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 you need coverage, or have a gap to fill, these are the options in California:
Open enrollment: Anyone can enroll in a Covered California plan during open enrollment, with no qualifying life event.
Special Enrollment Period: A qualifying life event, such as losing coverage, getting married, moving, or having a baby, lets you enroll outside open enrollment.
Medi-Cal: If your income qualifies, you can enroll any time of year. See the Medi-Cal income limits.
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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