The vision of the California Health Benefit Exchange is to improve the health of all Californians by assuring their access to affordable, high quality care. The mission of the California Health Benefit Exchange is to increase the number of insured Californians, improve health care quality, lower costs, and reduce health disparities through an innovative, competitive marketplace that empowers consumers to choose the health plan and providers that give them the best value.
Covered California Announces Plans and Rates for 2014
Consumers will have access to more than 80% of practicing physicians, 80% of acute care hospitals through 13 commercial health plans
SACRAMENTO, CA – Covered California™ today announced 13 diverse health insurance plans that will offer in 2014, affordable, quality health care coverage to millions of Californians. The plans reflect a mix of large non-profit and commercial plan leaders, along with well-known Medi-Cal and regional plans.
The tentative selection of health plans is subject to a rate review by state regulators. It is impossible to make a direct comparison of these rates to existing premiums in the commercial market because in 2014, there will be new standard benefit designs under the Affordable Care Act, and the actual change in an individual’s premium will depend on the person’s current insurance coverage. However, Covered California believes that a valuable frame of reference for its premiums is comparing them to the small employer market in California. Both the small employer market and Covered California are competitive markets, and offer guaranteed issue- you cannot be denied for pre-existing condition.
The rates submitted to Covered California for the 2014 individual market ranged from two percent above to 29 percent below the 2013 average premium for small employer plans in California’s most populous regions. This is impressive since the 2014 products include doctor visits, prescriptions, hospital stays and more essential benefits; protecting consumers from the "gimmicks and gotchas" of many insurance policies.
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What if you are one of the 2.6 million uninsured Californians who does not qualify for a subsidy?
You will be able to purchase high quality affordable health insurance through Covered California or the private market.
The table below shows and example, depending on the Federal Poverty Level (FPL), for a person who is 40 years old. Starting this fall, individuals and families will be able to determine the exact amount they would pay based on family size, age and income.