A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
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Call our agency partners 866-553-3223

Medicare & Medicaid

Medicare & Medicaid

Featured

Featured
How sunsetting ARP’s subsidy enhancements would affect ACA subsidy amounts
What will happen to Marketplace health insurance subsidy availability and size when the subsidy enhancements instituted under the American Rescue Plan sunset after 2025?

Featured

Featured
Where do I find my 1095 tax form?
The 1095 tax forms are used by exchanges, employers, and health insurance companies to report health insurance coverage to the IRS. Learn about each type of tax form and where to find it.

limited-benefit plan

healthinsurance.org health insurance glossary

What is a limited-benefit plan?

Limited-benefit plans are medical plans with much lower and more restricted benefits than major medical insurance. Limited-benefit plans include critical illness plans, indemnity plans (policies that only pay a pre-determined amount, regardless of total charges), and "hospital cash" policies. Short-term health insurance policies are also considered a type of limited benefit plan, as they only provide coverage for a short time and do not cover all of the essential health benefits.

Limited benefit plans are not regulated by the Affordable Care Act and are not suitable to serve as a person’s only medical coverage. But some types of limited benefit plans can be a good supplement to a high-deductible major medical plan, or any major medical plan that has high out-of-pocket costs.

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