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Short-Term Health Plans Are Not Sold in California

California has barred the sale of short-term health plans since January 1, 2019, so they are not an option for California residents. Here is what to use instead, and what to watch for if someone offers you a product that looks similar.

The Rule in California

Senate Bill 910 added section 10123.61 to the California Insurance Code. Since January 1, 2019, short-term limited duration health insurance cannot be issued, amended, sold, renewed, or offered in California. A short-term policy is one that expires less than 12 months after it takes effect.

If someone offers you a short-term plan in California, treat it as a warning sign. Before you pay anything, look up the seller with the California Department of Insurance license search.

What to Use Instead

If you need coverage, or have a gap to fill, these are the options in California:

Covered California plans must cover pre-existing conditions and all essential health benefits, have a yearly limit on what you pay out of pocket, and are the only way to get federal and state financial help with your premium. See when coverage starts.

Products That Can Look Similar

These products can look like health insurance, or be sold as a cheaper replacement for it. None of them is a replacement for a full health plan:

Product What It Does What to Know
Fixed indemnity or hospital indemnity Pays a set dollar amount for a hospital stay or other event The amount can fall far below your bill, and this coverage alone does not meet California's coverage requirement.
Accident-only or single-disease coverage Pays only for an accident or a named illness Everything else is left to you, and this coverage alone does not meet California's coverage requirement.
Health discount cards or programs Gets you lower prices from some providers This is not insurance. You still pay the bill yourself, and it does not meet California's coverage requirement.
Health care sharing ministries Members share each other's medical costs This is not insurance. A ministry can refuse to accept you or to pay for care, including care for pre-existing conditions, you cannot ask the state for an independent medical review, and members get no financial help with premiums. Members of a ministry that has been sharing costs continuously since December 31, 1999 can claim an exemption from the state penalty, but that does not give them coverage.

Plans From Other States

  • A seller based in another state does not change the rule. The bar applies to plans issued, sold, or offered in California.
  • Be careful with plans sold online or through an association or trust. The California Department of Insurance has ordered companies without authorization to stop selling health coverage here, after people who believed they had full medical coverage found out it was limited and did not pay the bills they expected.
  • A short-term plan you bought elsewhere does not count in California. Short-term plans are not minimum essential coverage, so one does not meet California's coverage requirement once you live here.
  • A short-term plan ending does not open a Special Enrollment Period by itself. The Special Enrollment Period for losing coverage is for minimum essential coverage. Moving to California can be a qualifying life event of its own.

California's Coverage Requirement

California requires residents to have minimum essential coverage, qualify for an exemption, or pay a penalty on their state tax return. A gap of three consecutive months or fewer may be exempt. See the California tax penalty page for how the penalty works.

Need Coverage Now?

See what you can get and what you would pay, or ask our agents whether you qualify for Special Enrollment.

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