Med Plus STM Benefits Overview

Why Short Term Medical Insurance (STM)?

Circumstances in life may have caused you to lose your health insurance. Unexpected illnesses and accidents happen every day, so don’t put your financial future at risk if you can purchase short term medical insurance, until permanent insurance is available for you.

That’s why Health Insurance Innovation’s Med Plus Short Term Medical Insurance is the affordable solution that may be right for you. Med Plus STM pays benefits like a major medical insurance plan, but for a pre-determined length of time. You can select from a wide range of deductible and coinsurance options to tailor a plan to fit your lifestyle needs and budget!

How do I figure out what I need and where do I start?

First, you select your Coverage Period:

  • Single Payment:
    This option is ideal if you know the exact number of days you need coverage. The minimum number of days you may apply for coverage is 30 days, the maximum is 180 days. You pay now for the number of days you will need STM coverage. Med Plus Short Term Medical accepts payment by check, Visa or MasterCard.
  • Monthly Pay:
    This is ideal if you are unsure how long coverage is needed. This “pay as you go” option gives you the flexibility to continue coverage for as long as it’s needed or simply stop payments and discontinue the plan once your temporary need ends you can select coverage up to 6 months or up to 12 months (not available in all states). Med Plus Short Term Medical accepts automatic monthly payments by Visa, MasterCard or Bank Draft.

Then, based on your lifestyle needs and budget, you select one from each of the following:

  • Deductible: $250, $500, $1,000, $2,500, $5000, $7,500, or $10,000
    This is the amount of Covered Expenses that each Covered Person must pay before Coinsurance benefits are payable.
  • Coinsurance Percentage: 80/20 or 50/50
    After the deductible is satisfied, this represents the percent of covered expenses that Med Plus Short Term Medical pays and that you pay up to the Coinsurance Limit.
  • Coinsurance Limit: $5,000 or $10,000
    Once you’ve reached your Coinsurance Limit of $5,000 or $10,000 (based on your selection), Med Plus Short Term Medical pays 100% up to the Lifetime Maximum.

What medical expenses are covered?

The following benefits are for Insured and each Covered Dependent subject to the plan Deductible, Coinsurance Percentage, Coinsurance Limit and fixed Lifetime Maximum. Benefits are limited to the Usual, Reasonable and Customary charge for each Covered Expense, in addition to any specific limits stated in the policy.

  • Inpatient Hospital charges
  • Miscellaneous Medical Services, doctors medical care and treatment
  • Intensive or Critical Care up to three times the average semi-private room rate
  • Doctors Office and Urgent Care Center
  • Outpatient Hospital or Emergency Room Care
  • Physician services for treatment and diagnosis
  • Foreign Travel
  • Skilled Nursing Facility
  • Ambulatory Surgical Center or Outpatient Hospital Surgical Facility
  • Surgeon services in the hospital or ambulatory surgical center
  • Assistant Surgeon services
  • Anesthesia services
  • X-ray exams, laboratory tests and analysis, radioactive isotope therapy, oxygen, casts, splints, crutches, braces, surgical dressings, artificial limbs or eyes, rental of medical supplies
  • Ambulance Ground or Air Maximum
  • Blood or blood derivatives and their administration
  • Mammography
  • Inpatient prescription drugs
  • Home Health Care
  • Hospice Care
  • Acquired Immune Deficiency Syndrome (AIDS)
  • Temporomandibular Joint Disorder (TMJ)
  • Gallbladder surgery
  • Injury or disorders of the knees
  • Organ tissue transplants

Note: This is a brief description of the plan benefits, which may vary by state. Please visit www.hiiquote.com for specific benefit amounts and limitations.