Orlando Florida Short Term Health Insurance

Orlando Short Term Health Insurance

If you live in Orlando, Florida and are temporarily without medical insurance coverage, you may have been advised to take out short term health insurance. If this idea is new to you, you will no doubt be asking: What is short term health insurance in Orlando, Florida? You need to understand the advantages and limitations of this type of coverage, in order to decide whether it is right for you.

Short term health insurance in Orlando, Florida is a particular type of coverage designed to tide you over during a brief gap in your normal medical coverage. In Florida it is officially known as Short Term Major Medical Insurance with Limited Benefits. Policies are usually issued for 6-12 months, although the period can be as short as 30 days or as long as three years, depending on the insurer. It operates in a similar way to ordinary medical insurance, with an insurance card and deductibles, but there are some major differences in coverage.

If you are looking into the question: What is short term health insurance in Orlando, Florida? You will want to understand why anyone would need this type of coverage. There are actually a number of reasons why you may be temporarily without medical insurance. One of the most common situations occurs when you have recently been taken on by a new employer, but have to wait for anything between 30 and 90 days before you can be added to the company’s group plan. Another possible reason may be that you have reached the cut-off age on your parents’ plan, but are waiting to enroll as a full-time student or find employment. You may simply be unemployed — perhaps you have recently been laid off and are looking for a job.

In many of these situations, you would actually be eligible for COBRA insurance. This is a provision under the Consolidated Omnibus Budget Reconciliation Act of 1986, whereby a previous employer with 20 or more employees is obliged to offer you the option of an 18-month extension of your coverage. However, this can be extremely expensive, and if you are a student or unemployed you may not be able to afford it. Short term health insurance in Orlando, Florida could be an affordable alternative.

Short term or temporary health insurance operates as an indemnity plan, so that you are free to go to the health care provider of your choice. However, most policies require you to obtain pre-certification from the insurer before being hospitalized. In addition, most work on a stepped deductible principle, by which you pay 100 percent of the deductible up to a certain level of the claim amount, then 50 percent up to a further level, after which the insurer pays the full amount, up to the plan maximum.

The main limitation of short term health insurance in Orlando, Florida is that it does not cover pre-existing medical conditions — that is, conditions reported within the 36 months before the policy was issued. This is because, in general, short term policies are exempt from HIPAA, the 1996 Health Insurance Portability and Accountability Act. This, among other provisions, prevents group health care plans from denying coverage to applicants who have pre-existing conditions, but does not apply to short term plans.

However, some states have legislation which provides slightly more generous conditions. Short term health insurance in Orlando, Florida is covered by Florida Statute 627.6045, if the policy is issued for more than six months. Under this statute, the period of exclusion is only 24 months, not 36, and the exclusion only applies to conditions arising within this period which would normally cause people to seek treatment. In fact, this could even apply to policies issued for six months or less, if the terms were not clearly stated to the applicant.

In addition, most short term insurance policies exclude many types of preventive and elective care, including physical examinations. However, short term health insurance in Orlando, Florida includes many benefits that are specific to Florida. These include mammograms for over-35s, diabetes supplies, osteoporosis treatment, and dental anesthesia.

When you are temporarily uninsured and in good health, you may be tempted to continue without insurance coverage for a time. However, illness or accident could strike at any time, and even a visit to the emergency room can cost hundreds of dollars, before you even have any treatment. Short term health insurance in Orlando, Florida can cost only a few dollars a day, and will save you from finding yourself on your own with a huge bill to pay.

Florida Short Term Medical Insurance

Short Term Medical InsuranceFinding an affordable medical insurance plan in Florida can be a minefield of eccentric regulations, confusing policies and competing HMOs. In fact, the entire process can be a daunting task to most people, more so because there is a plethora of plans from which to choose. However, one of the lesser known options is the short medical insurance plan. These plans are offered by several companies, and can be helpful as a temporary measure for covering your family’s healthcare needs. So, what is short term medical insurance?

Technically, short term medical insurance coverage is usually valid for between 6 to 12 months from the date of purchase. They are designed for people who are temporarily out of employment. You can use this type of coverage to access the same healthcare benefits available from any other HMO or group insurance plan. A short term policy can cover major medical, doctor’s appointment, vision examinations and discounts on prescription drugs as well as dental care.

Benefits of Short Term Medical Coverage

Short term medical coverage is ideal when you have been recently laid off and when you find yourself temporarily out of work. It is important to note that in some states, state laws require employees to be covered by an employer sponsored policy for three to six months after leaving employment. This means that in states like California, you may have the right to remain covered by your policy for up to 6 months upon leaving employment.

