Need Short-Term Health Insurance?
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Health insurance for 30 days-12 months. Great low rates! Perfect alternative to COBRA.
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Need Short-Term Health Insurance?
- 9. * Additional options are available on the Internet. Product Comparison Feature Plans up to Six Months Plans up to 12 Months Lifetime Maximum $2 million $2 million Deductible Choices* $250 $500 $1,000 $2,500 $3,500 $500 $1,000 $2,500 $5,000 One Family Deductible $500 and higher All deductibles Extension of Benefits Up to 12 months based on hospitalization (In FL, totally disabled) Up to 90 days based on hospitalization (In FL, totally disabled) Coinsurance Options* 100/0 80/20 50/50 80/20 50/50 Transplant Benefits $100,000 $100,000
- 22. Thank you! This presentation provides summary information. Please refer to the insurance policies for actual terms and conditions. © 2009 Assurant, Inc. All rights reserved. J-65337 1/2009
Editor's Notes
- Script Assurant Health Short Term Medical is temporary health insurance with a duration of one to 12 months in most states.
- Script Short Term Medical is temporary health insurance for healthy people. Coverage is available as early as the next day. Short Term Medical coverage is available for up to 12 months in all states except CA, CO, IN, MI, MN, ND, NH, NV, OH, OR, SD, and VA. In those states, coverage is available for up to six months. Short Term Medical is not available in Connecticut, Hawaii, Massachusetts, New Jersey, New York, and Vermont.
- Script Assurant Health first entered the temporary insurance market in 1973, and the company’s sole focus is health insurance. Customers can purchase Short Term Medical insurance entirely online whether their agents have Web sites or not. Your agent can save time and money by issuing Short Term Medical policies online though our Issue tool, and policy status can be obtained in minutes through our online Reporting tool.
- Script Short Term Medical offers one family deductible, meaning w hen a customer chooses a deductible of $500 or higher, only one deductible must be met for the entire family. The 100% coinsurance option is available on plans up to six months in duration only. In DC, DE, IA, KY, LA, ME, OK, PA, and RI, 100% coinsurance is available with deductibles of $500, $1,000, and $2,500 when using a paper application. In all states except OR, 100% coinsurance is available with deductibles of $500, $1,000, and $2,500 when using the internet. In OR, 100% coinsurance is available with deductibles of $1,000 and $2,500. Another competitive advantage of Assurant Health Short Term Medical is electronic policy delivery. If customers have e-mail addresses, they can receive their policies online. Finally, Assurant Health provides agents with online selling capabilities that make the agent’s job easier. My Sales Link and My Web Page are two ways Assurant Health helps agents sell online while ensuring they get credit for all sales.
- Script With Assurant Health Short Term Medical, customers can choose the exact length of coverage they desire. If a customer needs a policy of 31, 62, or 121 days, Assurant Health can provide it. Many competitors only sell policies in 30-day increments. Also, unlike many competitors, clients can protect themselves with a Short Term Medical plan for up to 12 months in most states. Coverage under a Short Term Medical plan can continue beyond the policy period at no additional cost with the extension of benefits. When the benefit period ends, coverage may be extended for a sickness that commenced or an injury sustained while the policy was in force and for which a customer is being treated. The extension of benefits provision is subject to the deductible, the lifetime maximum benefit, and all other terms, limits, and conditions of the policy. It applies in most states when either of the following two conditions exist: 1. The insured has covered expenses while confined as an inpatient in a hospital. The insured must be under the care of a health care practitioner for the inpatient hospital stay. (For FL policies, total disability is the requirement.) Assurant Health will extend benefits to the earliest of: the date on which the insured is no longer continuously confined in a hospital; or the end of total disability; or payment of the lifetime maximum benefit or any other maximum benefit for those services under the policy; or 12 months (for plans up to six months in duration)/90 days (for plans up to 12 months in duration) from the date coverage would have ended without an extension of benefits provision; or the earliest date otherwise permitted by law. 2. The insured has met his or her deductible during the benefit period and is being treated for complications of, or needs follow-up treatment for, a sickness that commenced or an injury that was sustained during the benefit period. A $1,000 maximum benefit will be provided for covered expenses incurred during a period of not more than 60 days from the date coverage would have ended without an extension of benefits provision. The insured does not have to be totally disabled to qualify for this portion of the extension of benefits provision. Coverage is not extended for any condition that is not a cause of the insured’s total disability. Optional benefits are available in conjunction with a Short Term Medical plan, for the duration of the policy. They cannot be sold as standalone benefits and are available via Internet and proposal software only. Offerings of optional benefits vary by state. The Life Insurance is $25,000 for the insured only and/or the spouse. Agents must be licensed and appointed to sell life insurance to offer this benefit, and it is available in all states except GA, KS, MN, OH, and TX. Accident Medical Expense or AME pays first in the event of an injury—before any deductible or coinsurance. Benefit amounts are equal to the Short Term Medical plan deductible. After the AME benefit is paid, the normal deductible and coinsurance provisions of the policy apply. AME is available in all states where Short Term Medical is sold. However, AME is not available with the $0 deductible. The Dental-Vision Discount Plan is not insurance . It provides savings on dental care, eyewear, eye care, and vitamins and nutritional supplements for the entire family. It’s available everywhere except FL and NV. More detailed information on optional benefits appears on the Web site.
