Covered California serves as the health insurance marketplace in California, established under the Affordable Care Act (ACA) to facilitate the purchase of health insurance plans. It offers a range of health insurance options, including private health plans and public programs like Medi-Cal, to eligible California residents. Let's take a deeper look!
California Health Plans
California health plans available through Covered California are designed to cater to diverse healthcare needs and budgets. These plans offer comprehensive coverage, including preventive care, doctor visits, hospital stays, prescription medications, and more. Here are some key features of California health plans:
1. Tiered Plans: California health plans are often categorized into metal tiers, including Platinum, Gold, Silver, and Bronze. Each tier corresponds to different levels of coverage and cost-sharing.
2. Essential Health Benefits: All California health plans offered through Covered California must include essential health benefits, such as hospitalization, prescription drugs, maternity care, mental health services, preventive care, and more.
Financial Assistance & Enrollment Periods
Financial Assistance: Covered California provides financial assistance to make health insurance more affordable. Eligible individuals and families may qualify for premium subsidies, which help lower monthly premium costs, and cost-sharing reductions, which reduce out-of-pocket expenses like deductibles and copayments.
Enrollment Periods: Covered California has specific enrollment periods during which individuals can apply for health insurance coverage. The Open Enrollment period typically occurs in the fall, while Special Enrollment periods are available for those experiencing qualifying life events such as marriage, birth/adoption of a child, loss of job-based coverage, or relocation.