The Essential Health Insurance Handbook: Everything You Need to Know
ACA Alternative Options
Other Coverage Options to Know About
While most people choose a comprehensive major medical plan that meets ACA requirements, sometimes those plans are not available and there are other options some individuals consider in unique situations.
Limited Medical Benefit Plans
Sometimes called fixed indemnity plans — Limited Medical Plans pay a set cash amount for specific covered services. They can help cover everyday healthcare costs like doctor visits, lab work, or minor procedures, but they do not cover all essential health benefits and do not qualify as minimum essential coverage under the ACA.
These plans are often offered through association memberships or trade groups. They can be an option for people in between jobs, waiting for open enrollment, or looking for supplemental coverage alongside other insurance. These plans are usually available year round with no open enrollment periods.
Important: These plans are not designed to replace comprehensive major medical insurance. Always review coverage details carefully and speak with a licensed agent to understand if an alternate option is appropriate for you.
Short Term Medical Plans
Short-term medical plans are temporary health insurance policies designed to provide basic coverage for a limited time — often from one month up to a year, depending on your state. These plans can help bridge gaps in coverage, like when you’re between jobs, waiting for other insurance to begin, or outside the open enrollment period.
Short-term plans generally cover unexpected illnesses or accidents but may not include essential health benefits required by the ACA — such as maternity care, mental health services, or prescription drugs. They may also exclude pre-existing conditions.
While short-term medical plans can offer lower monthly premiums, it’s important to understand they are not comprehensive major medical insurance and do not qualify as minimum essential coverage under the Affordable Care Act.
Enrollment Periods & Eligibility
Open Enrollment
Special Enrollment Periods
Special Enrollment Periods
The yearly period when anyone can enroll in a health insurance plan. Missing open enrollment often means waiting until the next period unless you have a qualifying life event.
Special Enrollment Periods
Special Enrollment Periods
Special Enrollment Periods
Qualifying life events like having a baby, losing other coverage, or moving may let you enroll outside open enrollment periods.
How to Save Money on Health Insurance
Use Preventive Care:
Consider a Health Savings Account (HSA):
Check for Subsidies or Tax Credits
Many plans cover preventive services at no cost.
Check for Subsidies or Tax Credits
Consider a Health Savings Account (HSA):
Check for Subsidies or Tax Credits
If you buy through a marketplace, you might qualify for financial assistance.
Consider a Health Savings Account (HSA):
Consider a Health Savings Account (HSA):
Consider a Health Savings Account (HSA):
If you choose a high-deductible plan, an HSA can help offset costs and provide tax benefits.