and mental healthcare, short-term medical plans routinely cost less than major medical plans. In the wake of ACA, major medical premiums have skyrocketed as much as 105% 1. Almost 1/5 of the country’s economy is spent on healthcare, a “far larger share than in any other large, wealthy country in the world,” and the price of healthcare services is “pushing up the nation’s health spending over time” 2. Consumers are certainly feeling the impact: the average cost of deductibles has increased over 295% while wages have only increased by 29% 3. Short-term medical plan may make better financial sense for healthier consumers, those who are priced out of ACA coverage, and those who need an affordable option during a period of transition.

This guidance is expected to lead to increased short-term medical enrollment, which may lead to even lower premiums due to a healthier pool of enrollees who don’t need a comprehensive spectrum of benefits.

Here are some important points to remember:

1. You’ll be able to provide a more secure bridge for your clients who are in between plans.

Before this guidance, short-term medical plans were only available for 90 days. Now you can enroll your clients in coverage for up to 364 days and provide them with the option to renew it for up to 36 months.

This level of coverage may fit the needs of your clients who are:

  • Transitioning between jobs
  • Waiting for employer insurance to begin
  • Graduating from college
  • Rolling off parents’ coverage
  • Waiting for Medicare coverage to become effective

Also, you can enroll your clients in plans that offer next-day coverage is available.

2. You’ll be able to sell these extended duration plans in October. 

The new rule is set to take effect just before the 2019 Open Enrollment Period that will run from November 1, 2018 – December 15, 2018.

3. You’ll have an additional tool in your portfolio that provides a wide range of benefits.

Short-term medical plans do not offer minimum essential benefits as defined by ACA, but they can offer benefits and features such as:

  • Wellness options
  • Benefits paid like traditional major medical plans
  • Flexible options for coverage cost and length
  • Open network of physicians, specialists, and hospitals
  • Lower rates than traditional health plans
  • Competitive individual and family coverage
  • Coverage of certain pre-existing conditions
  • Low copay options
  • Variety of deductible and coinsurance options
  • Ability to cancel at any time without penalty

While ACA plans have created “unstable risk pools and unaffordable premiums,” short-term medical plans will offer healthy consumers an affordable option and may motivate those who would have opted to remain uninsured to select a coverage option that makes sense for their budget and their lifestyle4.

 

We work with highly rated carrier partners that provide competitive, quality options for short-term medical coverage.
Expand your book of business with this level of coverage and meet your clients where they are in their healthcare and lifestyle realities.

 

Learn more by:

 

Click here to view the final rule in full courtesy of the CMS. Stay tuned for more updates.

 

Health Insurance Innovations, Inc. is a leading developer and administrator of affordable, web-based individual health insurance plans and ancillary products. We help consumers address their health insurance needs by offering access to a number of products offered by various insurance carriers.

For agent use only – not for use with the general public.

 

Sources:

1: “HHS Secretary: Short-term health insurance plans are an affordable option.” Alex Azar. https://www.cnn.com/2018/02/23/opinions/short-term-health-insurance-opinion-azar/index.html

2: “Why Are Healthcare Prices So High, and What Can Be Done About Them?” Kaiser Family Foundation. https://www.kff.org/health-costs/event/may-9-forum-why-are-healthcare-prices-so-high-and-what-can-be-done-about-them/

3: “Increases in Cost-Sharing Payments Continue to Outpace Wage Growth.” Kaiser Family Foundation. https://www.healthsystemtracker.org/brief/increases-in-cost-sharing-payments-have-far-outpaced-wage-growth/#item-start

4: “Should States Allow Insurers to Offer Bare-Bones Health Plans With Fewer Mandated Benefits?” Doug Badger. https://www.wsj.com/articles/should-states-allow-insurers-to-offer-bare-bones-health-plans-with-fewer-mandated-benefits-1529892240

 

Final Rule Makes Short-Term Medical Insurance Renewable for Up to 36 Months

The Trump administration has issued a final rule that will allow short-term, limited-duration insurance to be purchased in increments of up to 364 days (or 12 months).

