Short Term Health Insurance in CA

What Is Short Term Health Insurance?

Short term health insurance, also known as temporary health insurance, is designed to provide limited medical coverage for a brief period-typically when you’re between jobs, waiting for other coverage to begin, or experiencing another temporary gap. These plans are not intended as a long-term solution and often do not cover pre-existing conditions or essential health benefits.

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  • Typical Durations:
    In most states, short term health plans can last up to 364 days and may be renewed for up to 3 years. However, California law bans the sale and renewal of short term health insurance plans. This means you cannot purchase short term health insurance from any insurer in California, regardless of your situation.

  • Who It’s Best Suited For:
    In states where available, short term plans are typically best for people:

    • Between jobs

    • Waiting for employer-sponsored coverage to start

    • Recent college graduates

    • Self-employed individuals without group coverage

    • Early retirees not yet eligible for Medicare

    • Those who missed ACA open enrollment and do not qualify for a special enrollment period


Who Should Consider Short Term Health Plans in California?

Short term health insurance is not available in California.
If you are:

  • Uninsured and need immediate coverage

  • Self-employed and seeking flexible options

  • A college student or recent graduate in transition

  • Waiting for employer coverage or ACA open enrollment

  • Ineligible for Medicaid or ACA subsidies

You will need to explore ACA-compliant plans through Covered California, Medi-Cal, or other alternatives, as short term plans are not permitted.


Short Term Health Insurance Laws in California

  • State-Specific Regulations:
    California prohibits the sale and renewal of short term health insurance plans. This law is designed to ensure that all residents have access to comprehensive, ACA-compliant coverage.

  • No Short Term Coverage:
    There are no legal short term health insurance options for California residents.

  • ACA Alternatives:
    California encourages uninsured individuals to enroll in ACA-compliant plans through Covered California or to seek Medi-Cal if eligible.


How Much Does Short Term Health Insurance Cost in California?

  • Not Available:
    Since short term health insurance is banned in California, there are no legal plans or pricing available.

  • ACA Plan Costs:
    Instead, you can compare ACA plans, which average around $400–$600 per month for an individual before subsidies. Many Californians qualify for premium assistance or Medi-Cal, which can lower costs significantly.

  • COBRA:
    If you recently lost employer coverage, COBRA may be an option, but it is often more expensive than ACA plans.


What Does Short Term Health Insurance Cover?

  • Not Available in California:
    Short term plans are not sold in California. In other states, these plans typically cover:

    • Doctor visits

    • Urgent care

    • Emergency room visits

    • Hospitalization
      But they exclude:

    • 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:
    Even if available, these plans do not meet ACA minimum essential coverage requirements.


Top Short Term Health Insurance Providers in California

There are no legal short term health insurance providers in California.
In other states, providers include UnitedHealthcare, National General, and Pivot Health, but these are not options for California residents.


How to Apply for Short Term Health Insurance in California

  • Not Available:
    You cannot apply for short term health insurance in California.

  • What to Do Instead:

    • Visit Covered California to compare ACA-compliant plans.

    • Check eligibility for Medi-Cal (California’s Medicaid program).

    • Contact a local, licensed health insurance agent or broker for help finding legal coverage options.


When Should You Enroll in a Health Plan in California?

  • ACA Open Enrollment:
    Typically runs from November 1 to January 31 each year.

  • Special Enrollment Periods:
    You may qualify for a special enrollment period if you’ve lost coverage, moved, had a baby, or experienced another qualifying life event.

  • Medi-Cal:
    Enrollment is open year-round if you qualify based on income or other factors.


Short Term Health Insurance vs. ACA Plans in California

FeatureShort Term Health InsuranceACA Plans (Covered California)
AvailabilityNot available in CAAvailable statewide
Coverage DurationN/AAnnual, renewable
Pre-existing Condition CoverN/ACovered
Essential Health BenefitsN/ARequired by law
CostN/ASubsidies available for many
Enrollment PeriodN/AOpen enrollment & special events
Who Should ConsiderN/AAnyone needing comprehensive care
Financial RiskN/ALower-comprehensive, regulated
 

Pros of ACA Plans:

  • Comprehensive coverage, including pre-existing conditions

  • Subsidies and Medi-Cal available for many residents

  • Legal and regulated in California

Cons:

  • May be more expensive without subsidies (but help is available)

  • Must enroll during open enrollment or qualify for a special period


Summary:
Short term health insurance is not available in California due to state law. If you need coverage, your best options are to shop for ACA-compliant plans through Covered California, check Medi-Cal eligibility, or speak with a local insurance agent for personalized help. This ensures you have comprehensive, legal protection for your health needs.

Frequently Asked Questions: Short Term Health Insurance in California

Can I buy short term health insurance in California?
No, California law bans the sale and renewal of all short term health insurance plans. There are no legal short term health insurance options available in the state.
Why did California ban short term health insurance?
California prohibits these plans to ensure all residents have access to comprehensive, ACA-compliant coverage that includes essential health benefits and protections for pre-existing conditions.
What should I do if I need temporary health coverage in California?
You should explore ACA-compliant plans through Covered California, check your eligibility for Medi-Cal, or consult a licensed local agent for other legal coverage options.
How much does health insurance cost in California if short term plans aren’t available?
ACA plans in California average $400–$600 per month for an individual before subsidies. Many residents qualify for premium assistance or Medi-Cal, which can lower costs significantly.
Are there alternatives to ACA plans if I miss open enrollment?
You may qualify for a special enrollment period if you’ve lost coverage, moved, had a baby, or experienced another qualifying life event. Medi-Cal enrollment is open year-round for those who qualify.
What does short term health insurance cover in other states?
Short term plans in other states may cover doctor visits, urgent care, ER visits, and hospitalization, but often exclude pre-existing conditions, maternity, mental health, prescriptions, and preventive care.
Who are the major short term health insurance providers in the U.S.?
Major providers in other states include UnitedHealthcare, National General, and Pivot Health, but these are not available to California residents.
Can I get COBRA coverage in California?
Yes, if you recently lost employer-sponsored coverage, COBRA may be available, but it is often more expensive than ACA plans.
When can I enroll in an ACA plan in California?
Open enrollment typically runs from November 1 to January 31. Special enrollment is available for qualifying life events, and Medi-Cal is open year-round for eligible individuals.
Where can I get help finding health insurance in California?
Visit Covered California’s website, check Medi-Cal eligibility, or contact a licensed California health insurance agent or broker for personalized assistance.

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Blake Nwosu

Blake Nwosu

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