Short term medical policies are known to be very affordable. This is because most of these policies are designed for people who are out of employment. Since insurance companies understand that money can be tight in such kinds of situations, they design the policies to be as affordable as possible, while ensuring that they offer a solid level of coverage for clients

Unlike most long term plans, you do not need to go for a physical examination when applying for short term medical coverage. Due to the circumstances of being out of work, the policies are designed to become effective quickly, ensuring little or no lapse in coverage for you and your family.

Some Florida specific areas that are covered by short term medical policies include:

• Regular mammogram examination from the age of 35

• Supplies for diabetes patients

• Osteoporosis treatment for individuals at high risk

• Child health examination and immunization up to age 16

• Health and post-surgery care after undergoing mastectomy surgery

• Dental anesthesia

• Cleft palate and cleft lip treatment for children under 18 years old

Things to Consider When Applying For a Short Term Medical Insurance Plan

Overall, a short term medical insurance policy is ideal when you have just lost your job and cannot access employer sponsored extended health insurance cover. However, there are certain things that you need to consider when applying for this plan. Here are some of these considerations.

1. Level of coverage

It is always wise shopping around before buying anything, and the same applies when dealing with short term medical coverage. Browsing through the websites of various providers will give provide you with more options than if you just settle for the first provider that you come across. It is important to know the available options before making the decision. This will ensure that you get value for your money in terms of the level of coverage.

Always compare the coverage level of different policies offered by different companies. Although there is a basic coverage like diagnostic tests, hospital care and surgery, you will certainly come across some policies that offer additional coverage. Knowing the level of coverage offered by a policy will help you determine whether it is suitable for your health needs.

2. The price

This is another important factor that you need consider when buying short term medical insurance. Price varies from plan to plan and is dependent on certain factors such as your gender, age, lifestyle, medical background and health condition. Always look for a policy that is offering value for your money.

Florida Short Term Health Insurance

Short Term Health InsuranceShort term health insurance coverage is designed for the family or individual who needs coverage for a period of time not less than 1 month and not more than 3 years. If the insured does not fall into this category, a long term plan may provide more effective coverage for one’s needs. Short term health care is purchased individually rather than being provided through an employer or company but provides the same basic coverage. The main difference is the premium costs. Premiums for short term coverage are typically higher simply because the individual bears the full financial responsibility for the premiums with no offset by a third party.

In Florida and most other states there are three major types of managed care plans. They are health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point-of-service (POS) plans. Managed care plans typically provide a full range of health services to their members, and offer monetary or financial incentives for patients to use the providers who belong to the plan. In managed care plans, instead of paying independently for each service you receive, your coverage is paid in advance. This is called prepaid care.

For example, you might decide to join a local HMO where you pay a monthly or quarterly premium. That premium remains the same whether or not you use the plan’s services. Most plans charge a co-payment for some defined services. For example: $15 for an office visit, or $10 for every prescription. So, if you decide to join this HMO, you might find you have a few out of pocket expenses for medical services, as long as you use hospitals or doctors participating in or are part of the HMO. Your share will be only the small co-payments; typically, you will not have coinsurance or deductibles.

One of the alluring features of HMOs is that they deliver care directly to patients. Patients sometimes go to a medical facility to see doctors and nurses or to a specific doctor’s office. Another archetypical model is a network of individual practitioners. With these individual practice associations (IPAs), you will get your care in a doctor’s office.

If you are a member of an HMO, generally you must receive your medical care through the plan. Typically, you will select a primary care physician who facilitates care. Primary care physicians may be private family practice doctors, pediatricians, internists, or many other medical care specialists. The primary care physician is responsible for referrals to specialists when needed. While most of these specialists will be “participating providers” in the HMO, there are cases in which patients who are members of an HMO may be referred to providers not in the HMO network and can still receive coverage.

PPOs and POS plans are also categorized as managed care plans. Many people the POS plan “an HMO having a point of service option.” From the member’s viewpoint, these plans compound features of fee for service and HMOs. They are more flexible than HMOs, but premiums are generally somewhat higher.

With a PPO or a POS plan, you will get some reimbursement if you receive a covered service from a provider who is not in the plan. Of course, choosing a provider out of the plan’s network will cost more than a provider in the network. These plans act like fee for service plans and charge you for coinsurance when you go out of the network.

What is the difference between a POS and a PPO plan? A POS plan will have primary care physicians who facilitate patient care; and in most cases, PPO plans don’t. There are however exceptions!

