How do I choose a Covered California plan?

Asked by: Pearl Greenfelder Sr.  |  Last update: November 26, 2023
Score: 4.8/5 (25 votes)

Online: Visit www.CoveredCA.com. We provide information about each health insurance plan, explained in clear and simple terms. By phone: Call Covered California at 1-800-300-1506 (TTY: 1-888-889-4500). You can call Monday through Friday, 8 a.m. to 6 p.m. and Saturday, 8 a.m. to 5 p.m. The call is free!

What are the different levels of Covered California?

Covered California health insurance plans — and all health plans in the individual and small-group markets — are sold in four levels of coverage: Bronze, Silver, Gold and Platinum.

What are 4 things you should look at when choosing an insurance plan?

What to look for in a health insurance plan
  • Premium. This is the amount of money you pay each month for insurance.
  • Deductible. This is the amount of money you have to spend before the plan starts paying for your health care. ...
  • Co-payment (also called co-pay). ...
  • Maximum out-of-pocket cost or expense.

Can you change your plan with Covered California?

What if I want to change something about my health coverage or renew my plan through Covered California? Renewal usually starts in the fall, right before the open-enrollment period. At that point, you'll be able to switch your plan and make any changes.

Do I have to renew Covered California every year?

For most members, coverage is renewed automatically. Sometimes the county will send you a renewal form that you must review and return, along with any additional required information. Want to get started with Covered California?

Covered California Plans (HMO, PPO and EPO)

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Do you have to re enroll in Covered California every year?

IMPORTANT: If you take no action to actively renew or change plans, you will automatically be enrolled, 15 days after the date on the renewal notice you received in the mail, into the same plan you had the previous year, if available, and using the most recent household size and income information you gave us to ...

Is Covered California for poor people?

A household's size and gross income determines Covered California eligibility. This health insurance marketplace's subsidies are offered to low-income applicants. But what is low income in California? Covered California income limits are a household income of up to 400% of the Federal Poverty Level (FPL).

What if I can't afford Covered California?

If you or anyone in your tax household has offers of health coverage from a job or through Covered California that you cannot afford, you can apply for an affordability hardship exemption.

What proof of income is needed for Covered California?

Pay stub. It must include: Full name of the person or other identifying information to link to the person (e.g. SSN). Social Security card is not necessary.

How do you decide which coverage to choose?

Let's get started.
  1. Check to see which providers are in network. Finding a doctor or clinic that is in network may help keep costs lower. ...
  2. Consider your health care needs. From year to year, your coverage needs may change. ...
  3. Decide how you prefer to manage your costs. You can make choices about how you pay for your care too.

What's better Covered California or medical?

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 are the five 5 things to know before getting insurance?

The first 5 things you need to consider are:
  • Assess your insurance needs. ...
  • Compare insurance policies. ...
  • Choose a cover that you can afford. ...
  • Evaluate the future of your insurance policy. ...
  • Check the claim settlement history of the insurance company.

Is Covered California based on gross or net?

You can start by using your adjusted gross income (AGI) from your most recent federal income tax return, located on line 11 on the Form 1040. Add any foreign income, Social Security benefits and interest that are tax-exempt. Then, add or subtract any income changes you expect in the next year.

What is the point of Covered California?

Covered California negotiates with insurance companies on behalf of consumers to lower costs, while also connecting members to federal financial help. Many people are unaware that they might qualify for financial help through a free service like Covered California.

Does Covered California cover 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 is the family glitch for Covered California?

What is the family glitch? Under the Affordable Care Act (ACA), if an employee has an offer of health coverage from their employer that meets the affordability threshold, the consumer would not qualify for financial help for health coverage through Covered California.

What is the penalty for no health insurance in California?

The penalty for not having coverage the entire year will be at least $850 per adult and $425 per dependent child under 18 in the household when you file your 2022 state income tax return in 2023. A family of four that goes uninsured for the whole year would face a penalty of at least $2,550.

Can I get Covered California if I have a job?

You may have coverage as a current worker or retiree. You can shop for health coverage through Covered California, but you won't qualify for financial help in the form of premium tax credits if your employer offers a health plan that meets minimum value standards and is considered affordable.

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).

Can you join Covered California at any time?

Open enrollment for Covered California starts in the fall. Even when open enrollment is over, individuals with qualifying life events can enroll at any time of the year. Medi-Cal enrollment is also year-round.

What are the changes in Covered California 2023?

Covered California now has expanded to 12 health insurance companies. No matter where you live, in 2023, you'll have a choice of at least two companies—and 93 percent of people can choose from three or more. More options mean more flexibility to find a plan that's right for you.

What is the deadline for Covered California 2023?

Californians have 60 days from the date the state of emergency was declared — or through March 5, 2023 — to sign up for coverage. Consumers who sign up will benefit from the lower costs now available due to the increased and expanded financial help provided by the Inflation Reduction Act.