Health Insurance

Catastrophic Protection

Catastrophic Coverage

Catastrophic coverage health insurance plans might appear scary, but they can be a viable option in and out of the market.

Catastrophic Coverage

What are Catastrophic Protection Plans?

Health insurance is a good idea in various ways. It typically provides preventative services free of charge and cost share for essential services at a reduced cost and also imposes out-of-pocket maximums. 

The OOP maximums will prevent you from becoming a major medical debt. When you’ve crossed a budgetary threshold for your medical expenses then your insurance policy is required to pay the remaining balance of your medical bills.

Catastrophic coverage plans have a few similarities, but there are certain fundamental distinctions.


You can buy catastrophic insurance plans on and off the market. The eligibility requirements depend on several elements. 

If you are a market participant, catastrophe plans are available in your region, you must generally be under the age of 30. But, you may be eligible for an exemption for hardship dependent on your financial situation.

Catastrophic insurance plans are created to safeguard you from “the most dangerous”. If you have a marketplace plan, it will pay for some of your essential preventative services for no cost. 

They also provide three visits to primary care each year prior to you have reached your threshold. Furthermore, you’ll be covered for an OOP maximum to shield you from costly medical bills. However, copays and deductibles are often quite expensive. 

Catastrophic Coverage

The plans are intended for those who require minimal needs and to protect against the most severe of conditions.

They are a great option for young and healthy individuals, particularly those who aren’t eligible for tax credits on premiums. 

The cost of catastrophic insurance is relatively low. However, if you’re qualified to receive a tax credit for premiums but not eligible to apply it towards the catastrophic coverage plan. Based on the amount of your tax credit and the amount of your premium tax credit, you might be better off with an older-style marketplace plan.

Private Insurance

Catastrophic insurance plans can be readily available on the market as well. Some people refer to short-term health plans, such as medical insurance policies that provide catastrophic protection. 

There is a lot of overlap, however, STM could provide better benefits, based on your needs of yours.

Private insurance plans aren’t subject to the same rules as market insurance plans. This means that you are at risk of medical underwriting.

Keep in mind that although the premiums for catastrophic insurance policies can be very low, if you require more regular or intensive medical attention, you’ll be required to pay more out of your pocket. 

But for a young and healthy person, they are the best way to continue to have insurance and protect yourself and keep monthly expenses at the lowest.