Saturday, November 12, 2016

Temporary ShortTerm Coverage ... NOT for those with pre-existing medical conditions!

Temporary Plans do NOT:
- Cover pre-existing medical conditions
- Cover most preventive care ( wellness check-ups...when you're not sick)
- Cover maternity claims (having a baby)
- Avoid the ACA (Obamacare) Tax Penalty
......The penalty MAY be waived ...based on directives from Pres Trump (dated 1/20/17).

Please see more info about these subjects (below).


Our favoriteTemporary ShortTerm coverage is now gone!

We have new options.
Some of them offer continuous the end of 2017.
Others don't...and only provide up-to 90 days of coverage.

Each option is different.
There's not one certain plan that's best for everyone any longer!

Some Temporary Plans will let you use any doctor or hospital.
Others have PPO networks.
NONE of them have the dreaded HMO networks (that we're now forced to endure with ACA-Obamacare plans).

We'll search the market for the best plans for you!

Just call us.
We'll email your best choice(s).

Sorry that this process is now more complicated than before!
Houston Line:  713-932-9072
Toll Free Line:  888-777-0474


Your best choice for Temporary Short-Term coverage in Texas: (....Sorry, but this plan is now gone!)

Coverage can be instantly issued with most companies.

Effective dates available:   
- As soon as "midnight tonight" with most plans.

Pre-Existing Medical Conditions are not covered!

Anything that's pre-existing ON your effective date is not covered !

Remember that Temporary ShortTerm policies do not cover:
- Pre-existing medical conditions!!!
- Most wellness benefits (check-ups)
- Childbirth deliveries nor pre-natal care (maternity benefits)
They cover future (unknown) illnesses or injuries...
...things that might happen during your term of coverage
....including major things that could wipe us out !!!

Do not buy temporary coverage if you have pre-existing conditions that need to be covered by your insurance policy!

If you have an existing lump on your neck, it's pre-existing.
If you had a condition that was never diagnosed, it's still pre-existing.
If you have high blood pressure or high cholesterol, that's pre-existing.

Those who need coverage for pre-existing medical conditions should buy an ACA policy during Annual Open Enrollment (or during Special Enrollment exceptions)


See more info (below) about Open Enrollment & Special Enrollment exceptions for ACA policies!


Some Temporary policies require underwriting for approval-of-coverage.  (Some don't.)

For the policies that require underwriting:
- IF you can answer "no" to a few health questions, coverage is instantly approved online.

With most of the companies, you can easily START an application quickly SEE the health questions.

You must be truthful when you answer the health questions!

Your claims could be denied if you provided false info on an insurance application!!!

And, your claims will be denied if your medical records indicate that your treatment is for a pre-x condition.

Temporary policies will NEVER cover things that EXIST ON your Policy Effective Date!

If you have something minor like allergies, it's not covered.
Some people don't mind.

For most people with pre-x medical conditions, this is not what you should buy. 
....EVEN if the pre-x condition has not yet been diagnosed!!!
......A small lump on your neck IS pre-existing!
.......High blood pressure can lead to a heart attack!
.........Something is wrong (existing) if you have high blood pressure.
...........And, it's probably affecting your heart!

Those who have high blood pressure that's controlled with meds are not exempt.
The blood pressure problem exists!

High cholesterol can also be affecting your heart!

Be safe....if this applies to you....and buy an ACA policy (if/when you can)



You probably ARE subject to the ACA Tax Penalty!

Pres Trump has asked for a waiver.
But our congressmen haven't made this legal yet!

Temporary policies are free-market policies!
....(They existed before Obamacare.)
They are still legal to buy.

But, they are not ACA-approved coverage (Obamacare approved).

They are cheaper because the prices are still driven by the free market...
...not by the federal government.

