Short Term Major Medical

Short term major medical or temporary health coverage is designed for individuals who are in between work, in the waiting period of an employer's group health plan, just graduated from school and no longer eligible under their parent's plan, or are waiting to become eligible for Medicare.

Plan Features:

• Coverage for 1 - 6 or 12 months
• Freedom to choose any doctor or hospital
• Your choice of deductible and coinsurance levels
• $2,000,000 lifetime maximum per covered person
• Single payment discount for 30-180 days
• Unlimited re-applies for coverage

Who needs this type of coverage?

Short term medical insurance is an ideal, affordable type of medical insurance for those who are: unemployed, self-employed, in between jobs, recent college graduates, or in need of an alternative to COBRA. You will see that this coverage provides many special and unique coverage features while maintaining a very competitive premium structure.

Do I have the option to select my doctors, hospitals, and medical providers?

Yes. You have the freedom to select the doctors and hospitals of your choice. This plan is not an HMO or PPO.

Is there a pre-existing condition limitation?

Secure STM will not provide benefits for any loss caused by, or resulting from, a pre-existing condition. A pre-existing condition is any medical condition or sickness for which medical advice, care, diagnosis, treatment, consultation or medication was recommended or received from a doctor within five years immediately preceding the covered person’s effective date of coverage; or symptoms existed within the 5-years immediately prior to the covered person’s effective date of coverage which would cause a reasonable person to seek diagnosis, care or treatment. The pre-existing condition limitation may vary by state.

Is there a free-look period?

If you are not completely satisfied with this coverage, and you have not filed a claim, you may return the Certificate of Insurance within 10 days and receive a premium refund. Enrollment and Administrative fees are non-refundable.

When does my coverage start?

The insurance can be effective as early as 12:01 a.m. the next day after the transmission date. However, the applicant can choose a later effective date not to exceed 60 days from transmission date. Coverage ends on termination date listed in your policy. All coverage is subject to approval of your application and payment of the first premium.

How long will STM coverage last?

Secure STM is specifically designed to fill a temporary insurance need. Coverage stops at the end of the period for which you apply. Depending on the payment option you select, coverage can continue for one to six months or up to 12 months. The 12-month coverage option is not available in all states.

Can I continue coverage?

If your need for temporary health insurance continues, you may apply for another Secure STM plan. Your application is subject to eligibility, underwriting requirements and state availability of the coverage. The next coverage period is not a continuation of the previous period meaning, amongst other things, a new pre-existing condition limitation will apply.

When does coverage terminate?

Coverage ends on the earliest of the date the premium is not paid when due; or you cease to be a member of the association;* or the group master policy terminates; or you enter full-time active duty in the Armed Forces; or you become eligible for Medicare; or the elected coverage period expires; or Standard Security Life Insurance Company of New York determines fraud or misrepresentation has been made in filing a claim for benefits. A dependent’s coverage ends on the earliest of the date your coverage terminates; or the dependent becomes eligible for Medicare; or the dependent ceases to be eligible.

*Applies only to states where association membership is required.

Health & Wellness