Societies Insurance

Short-Term Medical Quote Request

Applicant Information:

Optional. If you pick Multiple States or Other, tell us where in "How can we help" below.
Begin Application

Request a Quote: send a few details and an agent will contact you.
Begin Application: fill out the full application online now for the fastest, most accurate quote. You can save and finish later.

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Coverage details

What Short-Term Medical coverage includes

Short-term medical plans provide temporary coverage when you're between jobs or waiting for other coverage to start.

Good to know: short-term plans aren’t ACA plans and can decline pre-existing conditions.

Not covered: pre-existing conditions, maternity and often prescriptions.

Insurance Application:

Short-Term MedicalBegin Application

Required forms

Short-Term Medical Supplemental Application (PDF)Want to save and finish later? Complete it online

Download, complete and email to quote@societiesinsurance.com, or attach it with your quote request.

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Contact details

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