Non ACA qualified Short Term health insurance for more than 90 days.
On October 12, 2017 President Donald Trump signed this Executive Order designed to restore consumer choice in the Short Term health insurance marketplace. Short Term health insurance is the only kind of non-ACA (Obamacare) qualified health insurance available in the individual marketplace. Short Term health insurance is considered major medical health insurance but it is not ACA-qualified. As such, Short Term health insurance does not cover preexisting conditions and you do have to answer health questions to qualify. There are currently two insurance carriers offering non-ACA qualified Consecutive Short Term health insurance policies. With these policies, you remain consistently insured for up to 360 days. They are National General insurance company which offers policies that include the nationwide Aetna “Open Choice” PPO and Companion Life insurance company which offers Indemnity plans which are less expensive because they pay Reasonable and Customary charges only. There is no PPO contract included with Companion Life plans. LEGISLATIVE UPDATE: As of October 2, 2018 President Trump’s Executive Order will become law and non-ACA qualified Short Term policies that keep you consistently insured for up to 364 days (one policy with one deductible) will be once again available for sale. Click the logos below to get Consecutive Short Term health insurance quotes from both carriers.
Please note: Non ACA-qualified Short Term health insurance plans are not required to cover certain “Essential Health Benefits” that are covered with ACA-Qualified plans. These benefits are:
1.) Maternity and newborn care
2.) Mental health and substance use disorder services
3.) ACA mandated Preventive care benefits. However, routine mammograms and cancer screens ARE COVERED with Consecutive Short Term health insurance policies.
4.) Pediatric Services (including both oral care and vision care).
Please also note: National General’s Consecutive Short Term policies cover organ transplants but do not cover outpatient prescription drugs. In contrast, Companion Life’s “Pivot Health” Consecutive Short Term policies do not cover organ transplants but do cover outpatient prescription drugs with their “Deluxe” plans.
Why Short Term health insurance that lasts all year long with one deductible is no longer available but will be available again on October 2, 2018.
On March 31, 2017 a preexisting Obama era regulation limited non-ACA Short Term health insurance coverage to 91 days of policy ownership, maximum. This new regulation exposed millions of Americans to new and unique risk factors that did not exist before in the non-ACA Short Term health insurance marketplace. Prior to March 31, 2017, consumers could purchase Short Term health insurance policies that would last for the entire year without interruption. So, there was no risk of your policy ending in the middle of the year outside of the annual ACA open enrollment period (Nov. 1st to Dec. 15th of each year).
Since March 31st of 2017, those who develop new medical conditions during the first 91 days of Short Term policy ownership, face the new risk of not being able to qualify for another 91 days Short Term policy. Consumers placed into this difficult position are then left uninsurable in the individual marketplace until the next annual ACA open enrollment period begins again at the end of each calendar year. It is only during this 45 day annual ACA open enrollment window that all Americans who purchase their own individual health insurance can obtain ACA-qualified health insurance that covers preexisting conditions.
President Trump’s executive order signed on October 12th of 2017 (which reversed President Obama’s prior regulation) plans to rectify that situation as soon as it is entered into the Federal register as a final ruling and as such becomes the new regulation. So, we should soon once again be able to purchase Short Term health insurance policies that include on deductible for the entire year (instead of a new policy and with it a new deductible every 90 days).
LEGISLATIVE UPDATE: As of October 2, 2018 President Trump’s Executive Order will become law and non-ACA qualified Short Term policies that keep you consistently insured for up to 364 days (one policy with one deductible) will be once again available for sale.
Until then, the health insurance industry responded in the summer of 2017 by creating “Consecutive” Short Term health insurance policies. With these new Consecutive Short Term health insurance policies from National General Accident and Health & Companion Life insurance company you are guaranteed to be issued up to four Consecutive Short Term health insurance policies, each lasting 90 days. You answer health questions only for the first policy which lasts 90 days, then on day 91, National General guarantee issues you a second policy, 90 days later they guarantee issue you a third policy and finally a fourth policy 90 days later all without evidence of further underwriting and without any new preexisting condition clause. So, you can now remain consistently insured for up to 360 days without answering any new health questions and without the fear of conditions developed during the first, second, third or fourth policies being excluded.