The final rule will also allow this type of insurance to be renewable with a maximum duration of up to 36 months. However, “States remain free to adopt a definition with a shorter maximum initial contract term or shorter maximum duration (including renewals and extensions) for a policy to meet their specific market needs,” according to the final rule documentation.

These new term limits will go into effect in October according to CNBC. This comes just before the 2019 Open Enrollment Period which will run from November 1 to December 15, 2018.

This follows a proposed ruling by the Department of Health and Human Services, the Department of the Treasury and the Department of Labor published for public commentary back in February of 2018. Much in line with the Trump administration’s concerns over the rising costs of health coverage today, this final ruling is expected to increase consumer choice, competition, and affordability in the individual health insurance market.

The Centers for Medicare & Medicaid Services (CMS) projects that approximately 600,000 people will enroll in short-term limited-duration plans in 2019.

Click here to view the final rule in full courtesy of the CMS. Stay tuned for updates on how this change will affect Health Insurance Innovations (HIIQ), contracted agents, brokers and the American public at large.

Healthcare solutions for college students

Meet College Students and Recent Grads at the Coverage Table with These Health Care Solutions

“Summertime is always the best of what might be.”

–Charles Bowden

Ah, the sand, the sun, the memories made, and the fun. Summer has settled in across the country, and we’re all finding ways to celebrate. But the lull between semesters and before graduation can see the celebration for some to come to a screeching halt: 72% of college students and recent grads are struggling to find affordable health insurance.

With 40% of this demographic mostly concerned about the cost of premiums and 20% concerned about high out-of-pocket costs, these prospective clients will undoubtedly have questions for you this summer. They may be coming off their student coverage through their universities or their parents’ health plans or they may be waiting for coverage sponsored by their new employers to begin. They may also be priced out of traditional major medical coverage as well. Short-term medical plans may be just what they need.

STM plans can include benefits and features such as:

  • Flexibility in cost depending on benefits selected
  • Variety of deductible and coinsurance options
  • Benefits that are paid in a similar manner to traditional major medical plans
  • Wellness options
  • Little to no waiting periods
  • Next day coverage for some carriers
  • Relatively inexpensive premiums due to lower and more restricted benefits
  • Low-cost doctor and specialist copays depending on plan selected
  • Open network of physicians, specialists, and hospital depending on plan selected

It’s not just the college students and recent grads who are concerned. Their families may have questions about what makes sense as well. It’s important to make sure all those concerned understand what benefits STM plans may offer as well as their limitations. This level of coverage is available at any time in the year and can be cancelled at any time. It can also offer access to providers of their choice, including providers they visited through their parents’ health coverage. If they need to change providers, STM plans provide them the opportunity to file their own claim and submit for reimbursement if needed.

However, STM coverage does not provide the minimum essential health benefits required by the Affordable Care Act (ACA) and will not help them avoid the penalty for not carrying health insurance. At this time, STM plans also have a maximum duration of 3 months. Continuation of coverage requires re-application and there are also limits on how many times someone can re-apply. In addition, pre-existing conditions may not be covered. Benefits vary by plan and state and may not include those that are listed above. Make sure your clients review any plans they’re considering carefully.

If these clients aren’t eligible for STM coverage and priced out of ACA coverage, they may find health benefit insurance plans (commonly known as limited benefit medical plans) to fit their healthcare needs.

Health benefit insurance plans are designed to provide a wide variety of expenses for accidental injuries, sickness, inpatient surgical care, outpatient care, and even pre-existing conditions. Plans vary as to which specific expenses they cover, but often times, this level of coverage may provide little to no waiting periods, access to doctors nationwide, and benefits for critical illness and/or accidental death.

HBI coverage can also offer benefits and features such as:

  • Freedom to choose any doctor or hospital of their choice
  • Guaranteed issue coverage with $50-$100 paid toward doctor and specialist visits
  • Next day coverage or little to no waiting periods for accidental injuries or sickness
  • 12 month waiting period for pre-existing conditions
  • Ability to supplement existing coverage
  • Access to non-insurance benefits such as a prescription savings program, 24/7/365 video and phone access to quality physicians, and a patient advocacy service

Before enrolling your clients into this level of coverage, please make sure they understand that it does not count as minimum essential coverage required by the Affordable Care Act and is not suitable to serve as their only medical coverage. Although the premiums may be lower than a major medical plan, the benefits are also lower and more restricted.

