Can you get Covered California if your job offers insurance?

Asked by: Theron Kihn  |  Last update: February 2, 2024
Score: 4.3/5 (73 votes)

You can still sign up for a health plan through Covered California. You will have to pay full price unless your employer-sponsored coverage is considered not affordable and does not meet minimum value standards. Use the Affordability Tool to estimate if your employer-sponsored coverage is affordable.

Can I decline my employers health insurance and get Covered California?

Also, if you turn down your offer of affordable employer-sponsored coverage and enroll in a plan through Covered California with financial help, you may have to pay back some or all of the premium tax credits when you file your federal taxes.

Can I get Medi-Cal if my employer offers insurance?

Note: You can choose to get Medi-Cal even if you have employer-sponsored coverage. If you have both at the same time, Medi-Cal may decide it is cost-effective for them to pay your portion of your employer-sponsored health insurance's premium.

Who can qualify for Covered California?

California residents who don't have an offer of affordable coverage can get a health plan through Covered California. In addition, most immigrants qualify for health coverage, including the following groups: Lawful permanent residents (green card holders). Lawful temporary residents.

Do you have to be employed to get Covered California?

People who are unemployed may be able to get a health plan through Covered California that includes savings based on your household size and income. You or your family members could also qualify for free or low-cost coverage through Medi-Cal.

Employer provides health insurance to employees through Covered California for Small Business

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Is Covered California based on income?

What's the maximum income I can have and be eligible for government assistance through Covered California? A household's size and gross income determines Covered California eligibility. This health insurance marketplace's subsidies are offered to low-income applicants.

Is Covered California available to everyone?

Any Californian can get health insurance through Covered California if he or she is a state resident and cannot get affordable health insurance through a job. Applicants may qualify for a free or low-cost health plan, or for financial help that can lower the cost of premiums and co-pays.

What are the salary requirements for Covered California?

So according to the Covered California income guidelines and salary restrictions, if an individual makes less than 47,520 dollars a year or if a family of four earns wages less than 97,200 per year, they will qualify for government assistance based on their income.

How is income determined for Covered California?

Generally, the projected annual income on your Covered California application should match your Adjusted Gross Income (line 11 of Form 1040) from your most recent Federal Tax Return. This is the recommended method if your annual income stays at a constant level from year to year.

What is the minimum salary for Covered California?

According to Covered California income guidelines and salary restrictions, if an individual makes less than $47,520 per year or if a family of four earns wages less than $97,200 per year, then they qualify for government assistance based on their income.

Is it better to get insurance through work or Covered California?

In most cases, your employer offer is your best bet. In fact, if your employer offer meets the federal affordability and minimum value standards, you will not qualify for financial help to lower the cost of a Covered California health plan.

What does it mean when an employer offers health insurance?

Employer-sponsored health insurance is a health policy selected and purchased by your employer and offered to eligible employees and their dependents. These are also called group plans. Your employer will typically share the cost of your premium with you.

What is the difference between Medi-Cal and Covered California?

What is the difference in coverage between Medi-Cal and Covered California?​​​​ Medi-Cal is health coverage, just like the coverage offered through Covered California. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family.

What happens if I don't qualify for Covered California?

If you are uninsured and are not eligible for Medi-Cal or a plan through Covered California, you may qualify for limited health services offered by your county. These programs are not insurance plans and do not provide full coverage.

Can I get Covered California if I work part time?

Not all FTE employees may be eligible for coverage with Covered California for Small Business. Employees who are eligible for coverage include: Full-time employees (those who work 30 or more hours per week). Part-time employees (those who work 20-29 hours per week) at the employer's discretion.

What happens if you don't have health insurance in California?

The individual mandate means that Californians must either have qualifying health insurance, or pay a penalty when filing their state tax return unless they qualify for an exemption. How much? For tax year 2022, the penalty will cost at least $850 per adult and $425 per dependent child under 18 in your household.

What happens if you put the wrong income for Covered California?

If it changes during the year, you need to report it within 30 days. What happens if you don't? If your income turns out to be higher than expected, it means if you were cruising along all year with APTC based on a lower income, you actually got too much help and now you gotta pay it back.

How does Covered California work?

Covered California is a free service that connects Californians with brand-name health insurance under the Patient Protection and Affordable Care Act. It's the only place where you can get financial help when you buy health insurance from well-known companies.

What is the age limit for Covered California?

People under age 26 can stay on a parent's health plan. People under 30 have special options for health insurance. They can buy a minimum coverage health plan (also known as a catastrophic plan). These plans are inexpensive and protect you from staggering medical bills in case of an emergency.

Will Covered California affect my taxes?

If you receive a tax credit through Covered California, you must file taxes for that benefit year. You will receive a 1095-A form, which shows how much Covered California paid to your insurance company to help with the cost of your health coverage. You will use the information on your 1095-A to fill out IRS Form 8962.

Is Obamacare and Covered California the same?

Obamacare health insurance plans are available through the Covered California insurance marketplace and Health for California. If you sign up for insurance through Covered California, you are covered by Obamacare. Since these two options are the same, you do not have to worry about choosing between the two.

How much does Medi-Cal cost California?

For most families, Medi-Cal coverage for kids is free, with no premium, deductible or copays. For CCHIP coverage and sometimes for Medi-Cal, there is a fee of $13 per month per child, up to $39 per family. Want to get started with Covered California?