Frequently Asked Questions
- What medical expenses are covered?
- What services are not covered?
- Is there a pre-existing condition limitation?
- What are my payment options?
- When does my coverage start?
- How long will GradGuard STM coverage last?
- Can I continue coverage?
- Is there a free look period?
- What are other uses for Short-Term Medical?
What medical expenses are covered?
After satisfying the deductible amount you’ve selected, GradGuard STM will pay the coinsurance you selected
of the next $5,000 of covered expenses, then 100% of covered expenses, up to a lifetime maximum of $2 million
per insured person per coverage period.*
Benefits are limited to the usual, reasonable and customary charge for a covered expense in addition to any specific limits.
- Hospital Charges: average semi-private room rate, medical care and treatment
- Outpatient Hospital or Ambulatory Surgical Center charges
- Physician Services for treatment and diagnosis
- Surgeon Services in the hospital or ambulatory surgical center
- Assistant Surgeon Services: up to 20% of the surgeon benefits
- Anesthesia Services: up to 20% of the surgeon benefits
- Intensive Care: up to three times the average semi-private room rate
- X-Ray Exams, Laboratory tests and analysis
- X-Ray and Radioactive isotope therapy, anesthesia, oxygen, casts, splints, crutches, braces, surgical dressings, artificial limbs or eyes, rental of medical supplies
- Blood or blood derivatives and their administration
- Ambulance Services: $250 per emergency
- Organ Transplants: $50,000 lifetime maximum
- Acquired Immune Deficiency Syndrome (AIDS): $10,000 lifetime maximum
- Mammography, Pap smear and screens
*Benefits for gallbladder surgery are limited to a $2,500 lifetime maximum per insured person. Benefits for injury or disorders of the knees are limited to a $2,500 lifetime maximum per insured person. Benefits may vary by state.
What services are not covered?
The following is a partial list of services or charges not covered:
Benefits are limited to the usual and customary charge for a covered expense in addition to any specific limits.
- Any services that are not medically necessary
- Eye exams, eyeglasses, hearing aids and surgery
- Dental or orthodontic services
- Treatment of foot conditions
- Conditions resulting from an act of war
- Maternity and newborn treatment prior to discharge, any infertility treatments or sterilization treatments
- Spinal manipulation or adjustment
- Services performed by family members or for which a charge would otherwise not be incurred
- Medical care received outside of the United States
- Services payable by Medicare or Worker’s Compensation coverage
- Cosmetic surgery, treatment for acne, hair loss or varicose veins
- Transplant services to the transplant donor
- Routine physical exams and tests, preventive care and immunizations
- Experimental or investigational services
- Learning disorders, attention deficit disorder, hyperactivity or autism
- Mental or nervous disorders, depression or suicide attempt
- Alcohol or drug dependency and disorders
- Obesity treatments
- Sleep disorders
- Over-the counter-medications and prescription drugs
- Participation in school or organized competitive sports or any high-risk sport
- Certain surgeries during the first six months
The limitations and exclusions may vary by state. Please see the Policy/Certificate of Insurance for detailed information about these and other plan limitations and exclusions.
Is there a pre-existing condition limitation?
Pre-existing conditions are not covered. This includes any condition or complication that was treated or produced symptoms within the five years prior to your GradGuard STM effective date.
The pre-existing condition limitation may vary by state.
What are my payment options?
Choose from two convenient payment options.
- You can pay for coverage in Monthly payments for up to 6 or 12 months at a time.* We accept monthly payments by check, money order, credit card or automatic bank withdrawal. If you select the monthly pay option, and your need for insurance ends before your coverage period ends, you can cancel at any time with prior written notification to our Policy Service Department.
- The Single payment option is ideal if you know the exact number of days coverage is needed because this option has a special reduced rate and you only pay for the coverage you need in one single payment. You can pay in full for the exact number of days, from a minimum of 30 days to a maximum of 180 days of coverage, by check, money order or credit card.
When does my coverage start?
Once you apply and are approved, your coverage takes effect at 12:01 a.m. the next day. You can request a later effective date, but no more than 60 days after the application date. All coverage is subject to approval of your
application and payment of the first premium.
How long will GradGuard STM coverage last?
Coverage is specifically designed to fill temporary insurance needs, and
coverage stops at the end of the period applied for. Depending on the payment option
you select, GradGuard STM offers coverage for 1 to 6
months or even 12 months.*
Can I continue coverage?
If your need for temporary health insurance continues, you
may apply for another GradGuard STM plan. Your application
is subject to eligibility, underwriting requirements
and state availability of the coverage. The next
coverage period is not continuous and any condition
incurred during the last coverage period will be excluded
as a pre-existing condition.
Is there a free look period?
If you are not completely satisfied with this coverage,
and you have not filed a claim, you may return the
Policy/Certificate of Insurance within 10 days and receive
a premium refund.
What are other uses for Short-Term Medical?
While GradGuard STM Insurance is the ideal solution for college graduates, it is also a
good choice for other short-term needs.
- Between jobs
- Recently divorced and no longer on spouse’s policy
- Waiting for employer group coverage
- Temporary or seasonal employee
- Dependent no longer covered under parents’ plan
- On strike, laid-off or a terminating employee
Get a free quote online, or call 1-877-270-1156 at any time if you have questions or want to apply by phone.
GradGuard STM for graduates is an affordable short-term medical insurance.
GradGuard offers flexible plan options so you can get the one that meets your graduate’s needs.
Whether it’s a few months or a year, your new grad will be covered.
Choose from Monthly or Single payment options.