Benefits offered vary by plan and states. Not available in all states.

Are you ready to help college students and recent grads enroll in the coverage they need today?

Learn more today by:

Calling 1.877.376.5831 and selecting option 3

Emailing salessupport@hiiquote.com

Health Insurance Innovations, Inc. is a leading developer and administrator of affordable, web-based individual health insurance plans and ancillary products. We help consumers address their health insurance needs by offering access to a number of products offered by various insurance carriers.

For agent use only – not for use with the general public

Debunking short term medical insurance myths for clients

Debunk These Misconceptions About Short-Term Medical Plans

Misconceptions about short-term medical plans are common. While STM plans can provide quality benefits that meet a variety of budget needs, they fall outside of traditional healthcare coverage options, prompting your clients to have questions. The cost of healthcare continues to rise, and political scrutiny and legislative updates continue to impact the industry and your clients’ wallets. There is no better time to make sure your clients have a thorough understanding of their options so they can help to protect their health as well as the health of their loved ones and their finances.

STM plans, also called temporary health insurance, are medical plans that have a limited duration. They are designed to bridge gaps in healthcare coverage during a period of transition such as graduating from college or starting a new job. Here are 4 common misconceptions about short-term medical plans:

Misconception #1: Only a limited number of doctors accept short-term medical plans.

STM plans are accepted by many providers and facilities across the nation. If a client chooses to see an out-of-network provider, it could result in higher out-of-pocket costs. Some STM plans may provide for the services to be covered (depending on the plan) via a reimbursement, but the policyholder will pay upfront for and submit her/his own claim.

These plans often feature provider networks that ensure lower rates than providers who are outside of the network, but that doesn’t preclude your clients from choosing providers of their choice.

Just like with traditional major medical plans, clients with short-term medical coverage who choose to receive medical services outside of the featured network may incur higher out-of-pocket costs.

Help your clients know how to make the most of their benefits. This includes knowing how and where to access their member ID card, who to call with questions about benefits, who to call with questions about claims, and where to access their provider directory and pertinent details of their coverage.

Misconception #2: Only those who are young and in good health are good candidates for short-term medical coverage.  

This level of coverage may fit the needs of clients who are:

  • Transitioning between jobs
  • Waiting for employer insurance to begin
  • Graduating from college
  • Rolling off parents’ coverage
  • Waiting for Medicare coverage to become effective

You may have clients who are looking for healthcare options outside of Open Enrollment. Or you may have a client who is looking for coverage that includes preventive care for herself and her family before her new policy through her employer starts. While benefits may be limited, this level of coverage may suit such clients’ needs and help them tackle their healthcare realities. There are a variety of plans available, some of which may even be a good fit for clients who want to see providers of their choice.

Disclaimer: Short-term medical coverage is not intended to be a replacement or alternative to ACA or other major medical plans nor does it provide the minimum essential health benefits that are required and it won’t help to avoid the fee for not carrying health insurance. They can have exclusions and limitations, which may not make them a valid option for some clients.

Misconception #3: Short-term medical coverage is expensive and doesn’t provide quality coverage.

STM premiums are often lower than major medical premiums because they offer more limited and/or restricted benefits. The coverage provided by STM plans can provide a range of valuable insurance benefits for individuals and families such as:

  • Preventive care and routine doctor visits
  • Emergency care*
  • Inpatient and outpatient surgery and hospital care*

Similar to major medical, your clients can enjoy added non-insurance benefits as well such as:

  • Mobile access to board-certified doctors who can treat many common illnesses
  • Patient advocacy service that can help navigate the world of healthcare and negotiate medical bills
  • Prescription savings membership that can lower out-of-pocket costs
  • Digital fitness tool to help track your wellness journey

However, the coverage provided by short-term medical plans does not include:

  • Immediate benefits for hospital stays, surgery or anesthesia for conditions you already have
  • Benefits for prescription drugs

STM plans do not have coverage requirements, so plans vary in what is covered. Review any plan details with a client prior to purchase. Additionally, STM does not cover pre-existing conditions. Applicants are subject to underwriting approval based on answers to medical questions. Coverage is limited to a time period of no longer than three months.

