Covered California

Covered California

Covered California™ is the state’s destination for quality, affordable health care. A part of the national health care law , Covered California is a program from the state of California where qualified lawful residents and their families can compare quality health plans and choose the one that works best for their health needs and budget.

Enrollment Deadlines

Enrollment in health plan through Covered California begins October 15, 2018 and continues until January 15, 2019. You must purchase health insurance during this open-enrollment period in order to obtain coverage through Covered California in 2017.

Financial Assistance

Based on your household income, your family may qualify for a tax credit to help pay for health coverage or low-cost or no-cost plans through Medi-Cal. To learn if you qualify, see the chart below.

Benefit

The health plans that will be offered through Covered California are guaranteed to provide basic levels of coverage and provide consumer protections,including the 10 categories of essential health benefits:

  • Ambulatory patient care
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance abuse disorder treatment
  • Prescription drugs
  • Rehabilitation and habilitation services and devices
  • Lab services
  • Preventive & wellness services and chronic disease support
  • Pediatric services, including dental and vision care

Penalty

Most people are now required by law to have health insurance or pay a penalty when taxes are filed. Those who don’t have health coverage in 2017 may be subject to penalty, which is $695 per person in a household or 2.5 percent of their income, whichever is greater.

Special Enrollment

To enroll in coverage outside of Covered California’s open-enrollment period, consumers must experience a “qualifying life event.” Many different types of qualifying life events are described in the chart below.

  • Got married / Divorced
  • Had a baby / Adopted a child
  • Lost your employer-sponsored coverage
  • No longer eligible for student health coverage
  • Lost Medi-Cal Coverage
  • COBRA Coverage Exhausted
  • Moved outside your plan’s coverage area
  • Turned 26 years old
  • Turned 19 years old
  • Became a US Citizen or a lawful presence
  • Other qualifying life event

Coverage CategoryBronzeSilverGoldPlatinum
Deductible$6,300 – Medical
$500 – Drug
$2,500 – Medical
$250 – Drug
$0$0
Annual Wellness Exam$0$0$0$0
Primary Care Bisit$75 – First 3 visit$35$30$15
Urgent Care Visit$75 – First 3 visit$35$30$15
Emergency Room FacilityFull cost until out-of-pocket maximum is met$350$325$150
Generic Drugs (Tier1)Full cost until up to %500 deductible$15 or less$15 or less$5 or less
Maximum Out of Pocket for Individual$6,800$6,800$6,750$4,000
Maximum Out-of-pocket for Family$13,600$13,600$13,500$8,000

Covered California

Uniti Global Insurance Services has earned a reputation as a successful agency based on its comprehensive knowledge and excellent service catering to client’s every need.

Our Covered California Certified Insurance Agents are here to help you!

  • Free Confidential Help
  • Dedicate Customer Service
  • Plans that Fit Your Needs and Budget
  • Review your existing health plan for renewal
  • Individual / Family / Small Business