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California health insurance - Health Reform for California - A quick look at Exchange plans

Introduction to the California health insurance Exchange

What Is Covered California? Watch BEFORE You Enroll! 2027 - Watch on YouTube

It was late 2012 and we were getting scattered information on what will ultimately be the major health insurance marketplace for individual, families, and small companies in California.

The Exchange with the newly anointed name Covered California which points to it's stated goal of enrolling almost all Californians on a health insurance plan.

Many people we speak with do not understand what the Exchange is so let's delve a little deeper and introduce ourselves.


An online marketplace for California health insurance


Part of the Health Reform bill established the requirement for an Exchange, either State sponsored or in the absence of State movement, Federally provided.

The Exchange is the main hub through which people can purchase health insurance in California.

In California, the State decided to create their own Exchange and have been busy doing so for the past year.

The Exchange is designed to provide a way for individuals and family under the age of 65 (not Medicare eligible) and for small businesses (with less than 50 employees) to shop, compare, and purchase health insurance.

So what can a person expect to see and what makes the Exchange different than other sites?

The core Exchange health plans for California

Each carrier will now offer 4 core metallic health plans (Platinum, Gold, Silver, and Bronze) plus one more lower priced option for younger people.

This is true for both individual or group health insurance which has traditionally offered very different benefits and corresponding rates.

The exchange plans available through Calhealth (we'll show all of them) will be slightly different from carrier to carrier as each California carrier will modify benefits to meet the main requirements of what makes up a metallic plan.

Here are great tools to get the most out of the California Exchange (Covered Ca):

Check here for Subsidy

Why Silver?

The silver is far the most popular plan!

This mainly because people are qualifying for very rich versions (87 and 94) based on income for the same price!

We'll be able to help you maximize your subsidy right through our system with Exchange plans.

This money can be sizeable depending on your income level so it's important to get the maximum allowable amount and that's what we do!

Are there reasons to purchase plans not available in the Exchange?

Probably not.

I want that Doctor

That's the advantage to using www.calhealth.net

You'll be able to quote plans both in the exchange and out while the Exchange can only show you plans that are in.

Here's how we see it breaking down.

The doctor networks are the same in our out of the Exchange by law.

That's one of the big differences that we expect to see as the marketplace develops due to many pressures (called price) felt in the Exchange plans.

There's no cost for our assistance as Certified Covered Ca agents!

Check out our Google Reviews and email us our call us at 800-320-6299.

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Frequently Asked Questions
▸ What is Covered California?
Covered California is the state's official health insurance marketplace where individuals, families, and small businesses can shop and compare plans. It is California's version of the federal Exchange established under the Affordable Care Act. Depending on your income, you may qualify for subsidies to help lower your monthly premium.
▸ Does it cost more to use a licensed agent to enroll in Covered California?
No - using a licensed agent to enroll in Covered California costs nothing extra. You pay the same premium as going directly to the carrier or marketplace. CalHealth.net has offered this free assistance to Californians statewide since 1994.
▸ What types of plans are available on the California health Exchange?
Covered California plans are organized into four metal tiers - Bronze, Silver, Gold, and Platinum - each with different premium and cost-sharing trade-offs. Plan types (HMO, EPO, PPO) and carrier availability vary by region across California, so comparing options for your specific area is important. You can get a free individual or family quote to see plans available where you live.
▸ Can I keep my current doctor with a Covered California plan?
It depends on the plan and carrier you choose, since most Exchange plans use specific provider networks. Before enrolling, it's worth confirming your doctor is in-network for the plan you're considering. A licensed agent can help you cross-reference your preferred doctors with available plans in your area.
▸ When can I enroll in a California Exchange health plan?
You can enroll during the annual Open Enrollment period each fall. Outside of that window, you generally need a qualifying life event - such as losing other coverage, getting married, or having a baby - to trigger a Special Enrollment Period. Because enrollment rules and dates can change each plan year, check current guidelines or speak with a licensed agent to confirm your eligibility.
The answers above are general information about California health insurance and may change as rates, plans, and rules are updated each year. They are not a substitute for personalized advice. For current, personalized guidance, please contact us, email help@calhealth.net, or call 800-320-6269. Serving California since 1994.
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