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Health Insurance Between Medical School and Residency

Graduates in caps and gowns at a commencement ceremony

Many new doctors assume coverage will simply carry over from med school to residency. Often it doesn't line up perfectly, and the gap is easy to miss until it's too late.

Why gaps happen

Your school plan may end when you graduate or when the plan year ends. Your residency benefits may not start until your first day, or later. If those dates don't touch, you could be uninsured for some stretch in between.

Employer waiting periods

Under federal law, an employer health plan can't make you wait longer than 90 days for coverage to begin. Many programs start sooner, but the exact date varies, so ask rather than assume.

What to ask

Your program's GME or HR office can answer the second and third questions. Your school's student health office can answer the first and last.

Ways to cover a gap

Depending on your dates and situation, you may have a few options, including extending your school plan if it allows, an individual plan, or a private plan with a start date that matches your needs. Each has tradeoffs in cost and what's covered. Kyle can lay them out side by side.

The key is to start early. Looking into it a month or two before graduation leaves you time to choose well.

About private plans: Private health plans are not ACA-compliant major medical plans. Benefits, exclusions, limits and underwriting vary by plan, they may not cover pre-existing conditions or all essential health benefits, and they are not eligible for ACA premium subsidies. Kyle explains exactly what a plan does and does not cover before you decide, and you should read the plan documents.

More guides

Questions? Talk to Kyle.

A free 15-minute call is all it takes. Kyle will walk you through your options.

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