Is L.A. Care an Affordable Care Act plan?

Asked by: Tomas Marvin  |  Last update: February 9, 2025
Score: 4.2/5 (60 votes)

L.A. Care has been a publicly operated health plan since 1997, serving Medi-Cal members in Los Angeles County. Then in 2014, when it decided to participate in Covered California™, the state's Affordable Care Act (ACA) exchange, it became the first true public option in the marketplace… and guess what? It's thriving.

What type of insurance plan is L.A. Care?

L.A. Care offers a Medi-Cal plan built with our community in mind.

What is considered an Affordable Care Act plan?

The Affordable Care Act (ACA) is a comprehensive reform law, enacted in 2010, that increases health insurance coverage for the uninsured and implements reforms to the health insurance market. This includes many provisions that are consistent with AMA policy and holds the potential for a better health care system.

Does Medi-Cal fall under the Affordable Care Act?

Prior to the Affordable Care Act (ACA), Medi-Cal served low-income families and children, the elderly, and people with disabilities. Under the ACA, California lawmakers expanded the program to include low-income adults without children or a qualifying disability starting in 2014.

Is Covered California considered Affordable Care Act?

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.

L.A. Care Health Plan Discusses Medi-Cal Redeterminations

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Is LA Care Affordable Care Act?

L.A. Care has been a publicly operated health plan since 1997, serving Medi-Cal members in Los Angeles County. Then in 2014, when it decided to participate in Covered California™, the state's Affordable Care Act (ACA) exchange, it became the first true public option in the marketplace… and guess what? It's thriving.

How do I know if I have Affordable Care Act insurance?

If you receive automatic financial help to pay for your coverage, you probably have an Obamacare plan. The ACA lets plan members apply for two types of assistance: premium tax credits and cost-sharing reductions. A premium tax credit, also known as a subsidy, lowers the amount you pay each month for your plan.

Who is eligible for the Affordable Care Act in California?

Be a U.S citizen or be legally present in the country. Enroll for health coverage through Covered California. Not be receiving Medicare, Medi-Cal or military health benefits. Not have health coverage from your employer.

What plan is Medi-Cal under?

Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources.

What are the examples of the Affordable Care Act?

If you get sick, an insurance company cannot cancel your policy. Health insurance companies cannot turn down your application because of your health status. Women can no longer be charged more for insurance than men. In fact, insurance rates cannot be based on gender or gender identity at all.

Can I refuse health insurance from my employer and get Obamacare?

Obamacare is available to everyone, whether or not their employers offer insurance. From a practical standpoint, though, there are financial consequences to doing this. Often, an employer subsidizes part or all of their employees' coverage.

Is the Affordable Care Act the same as Obamacare?

The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and informally as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010.

How good is a L.A. Care Health Plan?

L.A. Care Health Plan is the highest-rated Medi-Cal managed care plan in Los Angeles County, as shown by the National Committee for Quality Assurance's (NCQA) Medicaid Health Insurance Plan Ratings 2019–2020.

Why is L.A. insurance so expensive?

There are many reasons why car insurance in Los Angeles is expensive, including the high number of cars on the road, population density and car accident and theft rates. Minimum-coverage car insurance in LA costs 49% more than the California average and 33% more than the national average.

What is the difference between Medi-Cal and L.A. Care?

L.A. Care is the health plan for Medi-Cal members in Los Angeles County. The California Department of Health Care Services (DHCS) works with L.A. Care to provide your Medi-Cal health care.

Is L.A. Care Medicare or Medicaid?

L.A. Care Medicare Plus coordinates all Medicare and Medi-Cal benefits as one health plan. Just a few of the benefits include access to gyms through Silver Sneakers, an over-the-counter allowance, mental health services, telehealth and worldwide emergency coverage.

What is the best Medi-Cal health plan in California?

Kaiser Permanente is also the only Medicare health plan in California to receive a 5-star rating, according to the Centers for Medicare & Medicaid Services' 2023 Medicare Star Ratings.

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

Who is not eligible for Affordable Care Act?

You are not eligible for Obamacare if: You do not live in the U.S. You are incarcerated. You are not a U.S. citizen, U.S. national, or lawfully present noncitizen in the U.S.

What are the income limits for ACA in California?

In 2024, an individual in a one-person household is eligible for some degree of Covered California subsidies if they earn up to $33,975 Meanwhile, that limit rises to $69,375 for a household size of 4. These numbers refer to your Adjusted Gross Income (AGI) as found on line 11 of your Form 1040.

How do I qualify for the Affordable Care Act?

To be eligible to enroll in health coverage through the Marketplace, you must:
  1. Live in the United States (U.S).
  2. Be a U.S. citizen or national, or be lawfully present non-citizen in the U.S. Learn about eligible immigration statuses.
  3. Not be incarcerated.

How do I check what insurance I have?

HealthCare.gov, is a portal for finding information about your health insurance options. You can also contact HealthCare.gov at 1-800-318-2596 or go to https://www.healthcare.gov/contact-us/. If you have Medicare or Medicaid, visit the Medicare Web site or call the Medicare Help Line at 1-800-MEDICARE (1-800-633-4227).

What is an Affordable Care Act insurance plan?

About the Affordable Care Act

The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the federal poverty level (FPL). Expand the Medicaid program to cover all adults with income below 138% of the FPL.

What disqualifies you from the premium tax credit?

For tax years other than 2021 and 2022, if your household income on your tax return is more than 400 percent of the federal poverty line for your family size, you are not allowed a premium tax credit and will have to repay all of the advance credit payments made on behalf of you and your tax family members.