Frequently Asked Questions:
How much financial help will I get?
Most people who enroll with Covered California will save money on their monthly payments due to new federal money being available. In addition, because the American Rescue Plan raised income limits and caps what most consumers will have to pay at 8.5 percent of their household income, people who are already enrolled in a plan through Covered California will save an additional $119 a month on average. That’s $1,428 a year in savings.
If you’re uninsured or purchased your plan directly through a health insurance company, you can check how much you might save by using our calculator or by completing an application. Get more information on what counts as income here.
Don’t wait to enroll. The faster you enroll, the more you could save.
I’m already enrolled through Covered California. Do I need to do anything to get the new money?
Some do and some don’t. You don’t need to do anything if you are currently enrolled through Covered California and already get help paying for your plan. If you are enrolled through us but have opted out of getting financial assistance, you need to take action to get the new help that may be available to you. Sign in to your account and either update your application to add your income, family size, and other tax information or select “Report a Change.” When prompted, select “Yes, I would like to see if I qualify for help from one of the available programs” to see the savings you could get.
What if I purchased a plan from a health insurance company directly, not through Covered California?
The new money is only available through Covered California. You could save hundreds of dollars per month if you switch to a plan through us. If you are enrolled with an insurance company that offers coverage through Covered California, you can stay with that same company and even select a plan that is identical to the one you have now. And, the money you’ve already spent on your deductible could be carried over to your new plan.
I’ve been enrolled in Covered California since earlier this year. How do I get this new money?
We’ll calculate the new money you can get for previous months of coverage and use it to reduce your future monthly bills. You don’t need to ask for a refund from your health insurance company or wait until tax time to see your savings. In addition, if you didn’t receive the maximum amount of new money allowed during the 2021, you could be eligible for a credit or refund when you file your 2021 federal income tax return. It’s important to know what counts as income so you don’t have to repay any financial help received.
What if someone in my household gets unemployment benefits?
If the primary tax filer or their spouse has qualified for or received Unemployment Insurance benefits for at least one week in 2021, the household will automatically qualify for an Enhanced Silver plan that provides additional help with copays and deductibles, all for a monthly premium as low as $1 per each enrollee.
We are updating our system to reflect these new changes, so right now the additional savings will not show when you shop for plans or in your monthly premiums. But don’t hesitate to enroll: These benefits will be available in the summer, and consumers who are enrolled now or who sign up before that time may receive additional savings when they file their 2021 federal tax return.
What if I have health insurance through COBRA?
The American Rescue Plan pays 100 percent of COBRA coverage for eligible individuals from April 1, 2021, through Sept. 30, 2021. This is only for employees who are currently eligible for COBRA (those who have experienced an involuntary termination or reduction of hours in the last 18 months). You remain eligible even if you didn’t elect to get COBRA coverage or discontinued COBRA at an earlier point. Covered California encourages you to begin shopping with us now to prevent any gap in coverage. Get free enrollment help in your area.