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Plan Type

Accident-Only: 12 months Cover with $500 Deductible ($50,000 Cap)

Accident-Only explained: 12 months term, $25–$55/month, $500 deductible, 20% coinsurance, $50,000 cap. Who it fits and the real worst case.

Updated Oct 22, 2026 301 words Reviewed against primary sources
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Key facts
Max duration12 months
Monthly premium$25–$55
Deductible$500
Coinsurance20%
Benefit cap$50,000

The Accident-Only is excludes illness entirely — it is not health insurance in the comprehensive sense. It runs up to 12 months with a $500 deductible, 20% coinsurance and a $50,000 benefit cap, priced around $25–$55 a month for a healthy adult applicant.

The four numbers that matter

Term Value Why it decides your payout
Duration 12 months How long the bridge lasts
Deductible $500 Paid before the insurer responds
Coinsurance 20% Your share after the deductible
Benefit cap $50,000 Maximum the policy will ever pay
Premium $25–$55/month Cost of the bridge, not of care

Taken together, this structure means a serious event bills you $500 plus 20% of the remainder until the cap is reached. For a $40,000 surgery that is the difference between a manageable bill and a financial event — run the arithmetic before buying on premium alone.

Who this structure fits

  • Best for: healthy adults who want catastrophe cover only.
  • Workable if: you are healthy, have no prescriptions and keep the deductible in savings.
  • Avoid if: you have an ongoing condition, are pregnant, or expect a procedure in the next 12 months.

Underwriting is the gate. If you take a daily medication, expect either a rider excluding that condition or a denial — either outcome changes the math in favor of a marketplace plan.

Cost of ownership over the term

Premiums alone total about $25–$55 a month across the term. Add the deductible and you reach your true exposure: that combined figure is what should be compared against an ACA bronze plan’s premium and out-of-pocket maximum, not the monthly premium by itself.

Also check the network: limited PPO panels mean out-of-network care can be billed at full price, which is how a covered event still ends in a five-figure bill.

Accident-Only is a tool for a defined, short, low-risk gap — priced at $25–$55 a month with a $50,000 ceiling. Read the exclusions before the premium.

Frequently asked questions

What is the worst-case bill on this plan?
$500 deductible plus 20% coinsurance, capped by the $50,000 benefit limit u2014 keep at least the deductible liquid.
Can I renew it?
Federal rules cap total duration near four months; renewals beyond that are not available, and some states are stricter.
Does it cover pre-existing conditions?
No. Any treatment related to a condition documented before the start date is excluded.