Plan Benefits

Covered California

Every Covered California plan includes these benefits.

Routine Care

Keeping you healthy is the best medicine

Free preventive care

Free screening and immunizations

Free well-woman services including prenatal screening and counseling

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

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

Prescription drug coverage with low deductibles

Durable medical equipment

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.

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.

Coinsurance is a percentage you pay for a service, with the plan covering the remainder.

*Doctor visits for Bronze plans are $65 each for the first three visits. Subsequent visits are full cost until the deductible is met.

Customer Support

(800) 650-0922

Weekday Hours 
9:00 AM - 6:00 PM PST

 

Saturday Hours 

9:00 AM - 1:00 PM PST

Carriers

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Metal Tier Plans

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Disclaimers

“Covered California,” “California Health Benefit Exchange”, and the Covered California Logo are registered trademarks or service marks of Covered California, in the United States. This website is owned and maintained by Quote Selection Insurance Services DBA Collective:Choice Insurance Solutions Lic # 0F19743, which is solely responsible for its content. This site is not maintained by or affiliated with Covered California, and Covered California bears no responsibility for its content. The e-mail addresses and telephone number that appears throughout this site belong to Quote Selection Insurance Services DBA Collective:Choice Insurance Solutions and cannot be used to contact Covered California.

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