Medi-Cal is California's Medicaid program. This is a public health insurance program which provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, pregnant women, and low income people with specific diseases such as tuberculosis, breast cancer, or HIV/AIDS. Medi-Cal is financed equally by the state and federal government.
Qualified Health Plans (QHPs) are low cost health insurance plans available to individuals younger than 65 years of age. Eligibility is determined by your income level. When you’re enrolled you’ll receive help paying your monthly health insurance by Health Insurance Premiums with Tax Credits (HIPTC). These tax credits are used to decrease your monthly payment for your health insurance premium or you can receive your tax credit as a lump sum within your federal tax return. Qualified Health Plans (with or without HIPTC) can be purchased through the Washington Health Plan Finder. There are more than 80 different plans to choose from.
Medi-Cal offers low-cost or free health coverage to eligible Californian residents with limited income. Covered California is the state’s health insurance marketplace where Californians can shop for health plans and access financial assistance if they qualify for it. Health plans available through Medi-Cal and Covered California both offer a similar set of important benefits, called essential health benefits.
You may be eligible for a subsidy from the government to purchase an Affordable Care Act-compliant individual plan. This can help save you money on your health insurance. You may be eligible for a subsidy if your employer does not offer affordable health coverage and your household income is no more than 400% above the federal poverty level. You can see if you might qualify and review Medical Mutual subsidy-eligible plans here.
With the Affordable Care Act, most people are required to have health insurance. If you currently have health insurance through your employer or already have Medicaid or Medicare, you do not need to worry about signing up for coverage. If you are uninsured, Washington Healthplanfinder is available to help you enroll in health insurance during open enrollment periods. And WithinReach is here to simplify the process for you.
An independent health insurance agent may be able to help you find low cost health insurance coverage for you and your family that you can afford, especially if no one in your family has anything that is considered high risk to insure. They also know of professional groups and organizations that membership can get you into a group plan that you may be easier to be accepted onto if anyone in your family has major health issues.
Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, or Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. Administered by Humana Insurance Company.
If you are uninsured and are not eligible for Medi-Cal or a plan through Covered California, you may qualify for limited health services offered by your county. These programs are not insurance plans and do not provide full coverage. County health programs are commonly known as “county indigent health” or programs “medically indigent adult” programs.
When you purchase a health insurance plan in Pennsylvania, you can also add your spouse and children to the policy, which will increase your premiums with each person covered. The cost of coverage for spouses and children over the age of 14 is determined by the age of the person being insured. Children ages 14 and younger can be added to your health insurance plan for a cheaper, flat rate.
If you're looking for a middle ground—health insurance with both affordable premiums and out of pocket expenses—we typically recommend looking at Silver plans. Silver health insurance plans have lower out-of-pocket costs than Bronze plans, but cheaper monthly premiums than the Gold or Platinum policies. In addition, if you have a lower income household, Silver plans are eligible for cost-sharing reduction subsidies (CSR), meaning you may qualify for an even more affordable rate.
No individual applying for health coverage through the individual marketplace will be discouraged from applying for benefits, turned down for coverage or charged more premium because of health status, medical condition, mental illness claims experience, medical history, genetic information or health disability. In addition, no individual will be denied coverage based on race, color, religion, national origin, sex, sexual orientation, marital status, personal appearance, political affiliation or source of income.