Other carriers such as United Healthcare still issue Short Term policies but they are not Consecutive so each policy ends in 90 days and you have to both re-qualify and reapply by answering a new set of health questions. The danger there is again the added risk of possibly developing a condition during your first 90 day policy that would render you uninsurable on your next 90 day policy because you would be unable to answer ‘no’ to the new set of health questions posed when reapplying. If that is a risk you are currently taking, it can be eliminated by purchasing National General’s Consecutive Short Term health insurance.
Also, and this is equally important. Even though National General’s Consecutive Short Term health insurance will keep you consistently insured for up to 360 days without interruption, if you purchase your Consecutive Short Term policy outside of the annual ACA-open enrollment period (Nov 1 to Dec. 15) you should not wait until a year later to renew your Consecutive Short Term policy. For example, if you purchase your Consecutive Short Term policy in the month of June, you should not wait until the following June to renew your policy. This is because when you do renew your Consecutive Short Term policy a year later, you will then be required to once again answer health questions in order to re-qualify. If you are too sick at that juncture to answer ‘no’ to the new set of health questions posed, you could be left uninsurable until the next annual ACA-open enrollment period begins again in November, in which case your new ACA-qualified coverage would not begin until the first day of the following year.
This being the case, it is absolutely essential that you renew your Consecutive Short Term health insurance policy during the annual ACA open enrollment period (from November 1st to December 15th). Doing so ensures that if you are too sick at that juncture to answer ‘no’ to health questions posed when attempting to renew your Consecutive Short Term policy, you will still have the option to purchase an ACA-qualified plan which would then cover your preexisting conditions (albeit at a higher price).
If this strategy is not clear, please contact us at (630) 582-1043 or call toll free at (866) 724-7123.
National General Holding Corporation is a publicly traded company with $2.5 billion in annual revenue. Their new “Consecutive Guaranteed Issue” Short Term health insurance plans are underwritten by Time Insurance Company (est. in 1892), National Health Insurance Company (incorporated in 1965), Integon National Insurance Company (incorporated in 1987) and Integon Indemnity Corporation (incorporated in 1946). These four companies, together, are authorized to provide health insurance in all 50 states and the District of Columbia. Click here to download brochure for National General’s Consecutive Short Term.
Companion Life Insurance Company has specialized in employee benefits for more than 40 years. For 14 consecutive years, they have earned an A.M. Best rating of A+ (Superior). They currently market insurance products in 49 states and the District of Columbia. Launched in 2016, Pivot Health is an insurance product development, management and marketing company led by an experienced team of health insurance professionals that has managed more than $7 billion of insurance premium. Pivot Health is backed by Axis Capital (NYSE:AXS), an international financial services company with more than $20.8 billion in assets. Click here to download the brochure for Pivot Health Consecutive Short Term policies.
PLEASE NOTE: The ACA (Obamacare) Individual Mandate was REPEALED by congress on 12/20/17. However, the GOP tax bill does not include repeal of this mandate until Jan. 1, 2019.
If you do not have an ACA-Qualified Plan in 2018, the IRS will penalize you the largest of these two amounts:
2.5% of your yearly household income. (Only the amount of income above the tax filing threshold, about $10,000 for an individual, is used to calculate the penalty.) The maximum penalty is the national average premium for a bronze plan.
$695 per person for the year ($347.50 per child under 18).
There are maximum penalties for individuals and families. They are significant. To determine your maximum penalty click here.
C. Steven Tucker on President Trump’s executive order on health insurance.
2018 ACA Open Enrollment is now over but Special Enrollment has just begun.
The 2018 ACA (Obamacare) Open Enrollment period began on Nov. 1, 2017 and ended on Dec. 15, 2017. However, if you have a 2017 policy from Blue Cross Blue Shield of Illinois that was cancelled as of 12/31/2017 you still have time to purchase a new 2018 health insurance policy from Blue Cross Blue Shield of Illinois until March 1, 2018 under Special Enrollment rights. This is true even though the 2018 ACA Open Enrollment period is now over. Depending on your projected 2018 MAGI – Modified Adjusted Gross Income – you may qualify for one or more federal health insurance subsidies to lower your premium, deductible, coinsurance and copays. To learn the income levels necessary to qualify for health insurance subsidies scroll down this page. If you do not qualify for subsidies please click “Shop for unsubsidized plans OFF the exchange” below to purchase health insurance directly from the carrier of your choice. Questions? Call (630) 674-1551. Out of state? Call toll free (866) 724-7123.
