Short Term Health Insurance in TX
Short Term Health Insurance in Texas: Your Local Guide
What Is Short Term Health Insurance?
Short term health insurance, also called temporary health insurance, is designed to provide quick, limited medical coverage for people experiencing a gap in their regular health insurance. These plans are not intended as a permanent solution but can help cover unexpected illnesses or injuries when you’re between jobs, waiting for other coverage to start, or need a flexible option.
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Typical Durations:
In Texas, short term health plans can last up to 364 days and may be renewed for up to 36 months (three years), depending on the insurer and your eligibility. This is one of the longest durations allowed in the U.S., making Texas an attractive state for those needing temporary coverage.
Who It’s Best Suited For:
People between jobs or laid off
Early retirees not yet eligible for Medicare
College students or recent graduates
Self-employed individuals without group insurance
Those waiting for employer-sponsored coverage or ACA open enrollment
Who Should Consider Short Term Health Plans in Texas?
Short term health insurance may be a good fit if you are:
Uninsured and need immediate, temporary coverage
Self-employed and want an affordable, flexible option
A college student or recent graduate in transition
Waiting for employer coverage or the next ACA open enrollment
Ineligible for Medicaid or ACA subsidies due to income or other factors
Short Term Health Insurance Laws in Texas
State-Specific Regulations:
Texas follows federal guidelines for short term health insurance, allowing plans to last up to 364 days and be renewed for a total of up to 36 months. Texas does not currently restrict durations or ban short term plans, unlike some other states.
Not ACA-Compliant:
Short term plans in Texas do not have to meet Affordable Care Act (ACA) standards. They may exclude essential health benefits and pre-existing conditions.
No Open Enrollment Restrictions:
You can apply for short term health insurance at any time of year; there is no set enrollment window.
How Much Does Short Term Health Insurance Cost in Texas?
Average Monthly Premiums:
Premiums typically range from $80 to $300+ per month for individuals, depending on age, ZIP code, plan features, and deductible.
Cost Factors:
Age
ZIP code
Deductible and out-of-pocket maximums
Length of coverage
Plan benefits and exclusions
Comparison With ACA Plans or COBRA:
Short term plans are generally much cheaper than ACA-compliant plans (which average $470–$600/month for an individual in Texas), but they offer less comprehensive coverage and do not qualify for subsidies. COBRA is often more expensive but maintains your previous group coverage.
What Does Short Term Health Insurance Cover?
Common Inclusions:
Doctor visits
Urgent care
Emergency room visits
Hospitalization
Common Exclusions:
Pre-existing conditions
Maternity care
Mental health and substance use treatment
Prescription drugs (may be limited or excluded)
Preventive services
Vision and dental care
Not ACA-Compliant:
Short term plans do not meet ACA minimum essential coverage requirements and may leave significant gaps in protection.
Top Short Term Health Insurance Providers in Texas
Provider | Key Features | Typical Monthly Cost |
---|---|---|
UnitedHealthcare | Multiple plan tiers, large network, flexible cancellation | ~$135–$280 |
Pivot Health | Affordable, customizable, up to $1M coverage | ~$110–$250 |
National General (Allstate Health) | Wide range of options, some guaranteed-issue plans | ~$120–$295 |
Other carriers may also be available. Compare plan details, deductibles, and provider networks to find the best fit for your needs.
How to Apply for Short Term Health Insurance in Texas
Online Application:
Most providers offer fast online applications with minimal health questions. Approval is often instant or within a day.Coverage Start:
Coverage can begin as soon as the next day after approval.Local Assistance:
Licensed Texas agents and brokers can help you compare plans and complete your application. Contact a local agent today for a free quote!
When Should You Enroll in a Short Term Health Plan?
Year-Round Availability:
You can enroll at any time-there is no open enrollment period for short term health insurance.Ideal Times to Enroll:
Between jobs or after a layoff
Waiting for employer coverage to begin
Outside ACA open enrollment and not eligible for a special enrollment period
Waiting for Medicare eligibility
Short Term Health Insurance vs. ACA Plans in Texas
Feature | Short Term Health Insurance | ACA Plans |
---|---|---|
Coverage Duration | Up to 36 months (TX) | Annual, renewable |
Pre-existing Condition Cover | Not covered | Covered |
Essential Health Benefits | Not required | Required by law |
Cost | Lower premiums, higher out-of-pocket | Higher premiums, subsidies avail. |
Enrollment Period | Year-round | Nov 1–Jan 15 (plus special events) |
Who Should Consider | Healthy, need temporary coverage | Anyone needing comprehensive |
Financial Risk | Higher-limited benefits, exclusions | Lower-comprehensive, regulated |
Pros of Short Term Plans:
Affordable, fast coverage for healthy individuals in transition
Flexible enrollment and quick start
Cons:
Does not cover pre-existing conditions or many essential benefits
Not a substitute for long-term health insurance; risk of being underinsured
Summary:
Short term health insurance in Texas offers a flexible, affordable option for those needing temporary coverage. However, it comes with significant limitations and should not replace comprehensive, ACA-compliant health insurance. Always review plan details carefully and consider your health needs before enrolling. For local assistance, consult with a licensed Texas insurance agent or broker.
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Meet AgentsFrequently Asked Questions: Short Term Health Insurance in Texas
How long can I have short term health insurance in Texas?
Who is eligible for short term health insurance in Texas?
When should I consider enrolling in a short term health plan?
Is there an open enrollment period for short term health insurance?
What does short term health insurance typically cover?
What is not covered by short term health insurance?
Are short term health plans ACA-compliant?
How much does short term health insurance cost in Texas?
How do short term plan costs compare to ACA or COBRA plans?
Who are the top short term health insurance providers in Texas?
How quickly can coverage begin?
Can I get help choosing a short term health plan in Texas?
What are the risks of choosing short term health insurance?
Blake Insurance Group
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Blake Nwosu
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