HMOs and PPOs have contracts with hospitals, doctors, and other providers. The insurance companies have negotiated fees with these providers and as long as you get your care from these providers, they typically will not ask you for additional payment. Of course, if your plan stipulates a co-payment at the time of care, you will have to pay that.

What is covered under Short Term Health Insurance in Florida? Depending upon the type of policy chosen by the individual the same basic coverage will apply as under a long term policy or employer provided policy. To list a few: Inpatient hospital services, outpatient surgery, physician visits (in the hospital), office visits, skilled nursing care, medical tests and X-rays, prescription drugs, mental health care, drug and alcohol abuse treatment, home health care visits, rehabilitation facility care, physical therapy, speech therapy, hospice care, maternity care, chiropractic treatment, preventive care and checkups, as well as well-baby care.

Always look closely at the description of all plans you are considering for the terms of payment. Check with your human resources manager, employer, or your Florida’s state department of insurance to find any laws governing who is responsible for payment of insurance premiums and above all, make sure you are getting what you pay for. Know what coverage you need and what services are covered under your chosen plan in order to make sure you are purchasing only what you need for this short period of time.

Benefits From Florida Short Term Health Coverage

Benefit from Short Term Health CoverageIn general, short term health coverage aim to cater to both individuals and families alike that are basically undergoing some form of transitioning in their lives that involve being temporarily without any form of a health plan.

Who Can Benefit from Short Term Health Coverage?

Individuals who can benefit from this coverage include the following:

People Who Are in between Jobs

People who are between jobs are perhaps the largest group of people who benefit from these policies

Newly hired People

Newly hired people might have to wait for some time before they become eligible for their company’s group health plan. The waiting period can be up to six months from the date of commencement of employment. Therefore, a short term health insurance policy would be ideal during this period

People Who Work on Seasonal or Temporary Jobs

People who have not yet landed full-time jobs can use short term coverage in the meantime. Recent college graduates not covered by their parent’s health insurance plan are also prime candidates for these policies

People Who Have Applied For Private-Market Policies

People who have applied for a private-market policy can apply for short term health coverage before they are granted a standard insurance policy. This ensures that they have a health policy to cover them even if their applications are not successful

People on Strike or Early Retirees

People who retire early or are on strike can apply for short term health insurance coverage.

In addition, people who are waiting for their employer benefits and non-US citizens who are living temporarily in the US can also apply for such health coverage.

Most short term health coverage plans last between 1 and 6 months and are renewable for a maximum of 36 months. The benefits of the coverage vary from one plan to another with some plans offering up to $5 million in coverage. The process of making an application for temporary health coverage is quite simple and straightforward and an applicant can get a policy the very next day after making the application.

Short term health insurance policies come with highly specific limitations as well as exclusions. As such, it is very important for individuals to read a policy carefully before purchasing it. These policies typically do not cover any preexisting medical conditions, where the term “pre-existing” generally refers to any medical condition that an applicant might have had at least 3 years prior to applying for coverage.

short term Health Coverage in Florida

There is every reason why you should get short term health coverage. Statistics show that the mortality rate of uninsured people for diseases such as cancer is significantly higher than for people with insurance. This is mainly because of the fact that people without insurance often tend to delay seeking treatment until it is too late. The process of getting short term health coverage in Florida is neither difficult nor complicated. In Florida, one can get this type of health coverage through one of the following three ways:

• Through Government-Subsidized Programs.

• Through direct purchase plans.

• Through organization-related coverage.

Rights and Protections for short term Health Coverage in Florida

A person who applies for short term health coverage in Florida might be eligible for certain rights and protections depending on whether one makes an application as an individual or as part of a group. When you purchase health insurance directly as an individual instead of the usual route of doing it through a union, employer, group, or small business plan, your insurer will not guarantee your health insurance in Florida. If you have a pre-existing health condition, private insurers might decide to charge you higher premiums or refuse you coverage altogether. For women with breast cancer, however, it is against the law for the insurance company to deny them coverage if they received treatment for the condition more than 2 years prior to making an application. When you apply for short term health coverage in Florida, your insurer is likely to consider any condition for which you either sought treatment for, or in the opinion of the insurer, ought to have sought treatment for in the 2 year period prior to the beginning of the policy.

For successful applicants, the monthly premiums typically depend on various factors including the age of the applicant, which is actually the most important factor. Here, people in their 50s might have to pay hundreds of dollars more than people in their 20s for similar benefits. If you seek coverage through a group insurance plan, then insurers cannot turn you away or charge you more because of your health status. However, if you happen to make a claim in the first year of your policy, the insurer can still look 6 months back prior to the start of your policy and deny you coverage if the condition existed then.