Buying on the exchange? If you do qualify for subsidies please click “Shop for subsidized plans ON the exchange” below. You will be able to pick a plan, get your subsidies and finish the entire process much faster than using Healthcare.gov alone. HealthSherpa speeds up the Healthcare.gov process.
Determining your elibility for one or more federal subsidies
Depending on what you expect your 2018 total household MAGI – Modified Adjusted Gross Income = (after deductions but before taxes) to be, you may qualify for a significant APTC – Advance Premium Tax Credit (federal subsidy) under the new health care law to lower your premiums. You may also qualify for a Cost Sharing subsidy to lower your deductible. If you believe your 2018 total household MAGI will be lower than:
$48,240 for an individual
$64,960 for a couple
$81,680 for a family of three
$98,400 for a family of four
$115,120 for a family of five
$131,840 for a family of six
you will be better off financially by shopping for a plan on the exchange (via Healthcare.gov) in order to receive an Advance Premium Tax Credit and/or a Cost Sharing reduction to reduce the premium and deductibles of either the Bronze, Silver, Gold or Platinum Qualified Health Plans.
Buying on the exchange? If you qualify for a subsidy please click the link below. You will be able to pick a plan, get your subsidy and finish the entire process much faster than working solely with Healthcare.gov
Shopping from another state? Call us toll free at (866) 724 7123 to get quotes from carriers in your state.
Please note: If your income is lower than the 2018 Federal Poverty Level Information – 2018 FPL in your state, which is less than 138% of the FPL – Federal Poverty Level in states that expanded Medicaid and less than 100% of the FPL in states that did not. You will be offered Medicaid will not be able to qualify for subsidized health insurance. You can purchase health insurance even if you qualify for Medicaid but you must do so without a subsidy. Click the chart below to determine the current Federal Poverty Level and percentages above it. 2018 Federal Poverty Levels will not be released until late January of 2018 so, the 2017 FPL chart must be used to determine 2018 subsidy eligibility.
Please also note: If you qualify for a federal health insurance subsidy and your state has expanded CHIP – Children’s Health Insurance Plan – under Medicaid you may not be able to insure your children on your policy. Healthcare.gov will instead send them to Medicaid. You may wish at that juncture to purchase private health insurance at full price for your children instead.
Click logo below to shop for Blue Cross Blue Shield of Illinois plans ON and OFF exchange.
The 2018 ACA (Obamacare) Open Enrollment period began on Nov. 1, 2017 and ended on Dec. 15, 2017. However, if you have a 2017 policy from Blue Cross Blue Shield of Illinois that was cancelled as of 12/31/2017 you still have time to purchase a new 2018 health insurance policy from Blue Cross Blue Shield of Illinois until March 1, 2018 under Special Enrollment rights. This is true even though the 2018 annual ACA Open Enrollment period has now ended. Click the Blue Cross logo to shop for 2018 plans under Special Enrollment. Contact us directly at (630) 674-1551 with questions.
Dental insurance coverage from Blue Cross Blue Shield of ILLINOIS
bluecaredental1a to see the outline of coverage for Blue Care Dental 1A plan.
bluecaredental1b to see the outline of coverage for Blue Care Dental 1B plan.
bluecaredental1aforkids to see the outline of coverage for Blue Care Dental for kids 1A plan.
bluecaredental1bforkids to see the outline of coverage for Blue Care Dental for kids 1B plan.
To apply for BCBSIL Dental insurance please download and print the paper application here > bluecaredentalapplication
Once completed, please fax your Dental insurance application to (630) 582-1043.
To see if your dentist is in the BCBSIL Dental PPO click here > BlueCare® Dental (DPPO)