In 2017, California lawmakers considered S.B.562, the Californians for a Healthy California Act. Introduced in February 2017 by Senator Ricardo Lara (D, Bell Gardens) and Senator Toni G. Atkins (D,San Diego), the bill would create a single-payer system in California, although the details of the financing and coverage specifics were not finalized when the bill was brought for consideration. Although the measure passed the Senate in June 2017, the California Assembly pended it indefinitely.
At eHealthInsurance, we offer a broad selection of California health plans from leading insurance companies. We allow you to compare plans side by side, read customer reviews, apply for coverage online and get personal help from licensed agents. Use the links below to learn about your California health insurance options, what health reform means for California residents and the tax benefits available when you buy coverage for yourself, your family or your small business.
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.
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.
In addition to metal tier, the actual cost of a health insurance plan in Pennsylvania will depend on the policy you choose, as well as your age and the number of people insured. So, for instance, a younger couple with no children will pay cheaper rates than an older couple with multiple children covered. As you can see below, age alone has a significant impact on health insurance premiums across every tier. For the same metal tier health plan, a 40-year-old would pay 52% cheaper rates than a 60-year-old individual. And a 21-year-old person shopping for health insurance coverage would get the same policy for a 22% lower price than a 40-year-old.
We are certified as “in-person assisters” by the Washington State Health Benefit Exchange. Regardless of your financial situation, we are here to guide you through the system and help you understand and apply for health insurance. Visit our online Benefit Finder or call the WithinReach Family Health Hotline at 1-800-322-2588 today to get started. Or, read on to learn more about health insurance.
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.
California residents voted on two healthcare-related propositions in November 2016: Proposition 61, The California Drug Price Relief Act, did not pass (it would have prohibited state agencies from paying more for any prescription drug than the lowest price the U.S. Department of Veterans Affairs pays for the same drug). But Proposition 56 passed, increasing the per-pack cigarette tax from $0.87 to $2.87; a majority of revenues are slated to fund health care for low-income Californians.
An agent should help guide you toward the insurer most likely to accept you. Keep in mind that if you are rejected by one carrier, you will probably have to disclose that in future applications. An agent also should help you fill out the application. But make sure that you know what’s in the application and that it is accurate. If you make mistakes, you may give the insurer an opening to rescind your policy later.
Our short-term health insurance plans can help you bridge the gap in your healthcare coverage for up to three months when you're going through a transition. Short-term plans can save you money, but they aren't compliant with the Affordable Care Act and they don't have coverage requirements. Pre-existing conditions aren't covered and you will be subject to medical questions and Underwriting approval.
With the help of an insurance agent or broker. Agents generally work for a single health insurance company. Brokers generally sell plans from a number of companies. They can help you compare plans based on features and price and complete your enrollment. You don’t pay more by using an agent or broker. They’re generally paid by the insurance company whose plans they sell.
HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in a health plan. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.
SB4 – The California Senate passed SB4 in early June 2015, the Assembly in September, and on October 9, 2015, Gov. Brown signed it into law. The legislation, renamed the Health for All Kids Act, focuses on Medi-Cal access for undocumented immigrant children under the age of 19. SBF will take effect in May 2016, and it has been estimated that 170,000 undocumented immigrant children will then become eligible for Medi-Cal based on their household income alone.
On February 20, 2018, the Trump administration proposed a plan that would loosen regulations on short-term health insurance. The Obama administration had capped short-term health insurance policies at 90 days, but the new plan would allow short-term policies of up to a year. That hasn’t happened yet, but you can essentially get the same thing by purchasing a three-month policy that will renew for the next nine months.
Non-ACA Plan is a very generalized term that people use to describe anything that is not compliant with the ACA. The problem is that a lot of plans that aren’t actual insurance get lumped in like faith-based cost-sharing plans which are not insurance. There are also a lot of new plans from carriers that no one has ever heard of pushing plans that sound like the greatest thing since sliced bread. None of these have passed our sniff test and as a result, the only non-ACA plan that we recommend is Short Term Medical Insurance (STM). Due to recent changes in the law, these plans are now able to be purchased for 12 months at a time.
Gold health insurance plans have the lowest variable costs, such as deductibles and copays, that you'd need to cover before your policy would pay for medical care. However, they also come with the most expensive monthly rates. Therefore, these health plans are best if you have high expected medical costs, such as ongoing prescriptions, or are concerned about being able to pay out of pocket for an unexpected condition.
Though the actual cost will vary according to the plan you choose, as you can see below, the average cost of adding a 40-year-old spouse to a Silver plan is $504. Adding a child to a Silver health insurance plan costs, on average, $302. So, a family of five in Pennsylvania, with an adult couple and three children, would pay an average health insurance cost of $1,914, or $603 more than a family of three would pay for a Silver plan.
In most cases, your coverage will take effect either the first of the next month, or the first of the month after that, depending on how late in the month you enroll. (Typically, if you enroll during the first 15 days of the month, your coverage will take effect on the first day of the next month. Enroll after the 15th and coverage won’t kick in until the first of the following month.)