*Typically not covered for pre-existing conditions

Misconception #4: Short-term medical plans can help those enrolled avoid the Affordable Care Act’s tax penalty.

While STM coverage can be an affordable and quality option for your clients who are looking to help bridge the gap in their health coverage, it does not qualify as minimum essential coverage under the Affordable Care Act. That means that they are likely to face tax penalties. Your clients who are without minimum essential coverage for less than 3 months within a year and those who belong to certain groups are exempt from the penalty.

Because STM plans don’t have to adhere to ACA regulations, your clients have a range of plan options to choose from, including some with lower monthly rates than major medical plans. Current legislative reform attempts are expected to make room for more STM plan options.

 

Are you ready to expand your client offerings with short-term medical options?

Learn more today by:

Calling 877.376.5831 and selecting option 3

Emailing salessupport@hiiquote.com

Click here to like us on Facebook, here to follow us on Twitter, and here to see our videos on YouTube to join the conversation about industry issues and concerns!

 

 

Walk Your Clients into Improved Health for National Women’s Health Week

Each year during National Women’s Health Week, millions of women take steps to improve their health. The 19th annual National Women’s Health Week kicks off on May 13 and serves as a reminder for women to make our health a priority and to build positive health habits for life.

During your consultations with clients this week, remind them of this health observance and provide them with information and resources they need to get them on a journey toward better and long-lasting health.

Here’s how your office can participate in the 19th annual National Women’s Health Week:
  • Share the following tips with you clients
  • Take the National Women’s Health Week quiz to test your knowledge about healthy living
  • Show your fellow agents that you’re making women’s health a priority with these social media resources and use the #NWHW hashtag
  • Participate online or organize activities within office
The journey to create improved health habits can include:
 For every decade, it’s important for your clients to:

*Make sure your clients know how their health coverage works when it comes to well-woman visits. This preventive visit is essential to women’s health, as it’s a time for them to check in on how they’re doing, how they’d like to be doing, and what changes they can make to reach their health goals.

For Clients in Their 20s

 A client in this decade should ask her doctor at least once a year about:

  •  Whether she plans to have children in the next year or the right birth control
  • Her weight, diet, and physical activity level
  • Her tobacco and alcohol use
  • Any violence in her life
  • Depression and any other mental health concerns
  • Her family health history, especially of heart disease and cancer (these are the top two fatal diseases for women in the United States and are often linked to diet and lifestyle choices)
  • Protecting herself from the sun and the hazards of tanning

She should also ask if she needs these tests, medicines, or vaccines:

  • Blood pressure
  • Chickenpox
  • Cholesterol
  • Flu
  • Hepatitis B and C
  • HIV
  • HPV vaccine (26 and younger*)
  • Measles, mumps, and rubella
  • Pap (21 and older*)
  • Sexually transmitted infections (including chlamydia and gonorrhea tests for women 24 and younger*)
  • Tetanus, diphtheria, or whooping cough
  • Tuberculosis

If she is pregnant, prenatal care can also be a well-woman visit. There are also certain tests during pregnancy to check her and her baby’s health. Click here to learn more.

* Suggested by the U.S. Preventive Services Task Force recommendations and may not apply to every person

For Clients in Their 30s

A client in this decade should ask her doctor at least once a year about:

  •  Whether she plans to have children in the next year or the right birth control
  • Her weight, diet, and physical activity level
  • Her tobacco and alcohol use
  • Any violence in her life
  • Depression and any other mental health concerns
  • Her family health history, especially of heart disease and cancer (these are the top two fatal diseases for women in the United States and are often linked to diet and lifestyle choices)

She should also ask if she needs these tests, medicines, or vaccines:

  • Blood pressure
  • Chickenpox
  • Cholesterol
  • Flu
  • Hepatitis B and C
  • HIV
  • Measles, mumps, and rubella
  • Pap and HPV
  • Sexually transmitted infections
  • Tetanus, diphtheria, or whooping cough
  • Tuberculosis

If she is pregnant, prenatal care can also be a well-woman visit. There are also certain tests during pregnancy to check her and her baby’s health. Click here to learn more.

