Eligibility

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COVERED CA Eligibility 

Legal residents of California will be eligible to buy health care coverage through Covered CaliforniaCovered CA will offer private health plans at good values that cannot be canceled or denied for a pre-existing medical condition or illness.  The Affordable Care Act strengthens Medicare, Medicaid (Medi-Cal in California) and other vital programs for millions.  In addition, those who have not yet turned 26 and their parents have health insurance, can now be covered under their parents’ plan. Covered California Eligibility for tax credits is based on a standard, called “the federal poverty level,” based on family income and size.  The size of the tax credit is based on a sliding scale, with those who make less money getting larger financial support to lower the cost of their insurance coverage.  Individuals and families who make between 138% and 400% of the federal poverty level – an individual making up to $47,080 and a family of four making up to $97,000 – may be eligible for subsidies and tax credits. Please view the chart below for detailed specifications for family sizes and income based off the federal poverty level.  Please request a quote for more details.

An individual making less than $16,243 -Qualifies for Medi-Cal, a free government program.
An individual making $16,244 to $25,071 -Qualifies for help in paying out-of-pocket costs like co-pays and deductibles. You also qualify for a tax credit that will lower your monthly premium.
An individual making $25,072 to $47,080 -Qualifies for a tax credit that will lower the amount of your monthly premium.
An individual making more than $47,080 -Does not qualify for federal assistance, but can still purchase health insurance through Covered CA.

A Family of Four making less than $33,465 -Qualifies for Medi-Cal, a free government program.
A Family of Four making $33,466 to $51,654 -Qualifies for help in paying out-of-pocket costs like co-pays and deductibles. You also qualify for a tax credit that will lower your monthly premium.
A Family of Four making $51,655 to $97,000 -Qualifies for a tax credit that will lower the amount of your monthly premium.
A Family of Four making more than $97,000 -Does not qualify for federal assistance, but can still purchase health insurance through Covered CA.

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