- They don't cover pre-existing medical conditions
- They don't cover most wellness benefits (check-ups)
- They don't cover maternity benefits (having a baby)
- There are usually underwriting questions (to qualify for coverage)
- They'll end

Try to choose a start & end-date that will coincide with Obamacare Open Enrollment periods... that you can buy an ACA policy to cover pre-existing conditions...if needed.

You can only buy an ACA-Obamacare policy during Open Enrollment.

2017 Deadlines were:

Nov 1st - Dec 15th ....for coverage to be effective Jan 1st, 2017
Dec 16 -  Jan 15th ....for coverage to be effective Feb 1st
Jan 16 -  Jan 31st .....for coverage to be effective Mar 1st

2018 Deadlines:

Nov 1st - Dec 15th......for coverage to be effective Jan 1, 2018

You have a life-changing event that would qualify you for a Special Enrollment Date exception (during the year).

See bottom of this screen for more info about Special Enrollments.


You might be subject to the Federal Tax Penalty if you don't own ACA-approved (Obamacare) coverage!

The 2016 & 2017 Tax Penalty is the greater of:

- 2.5% of 2017 income...with a few adjustments to AGI (Adjusted Gross Income).....See MAGI (below)

- $695 for each adult + $695 for 2 children (in your tax household) = $2085 max (flat rate per family)

MAGI = Modified Adjusted Gross Income
              Adjusted Gross Income ......with a few modifications.
              These modifications do not even apply for the average person.

AGI = Adjusted Gross Income
           This is simply line 37 on your 1040 Federal Income Tax Return 
           ......................line 21 on your 1040A Tax Return
           ....................or line 4 on your 1040 EZ Tax Return

The penalty can be complicated for some.
Just use this Federal Tax Penalty calculator     HERE


New Law passed in 2016.......effective April 2017:

 The Federal Govt will only let you buy up-to 3 months of Temporary ShortTerm coverage!

But, we do have companies that will let you buy continuous policies.
.......Anything that's pre-existing after 3 months of coverage (that occurred during your initial 3 months of coverage) will be covered on the second 3-month policy!


I have personally owned Temporary ShortTerm coverage for myself & my own children in the past.
I always bought from a strong insurance company.
We were in excellent health.
And, I understood that I was paying for their well-child check-ups out of my own pocket.
It was a wise choice for me.

But, everyone has different situations to consider.
No one understands your situation better than you!

Please don't ask me to make this decision for you.
I've given you the facts above.
And, I'll be happy to review everything with you & answer all of your questions.

I'm over 65 now & on MediCare.
So, this is not something I'm doing 2017.
But, I have done it....many times....when I was a young, struggling single Mom.......and I was very comfortable with my decision to own Temporary ShortTerm coverage.

If this huge ACA mess causes/helps our un-stable financial markets to implode, we're all in the same sinking ship matter which coverage we own!

We'll all need to re-think everything (about our lives).

I'm happy to help.....all that I can!

Just call (or email) if you have questions!

We're here 7 days/week......16 hours/day.....during Open Enrollment.
Later in the day is BEST:  2pm to 6pm

More info at: 
888-777-0474 - Toll Free Line
713-932-9072 - Houston Line (if it's not long distance for you)

Jan 20, 2017:
Executive Order signed by President Trump is here:

But, most changes to Obamacare must be formally passed by congress.


ACA (Obamacare) Open Enrollment.......for 2018 coverage:

     Nov 1 to Dec 15, 2017 

Coverage will be effective 1/1/18

Quick ACA Quotes.....anytime..... HERE


Special Enrollment Exceptions:

You can't normally buy ACA (Obamacare) coverage after Open Enrollment ends.

But, there are exceptions.....including:

- Loss of coverage (at no fault of your own)

- Changes in household size
.....Marriage, divorce, death, childbirth, adoptions

- Moving to a NEW county
....This one can be really complicated!
....We'll help you wade through the red tape.

- New US citizens

- New classification as a Native American or Alaskan Indian

- Release from incarceration

- Domestic abuse/violence