For Clients in Their 40s

A client in this decade should ask her doctor at least once a year about:

  •  Whether she plans to have children in the next year or the right birth control (for premenopausal women)
  • Perimenopause symptoms
  • Her weight, diet, and physical activity level
  • Her tobacco and alcohol use
  • Any violence in her life
  • Depression and any other mental health concerns
  • Her family health history, especially of heart disease and cancer (these are the top two fatal diseases for women in the United States and are often linked to diet and lifestyle choices)

She should also ask if she needs these tests, medicines, or vaccines:

  • Blood pressure
  • Chickenpox
  • Cholesterol
  • Diabetes
  • Flu
  • Hepatitis B and C
  • HIV
  • Mammogram
  • Measles, mumps, and rubella
  • Pap and HPV
  • Sexually transmitted infections
  • Tetanus, diphtheria, or whooping cough
  • Tuberculosis

If she is pregnant, prenatal care can also be a well-woman visit. There are also certain tests during pregnancy to check her and her baby’s health. Click here to learn more.

For Clients in Their 50s

A client in this decade should ask her doctor at least once a year about:

  • Menopause symptoms
  • Your weight, diet, and physical activity level
  • Your tobacco and alcohol use
  • Any violence in your life
  • Depression and any other mental health concerns
  • Your family health history, especially of heart disease and cancer (these are the top two fatal diseases for women in the United States and are often linked to diet and lifestyle choices)

She should also ask if she needs these tests, medicines, or vaccines:

  • Low-dose aspirin
  • Blood pressure
  • Chickenpox
  • Cholesterol
  • Colorectal cancer
  • Diabetes
  • Flu
  • Hepatitis B and C
  • HIV
  • Lung cancer (55 and older*)
  • Mammogram
  • Measles, mumps, and rubella
  • Pap and HPV
  • Sexually transmitted infections
  • Tetanus, diphtheria, or whooping cough
  • Tuberculosis

* Suggested by the U.S. Preventive Services Task Force recommendations and may not apply to every person

As you work with your clients to determine which type of coverage will help them tackle these health concerns and meet their budget and lifestyle needs, it’s crucial to review the basics with them.

If health benefit insurance is an option for them, discuss features such as:

  • Helpful for those anticipating rising medical expenses, unable to afford major medical, not eligible for short-term medical, and/or looking for supplemental coverage to their major medical plans
  • Guaranteed issue coverage if eligibility is met and available in state
  • Premiums often lower than major medical, but also lower and more restricted benefits
  • Benefits such as $50-$100 paid toward doctor and specialist visits available
  • Not required to use a network of doctors – freedom to choose any doctor or facility (*Note: clients can still exceed eligible benefits)
  • Preventive care available for as low as $50
  • Next day coverage available or little to no waiting periods for accidental injuries or sickness
  • 12 month waiting period for pre-existing conditions
  • Does not count as minimum essential coverage required by the Affordable Care Act and is not suitable to serve as sole medical coverage

If short-term medical is an option for them, discuss features such as:

  • Helpful for those facing life-altering transition periods such as pre-Medicare retirement, change in employment status, rolling off parental or student insurance, bridging a gap in major medical coverage or those who missed Open Enrollment (*Note: these policies are designed solely to provide healthcare coverage during unexpected coverage gaps)
  • Flexibility in coverage length and cost; coverage duration varies by state and is non-renewable
  • Variety of deductible and coinsurance options
  • Low copay options for in-network benefits
  • Limited preventive care available
  • Ability to cancel at any time without penalty
  • Benefits may be limited and subject to exclusions and restrictions
  • Does not cover pre-existing conditions
  • Coverage is not guaranteed
  • Not intended to be a replacement or alternative to ACA or other major medical plans and does not provide the minimum essential health benefits that are required; may result in a tax penalty

Disclaimer: Health benefit insurance and short-term medical coverage are not intended to be a replacement or alternative to ACA or other major medical plans nor does it provide the minimum essential health benefits that are required and it won’t help to avoid the fee for not carrying health insurance. They can have exclusions and limitations, which may not make them a valid option for some clients.

