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Protecting What Matters Most


How Life’s Changes Can Affect Health Insurance

In life, change is inevitable. You may be preparing to welcome a new family member, get married, or change employment; and with any major change, there are many considerations. What some physicians miss at these times is the chance to make adjustments to their health insurance coverage. At TMA Insurance Trust, we can help you navigate the health insurance options that present themselves during these moments of change in your life. Here’s how we can help.

Short Term Coverage Options

In previous articles, we have discussed the shortcomings of short-term health insurance coverage. Short-term health insurance plans do not cover pre-existing conditions. Most of these plans also do not cover regular office visits, maternity care, mental health care, and other preventative care. However, there may be certain circumstances in which short-term health insurance is the best option for you. These plans can provide some stop-gap protection for a 30- to 60-day window, providing coverage for an unexpected serious illness or accident. If you are suddenly without health insurance coverage because of a change in employment, short-term coverage may be a temporary option that can offer some protection.

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Changes that Qualify for Special Enrollment

There is also a special ACA enrollment period for those with extenuating circumstances. If any of the following events take place during the year, you can take advantage of a special enrollment period to add family members to your plan:

  • Get married
  • Have a child
  • Adopt a child
  • Become a foster parent
  • Become responsible for child support

Additionally, if you lose your current health coverage during the year due to the following, you can obtain coverage during a special enrollment period:

  • Divorce
  • Loss of dependent status
  • Moving out of state
  • Loss of employer coverage

For those who qualify due to these circumstances, there is a 60-day period for special enrollment from the date of the qualifying event.

Changes for New Independent Physicians

Some physicians are in still another set of circumstances; they are leaving their current position and are starting their own practice. If this is your case, we congratulate you! There are many things to consider at this time, including group health insurance. TMA Insurance Trust can help you find the group plan that works for your practice’s needs, and walk you through the process as quickly and efficiently as possible. We can also discuss any other options that may help you protect your practice, including life insurance and business overhead expense coverage.

We Can Help - Before Time Runs Out

While some changes can be exciting, they are often stressful, which may distract you from making the best choices in the short time frame you have. With our experienced health insurance advisors ready to assist you, you can have the comprehensive, ACA-compliant health insurance that you want before the deadline runs out. Contact a TMA Insurance Trust advisor today to discuss your situation so we can find the option that works best for your needs.

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For over 60 years, TMA Insurance Trust advisors have been serving Texas physicians, their families and staff. TMA Insurance Trust prides itself on offering unbiased information and strategies to members, along with exclusive group rates on a range of the highest-rated plans in the industry.

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