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California health insurance - Short term health insurance - Blue Cross Blue Shield Short Term

Blue Cross Blue Shield Short Term Health Insurance

UPDATE: California banned all short term health insurance plans eff 9/1/2018.

In California we now only have OneShare health sharing plans for true short term.

You can quote OneShare plans here.

Learn about Health Sharing plans for short term health here.

Notes on health sharing plans:

  • Coverage can start midnight following enrollment
  • We can cancel month to month with blocks of coverage up to 11 months
  • The rates quoted are the best available on the market
  • Short term works best for injury/illness but does not cover pre-x conditions
  • OneShare does not decline based on health

There is no cost for our services!

Health sharing plans are not health insurance! You can also get ACA (Covered Ca) plans effective the 1st of the month following enrollment (depending on rules - check with us). Get your Covered Ca quote here.

Quote and online application available here:

health sharing for short term plans in California

Information below is for States that still have short term health carrier options.

It should be the perfect match.


Short term health insurance is very popular now due to open enrollment restrictions.


Blue Shield of California is now 2nd in market share for California coverage.


Anthem Blue Cross is 3rd.



How do we get short term health insurance through Blue Cross or Blue Shield of California?

They both used to offer such a plan.


And they were very popular.


First, Anthem Blue Cross pulled their short term plan.


Then, Blue Shield pulled their short term health plan from the market but we do have a workaround.

Most importantly, while other carriers have left the short term market or re-filed their plans to meet new requirements, this IHC plan with Blue Cross Blue Shield WAS the only legitimate temporary health plan available.

Can you get Blue Cross Blue Shield Partnership with short term health coverage


We used to have a plan through IHC that used the BCBS provider network via a partnership but it has also been pulled from the market.

This leaves us with health sharing plans (can start midnight after enrollment) or ACA plans (can start following 1st of the month).

Quick Landscape of Short term health plans

Here are some basic bullet points for short term coverage:

  1. Coverage can start midnight following enrollment
  2. We can cancel month to month with blocks of coverage up to 3 months (just email written request to cancel to me prior to end of month)
  3. IHC WAS the main short term carrier in California as the other carriers have to re-file to meet 3 month changes. We now have One Share health sharing plans here.
  4. The rates quoted are the best available on the market
  5. Short term works best for injury/illness but does not cover pre-x conditions and is medically underwritten (although simplified issue)
  6. You may still have a penalty for not having ACA coverage (if enforced) with short term plans but not with health sharing

There is no cost for our services!

It's really designed for short periods of time to protect against the big what if.

For example, if you need short term health coverage between jobs.

For this reason, it's very popular these days.

Here are common situations where short term works well:

  1. Waiting periods for new coverage to start
  2. Getting to Open Enrollment or Special Enrollment trigger
  3. Can't afford ACA health plans
  4. Interim periods of travel
  5. Situations where you need to show proof of coverage quickly

Quote and Compare short term health plans with Blue Shield networks


First of all, short term is really geared for catastrophic type coverage.

It's not really made for first dollar coverage such as preventative and RX.

It handles the torn ACL or car accident really well.

You'll notice two things when shopping your Blue Cross Blue Shield partnered short term plans through IHC.

Plan break down

There are three major components to the plans.

  1. Deductible
  2. Coinsurance between deductible and out of pocket max
  3. Out of Pocket Max

These three items affect the pricing along with your area and age.

Let's look at each.

Deductible

This is an amount you will have to pay first before the plan starts to help.

Let's take an example.

We have a $2500 deductible.

This means you'll pay the negotiated PPO rates until you meet that deductible before getting help.

Being in-network (using PPO providers) can save you considerably even before you meet this number however.

Co-insurance

Once you meet your short term plan deductible, you then start paying a percentage of the costs.

For example, let's say we have our $2500 deductible above and a 50% coinsurance.

We have a $3000 bill.

We'll first pay the $2500 deductible. We'll then pay 50% of the remaining $500 or $250.

Total exposure is $2750 (That's the $2500 deductible plus the $250 in co-insurance)

We get these benefits when we stay within the network of doctors and hospitals for covered benefits.

You'll receive an ID card with the link to search for participation MultiPlan doctors with your short term plan approval.


Max out of Pocket

Now, the most important part of a short term health plan.

The Out of Pocket Max.

This basically defines the backend exposure for a very large bill.

With the IHC short term plan, the max out of pocket is in addition to the deductible.

In our example above, let's say we have $20K bill (very easy these days).

If we pick a $5000 max out of pocket, we would first pay the deductible $2500.

We would then pay 50% until we pay another $5000 (max out of pocket).

That's total exposure of $7500.

This would be our exposure for covered benefits, in-network.

Finally, there's a maximum benefit with the plans. This is the max amount that the plan will pay up to but it's very high.

Open heart surgery these days might run $100K+ so the max is more than adequate.

Those are the bullet points for the IHC short term with BCBS partnership.

BCBS Sponsored Short Term Wrap up

So we have a temporary health plan option (up to 3 month blocks) that allows us to use the MultiPlan network of doctors.

This is currently the only legitimate carrier for short term as the other carriers have either pulled their plans or are re-filing to meet the new 3 month window requirement.

Enrollment is all online and though medically underwritten (must qualify based on health), the process is simplified.

Please call 800-320-6269 or email us with any questions. There's no cost for our services!

For further review, check out our master article on short term health insurance coverage and plans.

Short term coverage is a great way to address interim periods of time such as between jobs, waiting for open enrollment, the need for immediate health coverage.

Call us at 800-320-6269 and we can go through any questions or run your instant Short term quote and enrollment. Thanks!


Frequently Asked Questions
▸ Is Blue Cross Blue Shield short term health insurance available in California?
No. California banned short term health insurance plans effective September 1, 2018, so BCBS and other carriers no longer offer short term plans in the state. Californians seeking temporary coverage need to explore alternatives such as health sharing plans or a qualifying special enrollment period.
▸ What are my options for short term health coverage in California?
Because short term health plans are banned in California, health sharing plans (such as OneShare) are among the few alternatives for gap coverage situations. These are not traditional insurance, so it's worth speaking with a licensed agent to understand how they work before enrolling.
▸ Can I get a BCBS-network plan outside of short term coverage in California?
Yes. Blue Shield of California (part of the BCBS partnership) offers individual, family, and group plans through Covered California and outside the exchange, with PPO options available in the individual market. You can get an individual or family quote to compare current plans and networks.
▸ Why did California ban short term health insurance plans?
California eliminated short term health plans because they typically lacked the consumer protections required under state law, such as coverage for pre-existing conditions and essential health benefits. The ban was designed to steer residents toward comprehensive, regulated coverage options.
▸ How can a licensed agent help me find coverage if I missed open enrollment?
A licensed California agent can review whether you qualify for a Special Enrollment Period, Medi-Cal, or a health sharing plan as a bridge option. Assistance through CalHealth.net is at no cost to you - you pay the same premium as going directly to the carrier.
The answers above are general information about California health insurance and may change as rates, plans, and rules are updated each year. They are not a substitute for personalized advice. For current, personalized guidance, please contact us, email help@calhealth.net, or call 800-320-6269. Serving California since 1994.
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