How long can a short-term medical plan last?
Under federal rules, a single short-term plan can last up to 12 months and be renewed for up to 36 months total. However, states set their own limits — some cap initial terms at 3 or 6 months, some don’t allow renewals, and a handful (like California and New York) effectively prohibit short-term medical. We tell you what’s available in your state.
Will my pre-existing conditions be covered?
Almost certainly not. Short-term medical plans are medically underwritten, meaning carriers can deny you coverage or exclude pre-existing conditions from your policy. If you have pre-existing conditions that need ongoing care, short-term is generally the wrong fit — an ACA Marketplace plan is a better option even if the premium is higher.
Is short-term medical the same as ACA health insurance?
No. Short-term plans are not ACA-compliant and don’t cover the 10 essential health benefits (preventive care, maternity, mental health, prescriptions, etc.). They are designed as temporary, gap coverage — not as long-term primary insurance. The federal individual mandate penalty is currently $0, but some states still have state-level penalties for not having ACA-compliant coverage.
When does short-term medical make sense?
Common scenarios: you’re between jobs and waiting for your next employer’s plan to start; you’re aging off a parent’s plan and have a gap before your next coverage; you’re a few months away from turning 65 and Medicare; you missed Open Enrollment and don’t qualify for a Special Enrollment Period and need bridge coverage until next November. In each case, short-term works because it’s temporary.
Can I have short-term medical and an ACA plan at the same time?
You generally wouldn’t want to — short-term plans don’t coordinate benefits with ACA plans, and you’d be paying two premiums for overlapping coverage. The exception is when you’re using short-term as bridge coverage that ends right as your ACA plan begins.