- Script Short Term Medical is available to healthy individuals aged 30 days to 64 years and 11 months. Most other temporary insurance carriers don’t sell to individuals that old. Dependent children through age 18, or through age 24 if full-time students, may be covered as dependents on a parent’s plan, though this varies by state. In Louisiana, a dependent can remain on the policy through age 20 if unmarried, age 23 if a full-time student; In Colorado, Maine, Minnesota, New Mexico, Texas, and Utah, dependents can remain on the policy through age 24, regardless of student status; In North Dakota, a dependent can remain on the policy through age 21 if unmarried, or age 26 if a full-time student; In South Dakota, a dependent can remain on the policy up to age 19 if unmarried, or age 24 if a full-time student, and In New Hampshire, a dependent can remain on the policy through age 25, regardless of student status. Short Term Medical does not provide coverage outside the United States, its possessions, or Canada. Guam, Puerto Rico, and the U.S. Virgin Islands are examples of United States’ possessions.
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- Script Short Term Medical coverage is available for up to six months or for six to 12 months. Duration and availability of these plans vary by state.
- Script This chart highlights the major differences between plans for up to six months and up to 12 months. As you can see, they have different available deductibles, and plans for up to six months have one family deductible only on deductibles of $500 and higher. The extension of benefits provisions are different, and there is no 100% coinsurance available for plans over six months in duration. Additional deductible options are available on the internet only, including a $3,500 deductible for up to six months. 6-month plans are 30-180 days in duration; 12-month plans are 181-360 days in duration.
- Script For plans up to six months, there are five deductibles and three coinsurance choices. In the event of a claim, the insured pays the deductible, then the insured and Assurant Health split the next $10,000 of covered charges after the deductible. For example, with 80% coinsurance, Assurant Health pays 80% of the next $10,000, or $8,000, and the insured pays $2,000. Assurant Health pays all covered charges after that. Deductible and coinsurance availability vary by state, and 100% coinsurance is available for up to six months only. --In DC, DE, IA, KY, LA, ME, OK, PA, and RI, 100% coinsurance is available with deductibles of $500, $1,000, and $2,500 when using a paper application. --In all states except OR , 100% coinsurance is available with deductibles of $500, $1,000, and $2,500 when using the internet. -- In OR , the 100% coinsurance is available with deductibles of $1,000 and $2,500. Please note that the individual out-of-pocket maximum does not include the deductible, and the individual deductible is per benefit period, not per cause.
- Script Plans up to six months offer a $2 million lifetime maximum benefit. The lifetime maximum benefit is a limit on what the company pays, and each covered insured has his or her own. So if you were to insure the five members of the Thompson family, John, Barbara, Will, Andy, and Emily, on a family plan, John would have $2 million, Barbara would have $2 million, Will would have $2 million, Andy would have $2 million, and Emily would have $2 million. Because Short Term Medical is not a Health Maintenance Organization or Preferred Provider Organization plan, customers have the freedom to choose their doctors and hospitals . For additional savings, customers can reduce medical bills by using the doctors and hospitals participating in Private Health Care Systems’ Healthy Directions Provider Network. All STM policies include prescription drug coverage. T here is no separate prescription drug deductible or copay.
- Script There are four deductibles and two coinsurance options on plans up to 12 months. In the event of a claim, the insured pays the deductible, then the insured and Assurant Health split the next $10,000 of covered charges after the deductible. For example, with 80% coinsurance, Assurant Health pays 80% of the next $10,000, or $8,000, and the insured pays $2,000. Assurant Health pays all covered charges after that. Remember, deductible and coinsurance availability vary by state, the individual out-of-pocket maximum does not include the deductible, and the individual deductible is per benefit period, not per cause.
