Overview - Individuals
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STLD: Short Term Blue Header
Short Term Blue
364 Days of Coverage for Individuals and Families
Common Plan Benefits
- Plan Year Deductible: $1,500 Individual / $3,000 Family
- Prescription Drug Contract Maximum: $3,000 per Individual
- Convenient Phone & Video Consultations through Teladocâ„¢ ?
- No Coverage for Pre-Existing Conditions
STLD: Short Term Blue Accordion Header
What You Would Pay For In-Network Services:
Benefits listed apply to services provided in the state of Alabama only. Outside of Alabama coverage is limited to accidental injury and medical emergencies.
Complete benefits are listed in the Benefit Booklet.
STLD: Short Term Blue Benefits Accordion
- You Pay:
$50 copay - We Pay:
100% after the copay
- You Pay:
$500 copay - We Pay:
100% after the copay
- You Pay:
$500 copay - We Pay:
100% after the copay
- You Pay:
$500 copay per day (days 1-5) for each admission - We Pay:
100% after the copay
- You Pay:
20% subject to the plan year deductible - We Pay:
80% subject to the plan year deductible
- You Pay:
$50 copay - We Pay:
100% after copay
For complete coverage details view the Prescription Drug List for this plan.
-
Tier 1
- You Pay:
$15 copay - We Pay:
100% after the copay
- You Pay:
-
Tier 2
- You Pay:
$30 copay - We Pay:
100% after the copay
- You Pay:
-
Tier 3
- You Pay:
$60 copay - We Pay:
100% after the copay
- You Pay:
-
Tier 4
- You Pay:
100% - We Pay:
0%
- You Pay:
-
Tier 5
- You Pay:
$250 copay - We Pay:
100% after the copay
- You Pay:
-
Tier 6
- You Pay:
100% - We Pay:
0%
- You Pay:
- You Pay:
20% subject to the plan year deductible - We Pay:
80% subject to the plan year deductible
- You Pay:
$500 copay - We Pay:
100% after the copay
Learn More About Preventive Services and Preventive Drugs coverage for this plan.
- You Pay:
0% - We Pay:
100%
STLD: Content Page Disclaimer
This coverage is not required to comply with certain federal market requirements for health insurance, principally those contained in the Affordable Care Act. Be sure to check your policy carefully to make sure you are aware of any exclusions or limitations regarding coverage of pre-existing conditions or health benefits (such as hospitalization, emergency services, maternity care, preventive care, prescription drugs, and mental health and substance use disorder services). Your policy might also have lifetime and/or annual dollar limits on health benefits. If this coverage expires or you lose eligibility for this coverage, you might have to wait until an open enrollment period to get other health insurance coverage.
To be enrolled in short term coverage, the contract holder must be a resident of the state of Alabama, not enrolled in Medicare or Medicaid, and not currently on a short term limited duration plan. For information about premiums, benefits, and limitations and exclusions for short term plans, please review the Benefit Booklet for Short Term Blue Limited 2023, Short Term Blue 2023 and Short Term Blue Plus 2023.