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

ProviderKey FeaturesTypical Monthly Cost
UnitedHealthcareMultiple plan tiers, large network, flexible cancellation~$135–$280
Pivot HealthAffordable, 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

FeatureShort Term Health InsuranceACA Plans
Coverage DurationUp to 36 months (TX)Annual, renewable
Pre-existing Condition CoverNot coveredCovered
Essential Health BenefitsNot requiredRequired by law
CostLower premiums, higher out-of-pocketHigher premiums, subsidies avail.
Enrollment PeriodYear-roundNov 1–Jan 15 (plus special events)
Who Should ConsiderHealthy, need temporary coverageAnyone needing comprehensive
Financial RiskHigher-limited benefits, exclusionsLower-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.

Frequently Asked Questions: Short Term Health Insurance in Texas

How long can I have short term health insurance in Texas?
Short term health plans in Texas can last up to 364 days and may be renewed for up to 36 months (three years), depending on the insurer and your eligibility.
Who is eligible for short term health insurance in Texas?
Most healthy individuals can apply, including those between jobs, early retirees, college students, self-employed workers, and people waiting for other coverage to begin.
When should I consider enrolling in a short term health plan?
Ideal times include between jobs, after a layoff, waiting for employer coverage to start, outside ACA open enrollment, or waiting for Medicare eligibility.
Is there an open enrollment period for short term health insurance?
No, you can apply for and enroll in short term health insurance at any time of year.
What does short term health insurance typically cover?
Most plans cover doctor visits, urgent care, emergency room visits, and hospitalization.
What is not covered by short term health insurance?
Common exclusions include pre-existing conditions, maternity care, mental health treatment, prescription drugs (may be limited or excluded), preventive services, and vision or dental care.
Are short term health plans ACA-compliant?
No, these plans do not meet Affordable Care Act (ACA) standards and may leave significant gaps in coverage.
How much does short term health insurance cost in Texas?
Premiums typically range from $80 to $300+ per month, depending on age, ZIP code, deductible, and plan features.
How do short term plan costs compare to ACA or COBRA plans?
Short term plans are generally much less expensive than ACA-compliant plans (which average $470–$600/month for an individual in Texas) and COBRA, but provide less comprehensive coverage and no subsidies.
Who are the top short term health insurance providers in Texas?
Major providers include UnitedHealthcare, Pivot Health, and National General (Allstate Health).
How quickly can coverage begin?
Coverage can often start as soon as the next day after your application is approved.
Can I get help choosing a short term health plan in Texas?
Yes, licensed Texas insurance agents and brokers can help you compare options and complete your application.
What are the risks of choosing short term health insurance?
Risks include lack of coverage for pre-existing conditions and essential health benefits, and the possibility of being underinsured during a major health event.

Blake Insurance Group

Phone: (888) 387-3687

Email: [email protected]

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Blake Nwosu

Blake Nwosu

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Expertise: All personal and commercial line insurance, including auto, home, business, health, and life insurance.

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