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California health insurance - Individual California health insurance - Non Maternity individual health plans

Non-Maternity plans on the California individual health insurance market

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We like to update our California health insurance articles periodically to make sure they reflect current information and no page requires that more than this once concerning non-maternity plans on the market.

Why is that?

Well...there are no longer any non-maternity plans in California effective July 1st 2012. Let's review the law that change this, the repercussions, and how find savings in light of these repercussions.

Prior to this date and the new California law that mandates maternity benefits on all plans (old, new, and Grandfathered), a good 80% of the plans available on the market were non-maternity.

This means that they would not cover maternity coverage.

The savings to having these plans as compared to the plans that covered maternity were significant with savings of 50%-100% for comparable coverage being the norm. In fact, when Health Reform was passed, we lost most of our maternity plans and remaining ones jumped 50-60%.

Those days are gone and now all plans cover maternity.

California was just an early adopter of what will happen Nationwide with the main Health Reform bill. On one hand, it's good to have maternity coverage on the plans so women are not forced to decide whether to pay more now or go with non-maternity and hope for the best later. There will be resulting increase in price of course and we expect individual family health insurance rates to quickly catch up with Group health rates which are roughly double if we could compare comparable coverage.

Changes from Obamacare

The Exchange will force the remaining differences out as the plans are standardized for both individual and group plans.

Since we expect rates to increase as a result of this change (they have to since maternity is a very expensive medical service running from $10K to $1M depending on complications), how can we offset this increase?

At this point, we want to focus on more catastrophic plans such as Anthem's Clear Protection $3300 or Health Net's new plans. Keep in mind that all these plans will go away Jan 1st, 2014 and we will have four options: Bronze, Silver, Gold, and Platinum.

We do not have the rates and benefits for these plans yet but we will add them as soon as available. All California group health plans cover maternity already.

You can run your Health plans with Maternity Quote Online to view rates and plans side by side from the major carriers...Free.

Again, there is absolutely no cost to you for our services. Call 800-320-6269 Today!

Frequently Asked Questions
▸ Do individual health insurance plans in California still offer non-maternity options?
No - since the Affordable Care Act (ACA/Obamacare) took effect, all individual and family health plans in California are required to include maternity coverage as an essential health benefit. Non-maternity plans are no longer available on the individual market.
▸ What changed about maternity coverage under Obamacare in California?
Before the ACA, many individual plans excluded maternity coverage or offered it only as a costly add-on rider. After Obamacare, maternity and newborn care became a federally mandated essential health benefit, meaning all compliant individual and family plans must cover it.
▸ How do I compare current individual health plan options in California?
California residents can compare metal-tier plans (Bronze, Silver, Gold, Platinum) through Covered California or the off-exchange market. A licensed agent can help you evaluate networks, costs, and carrier differences at no extra charge - you pay the same premium either way. Get a free individual and family quote here.
▸ Does CalHealth.net charge a fee to help me find a health plan?
No - help from CalHealth.net (Goodacre Insurance Services, licensed since 1994) is free to consumers. You pay the same premium as going directly to the carrier, and you get guidance from a licensed California agent.
▸ Can I add dental and vision coverage to my California individual health plan?
Yes, dental and vision plans are generally available as separate standalone policies or, in some cases, as add-ons when enrolling through Covered California. Learn more about adding dental and vision coverage.
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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