Show your clients that women’s health is a priority to you this week and every week. Provide them with affordable and quality coverage options that allow them to easily get the healthcare they need for every decade.

Learn more today by:

Click here to like us on Facebook for important industry updates, tips, and articles!

This blog is for informational purposes only and is not intended to make any product recommendations. Encourage your clients to review any product details, such as costs, limitations, exclusions, restrictions, and benefits prior to any purchasing decisions.

Health Insurance Innovations, Inc. is a leading developer and administrator of affordable, web-based individual health insurance plans and ancillary products. We help consumers address their health insurance needs by offering access to a number of products offered by various insurance carriers.

Many thanks to the Office of Women’s Health for this information and their work on behalf of women.

For more information on National Women’s Health Week as well as resources on a variety of trending topics in women’s health, wellness, and medical conditions, please click here.

 

For agent use only – not for use with the general public

 

 

affordable-insurance-options-for-college-graduates

Seasons Change and So Do Coverage Needs: College Students and Recent Grads Hit the Short-Term Market

Spring is upon us – though more apparent in some parts of the country than others – and that means summer is warming up right around the corner. That also means the spring semester will end soon at colleges and universities across the country, leaving many students and recent graduates with expired health coverage.

Past reports of short-term medical enrollment have ranged widely from 160,000 to 850,0001, but that number seems likely to grow this year. Not only do summer months see college students and recent graduates flocking to the short-term market1 but public awareness of the market has also increased significantly.

A recent poll shows 31%1 of consumers polled indicated they are familiar with it and an additional 10.4%1 indicated they have used such coverage. Compare that to 7% of consumers who were aware of the coverage option in 2017, and it’s clear that continued growth is forthcoming.

Are you prepared to help this specific audience find coverage that fits their needs this summer?

Here’s how short-term medical coverage may be their solution until they can choose a longer term solution:
  • Provides flexibility in cost and length of coverage
  • Offers choice of deductible and coinsurance options
  • Delivers low copay options
  • Secures ability to cancel without penalty at any time

Understanding the needs and concerns of college students and recent graduates is imperative when helping them select coverage. According to a recent poll2, 72% expressed concern over the cost of healthcare coverage, with 40% worried about the cost of monthly premiums and 20% anxious about out-of-pocket expenses.

With that in mind, these coverage highlights are crucial to the conversation:
  • Provides wellness options
  • Often offers lower rates than traditional health plans
  • Affords a low cost layer of financial protection from rising healthcare costs
  • Offers choice of deductible as low as $250

Note that with STM, clients are not buying an ACA health plan. The following need to  be kept in mind by any prospects:

  • STM coverage does not provide the minimum essential health benefits required by the Affordable Care Act (ACA) and will not help to avoid the fee for not carrying health insurance. STM plans are not guaranteed issue, do not cover pre-existing conditions, and require a series of medical questions to be answered
  • Plans vary in what is covered, check any plans carefully prior to making a purchasing decision

In addition to college students and recent graduates, other prospective clients who are facing life-altering transition periods may find short-term medical meets their needs.

These include:
  • Pre-Medicare retirement
  • Change in employment status
  • Missed Open Enrollment
  • Rolling off parental insurance
  • Filling a gap in your major medical coverage

Are you ready to address the needs of this growing market’s diverse audiences?

Learn more today by:

Health Insurance Innovations, Inc. is a leading developer and administrator of affordable, web-based individual health insurance plans and ancillary products. We help consumers address their health insurance needs by offering access to a number of products offered by various insurance carriers.

