Catastrophic Coverage

Cobertura Catastrófica

In 9 languages

LanguageTerm
EnglishCatastrophic Coverage
Spanish (Español) Cobertura Catastrófica
Chinese (中文) 灾难性医疗保险
Korean (한국어) 재해 보장
Vietnamese (Tiếng Việt) Bảo hiểm thảm họa
Filipino (Tagalog) Saklaw sa Sakuna
Portuguese (Português) Cobertura Catastrófica
Thai (ภาษาไทย) ประกันสุขภาพแบบหายนะ
Japanese (日本語) 壊滅的医療保険

What it means

A catastrophic health plan is a type of ACA marketplace plan designed for people who want protection against worst-case medical costs but are willing to pay most routine expenses out of pocket. Catastrophic plans have very low monthly premiums but very high deductibles—equal to the ACA's annual out-of-pocket maximum (over $9,000 for single coverage in most years). After you meet the deductible, the plan covers 100% of covered costs. Catastrophic plans are only available to people under age 30 or those who qualify for a hardship or affordability exemption. They do cover three primary care visits per year and preventive services at no cost. These plans are generally not eligible for income-based premium tax credits.

How to say it

Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:

I enrolled in a catastrophic plan because the low premium fits my budget as a young adult.

Me inscribí en un plan catastrófico porque la prima baja se ajusta a mi presupuesto como adulto joven.

My catastrophic plan has a very high deductible, but it protects me from a major medical bill.

Mi plan catastrófico tiene un deducible muy alto, pero me protege de una factura médica importante.

You must be under 30 or have a hardship exemption to buy a catastrophic plan.

Debes tener menos de 30 años o tener una exención de dificultades para comprar un plan catastrófico.

Where you'll see it

marketplace plan comparisonSummary of Benefits and Coverageinsurance enrollment confirmationhealthcare.gov eligibility notice

Related terms

Sources

US Glossary Español A–Z US Codes United States

Last reviewed: September 2026