Plan Benefits
Covered California
Every Covered California plan includes these benefits.
Routine Care
Keeping you healthy is the best medicine
Free preventive care
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Free screening and immunizations
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Free well-woman services including prenatal screening and counseling
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Free screening and counseling for children from infancy through age 17
Emergency Care
Care when you need it most.
No caps on the cost of care
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Emergency services included in every plan
Don't let your care bankrupt you.
All of Covered California plans include out-of-pocket maximums that limit what you paly.
Follow-Up Care
After the worst is over, we're still with you for the long haul.
Covers home health service up to 100 visits per year
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Prescription drug coverage with low deductibles
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Durable medical equipment
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Chronic-disease management
A Plan Level for Every Budget
Most services have a small copay and most are not subject to a deductible.
Platinum
Higher monthly premium. Lowest copays. Lower monthly premium if you qualify for financial help.
NO DEDUCTIBLES
Free Preventive Care
$15 Copay
$150 Emergency Visit
$5 Prescription
Gold
High monthly premium. Lower copays. Lower monthly premium if you qualify for financial help.
NO DEDUCTIBLES
Free Preventive Care
$30 Copay
$350 Emergency Visit
$15 Prescription
Silver
Moderate to low monthly premium if you qualify based on your income.
Free Preventive Care
$5 to $40 Copay
$50 to $400
Emergency Visit
$3 to $16 Prescription
($300 deductible may apply)
Bronze
Lowest monthly premium. Services have highest copays or deductibles.
Free Preventive Care
(after deductible)
$65*
(after $500 deductible)
40% of bill
$18 Prescription
These examples are intended to show the differences between metal tiers. Your actual copays, coinsurance, and deductibles could vary and will be displayed when you compare specific plans. Minumum coverage (catastrophic) plans are also available for those who qualify, but are not eligible for financial help.
Copay is a fixed amount you pay for a service, with the plan covering the remainder.
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Deductible is the amount you pay before your plan starts to pay for services. In most plans, the deductible applies only to inpatient services and prescription drugs.
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Coinsurance is a percentage you pay for a service, with the plan covering the remainder.
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*Doctor visits for Bronze plans are $65 each for the first three visits. Subsequent visits are full cost until the deductible is met.
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