For agent use only – not for use with the general public

 

Sources:

1: “Poll: Spike in Short-term Health Insurance Public Awareness. AgileHealthInsurance.com.” March 14, 2018 https://www.agilehealthinsurance.com/health-insurance-learning-center/short-term-health-insurance-public-awareness-survey

 

2: “Poll: 72% of College Students and Recent Grads Have Challenges Finding Affordable Health Insurance. ” June 20, 2017. https://www.agilehealthinsurance.com/health-insurance-learning-center/student-health-insurance-survey

 

 

health-insurance-innovations-coverages

Clean Up Your Clients’ Coverage Needs for National Kidney Month

Spring cleaning season is upon us, a fitting time to raise awareness of kidney health. March is National Kidney Month, and the National Kidney Foundation is using the month to encourage Americans to visit their healthcare professionals for a checkup. As an agent, you have the opportunity to talk to your clients about this health observance as well as the importance of having the coverage they need to meet their kidney health concerns.

Let’s take a look at why the kidneys are so imperative to our health1:

  • They filter waste out of 200 liters of blood each day
  • They regulate of the body’s salt, potassium and acid content
  • They remove drugs from the body
  • They balance the body’s fluids
  • They release hormones that regulate blood pressure
  • They produce an active form of vitamin D that promotes strong, healthy bones
  • They control the production of red blood cells

As you work with clients this month to identify their ideal coverage, take this opportunity to remind them about these startling statistics1:

  • Kidney disease is the 9th leading cause of death in the country
  • More than 30 million Americans have kidney disease, and most don’t know it
  • There are over 95,000 people waiting for kidney transplants
  • More than 590,000 people have kidney failure in the US today

So what can your clients do to protect the health of their kidneys? Consider these recommendations:

  • Eat a whole food, plant-based diet2. Your clients can learn about meals focusing on veggies, fruits, whole grains, lentils, etc and more plant-based options herehere, and here.
  • Eat meals that include plant protein, as research shows they reduce mortality in chronic kidney disease3.
  • Know what healthy kidneys do and how to recognize symptoms of chronic kidney disease4. Your clients can click here to take an online assessment to rate their risk.
  • Maintain a healthy weight, stay active, and monitor their blood sugar level5.
  • Stop smoking6. Your clients can click here for tips to help them stop.

Talk to your clients about their available coverage options today and how that coverage may help them protect their kidney health. With many options that include guaranteed acceptance, low cost preventative care and office visits, freedom to choose healthcare professionals, and low deductibles and copays, short-term medical coverage may fit their needs, especially if they are:

  • Transitioning between jobs
  • Waiting for employer insurance to begin
  • Graduating from college
  • Rolling off parents’ coverage
  • Waiting for Medicare coverage to become effective

Note: Short-term medical coverage may be an appropriate fit for your clients.  However, it’s important for you and your clients to understand that such coverage does not replace major medical insurance, and it is does not count as minimum essential coverage required by the Affordable Care Act. Limitations, restrictions, and exclusions may apply.

Learn more how short-term medical coverage can provide an avenue to healthcare by:

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Sources:

1: “Focus on the Kidneys During National Kidney Month in March.” National Kidney Foundation. https://www.kidney.org/news/monthly/Focus_KidneyMonth

2: “Can a Whole Food, Plant-Based Diet Help to Preserve Kidney Health?” T. Colin Campbell Center for Nutrition Studies.  https://nutritionstudies.org/can-whole-food-plant-based-diet-help-preserve-kidney-health/

3: “Plant Protein Reduces Mortality in Chronic Kidney Disease Patients.” National Kidney Foundation. https://www.kidney.org/news/plant-protein-reduces-mortality-chronic-kidney-disease-patients

4: “Six-Step Guide to Protecting Kidney Health.” National Kidney Foundation. https://www.kidney.org/atoz/content/sixstepshealthprimer

5: “8 Golden Rules: What Can You Do for Your Kidneys?” World Kidney Day. http://www.worldkidneyday.org/faqs/take-care-of-your-kidneys/8-golden-rules/

6: “What Effects Does Smoking Have on the Kidneys?” LiveStrong.comhttps://www.livestrong.com/article/266870-what-effects-does-smoking-have-on-the-kidneys/

 

Health Insurance Innovations, Inc. is a leading developer and administrator of affordable, web-based individual health insurance plans and ancillary products. We help consumers address their health insurance needs by offering access to a number of products offered by various insurance carriers.

 

For agent use only – not for use with the public