- Script Plans up to 12 months include a $2 million lifetime maximum benefit. Just like with plans up to six months, the lifetime maximum benefit is a limit on what Assurant Health pays, and each covered insured has his or her own. Customers have the freedom to choose their doctors and hospitals . For additional savings, insureds can reduce medical bills by using the doctors and hospitals participating in Private Health Care Systems’ Healthy Directions Provider Network. There is no separate prescription drug deductible or copay.
- Script For additional savings, Short Term Medical customers can reduce medical bills by using the doctors and hospitals participating in PHCS Healthy Directions provider network. Participating providers will bill at reduced network rates for services. At the time of service, insureds present their medical identification card with the PHCS logo on it and the provider bills the reduced network rate for services. Insureds do not have to use the network, but they can choose to. Information about the network can be accessed either through the Web site or toll-free number.
- Short Term Medical customers get access to doctors, at a lower cost, 24/7 through TelaDoc Medical Services. Clients contact TelaDoc from anywhere—home, work, or on the road—and let a doctor come to them. TelaDoc physicians diagnose routine medical problems, recommend treatment, and even prescribe medication when appropriate. TelaDoc is a convenient and cost-effective way to seek treatment for routine conditions such as ear infections, sore throats, pink eye, and urinary tract infections. TelaDoc is not available in OK.
- Script The definition of a pre-existing condition for Short Term Medical varies by state. Typically, anything that happened or produced symptoms in the five years prior to the policy effective date is not covered under the policy. Routine services for maternity and any routine delivery charges are not covered, though complications of maternity as defined in the policy are. Dental and vision services and mental illness and substance abuse treatment are also not covered. Plan exclusions vary by state. The Short Term Medical contract provides a complete listing of the plan benefits, limitations, and exclusions. Sample contracts can be found at www.assuranthealthsales.com.
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- Script If your customer has a temporary health insurance need for a definite period of time, offer the single payment option for a premium savings of 20%. There is no premium refund after the ten-day free look period on the single payment option. H owever, some states do require pro-rata refunds. Please note that the one-time application fee is not refundable whether the policy is in the ten-day free look period or not. If your customer is unsure how long he or she needs temporary health insurance, offer the monthly payment option. This “pay as you go” option gives the customer the flexibility to continue coverage for as long as it’s needed (up to 12 months), stopping payments and discontinuing the plan once his or her temporary need ends. As with the single pay option, there is no refund after the ten-day free look period, and the one-time application fee is not refundable anytime. Assurant Health accepts checks or money orders, MasterCard or VISA, and ACH (which stands for automated clearing house) transactions. An automated clearing house transaction is an automatic withdrawal from a checking or savings account. All three payment vehicles can be used for a single payment or a monthly payment plan. Savings account debits are available only via the internet.
- Script The “pay as you go” monthly payment option allows your customer to purchase up to 12 months of Short Term Medical coverage and pay for the plan in monthly installments. Each payment covers 30 days. If payment is to be by automated clearing house transaction, the initial payment must be submitted via check along with a separate voided check (except if done via the Internet). All subsequent premium payments will be automatically charged to the account provided. The account will be debited each month until a total of six or 12 months of coverage has been reached. If your client’s temporary need ends prior to the end of the selected period, he or she simply contacts Assurant Health to stop the automatic payments. Seven days’ advance notice is required to ensure future auto charges are stopped. If payment is by MasterCard or Visa, the initial and subsequent premium payments will be automatically charged to the credit card provided. The credit card will be charged each month until a total of six or 12 months of coverage has been reached. If your client’s temporary need ends prior to the end of the selected period, he or she simply contacts Assurant Health to stop the automatic credit card payments. Again, seven days’ advance notice is required to ensure future auto charges are stopped. Also note that no matter what the effective date is, the account is debited immediately when applying online. If payment is made by check, the customer will receive a sheet of coupons via the U.S. Postal Service (separate from the policy) for all subsequent payments. Each month, a check should be mailed along with the coupon to Assurant Health. Each coupon pays for an additional 30 days of coverage. Should the temporary need end, your customer simply stops sending in the monthly payment and coverage will end. No lapse notices are sent.
- Script Coverage will begin as outlined in this slide provided the following conditions are met: The enrollment form and the full premium payment are received by Assurant Health, and The answers on the enrollment form are complete and meet the requirements for acceptance. If the envelope containing the client’s enrollment form is not postmarked by the U.S. Post Office, or not metered, or if the postmark is not legible, the effective date of coverage will be the later of: The requested date; or The date the enrollment form is received via mail by Assurant Health. Incomplete applications may result in an effective date later than requested. Note: Applications should never be emailed to Assurant Health. They should be mailed or faxed to 414-299-1137.
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