Is a Short Term Medical plan considered “creditable coverage” under HIPAA?

October 15, 2014/in Temporary Health Insurance /by D Shawn Kennedy

Under HIPAA, Short Term Medical coverage is generally considered creditable coverage to help satisfy any pre-existing condition period.* Previous creditable coverage includes:

A group health plan

Health insurance coverage

Part A or Part B of title XVIII of the Social Security Act (Medicare)

Title XIX of the Social Security Act, other than coverage consisting solely of benefits under section 1928 (Medicaid)

Chapter 55 of title 10, United States Code (Champus)

A medical care program of the Indian Health Service or of a tribal organization

A state health benefits risk pool

A health plan offered under chapter 89 of title 5, United States code (Federal Employee Health Benefit Plan)

A public health plan (as defined in regulations)

A health benefit plan under section 5(e) of the Peace Corps Act

* State reform legislation may vary; consult your state for specific rights and requirements.

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