A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
Speak with a licensed insurance agent 888-389-0372
Speak with a licensed insurance agent 888-389-0372
Get a quote
A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
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Will you receive an ACA premium subsidy?
Learn how to determine if you qualify for ACA premium subsides, how subsidies are calculated, and why subsidy amounts in 2026 may be lower than recent years.

limited-benefit plan

Infographic regarding limited-benefit plans
Infographic regarding limited-benefit plans

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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