However, individuals and families who had a qualifying event for a special enrollment period, and applied in October or November, are not in passive renewal status. You will need to push through the application for the next year. Select Apply Now from your home page to start the process.
Search Results for: covered california
How Rate Increases Lower Covered California Health Insurance
There are times when some regions get a huge windfall of subsidies. In Region 9, Valley Health Plan left the region. This dropped the expensive Blue Cross EPO into the SLCSP slot. This resulted in a 57 percent increase of the SLCSP rate in 2025 from Blue Shield HMO that was the SLCSP in 2024.
2025 Changes to Covered California Health Plans
The Silver 73 has lower cost-sharing than a Silver 70 and is unchanged for 2025. There are no medical or pharmacy deductibles. The maximum out-of-pocket is $6,100. The most significant change is that it will be available to any Covered California enrollee with income over 250 percent of the federal poverty level.
2025 Covered California Income Table Explanations
For eligible households with income over 250 percent FPL, only the Silver 73 plan will be offered, which is a better value than a Silver 70. At least for 2025, there will be no Silver 70 for qualifying households. The Silver 70 will still be offered to consumers who opt not to be considered for the Advance Premium Tax Credit subsidies based on household income.
2025 Covered California Income FPL_chart.pdf (110.15 KB)
2025 Covered California Health Benefits Table.pdf (169.51 KB)
New Covered California Income Attestation Form for Artificial Intelligence Processing
Covered California is using AI to expedite the verification process. Common documents are scanned by AI, determined valid, and then the account is updated that the requested verification has been provided. Of course, the quality of the image submitted to Covered California can play a large role in AI being able to recognize and verify it or fail the submission.
Income Attestation Form 2024 Covered California.pdf (850.95 KB)
Phishing Email Text Scam Targeting Covered California Consumers and Agents
On May 2, 2024, I received an email, allegedly from Covered California, requesting I update my information for their store front program. The first clue that this was a phishing scam was that I never applied to the Covered California store front program.
Tracking Your Covered California Subsidy on your 1040 Federal Tax Return
Schedule 3 gathers additional credits and payments of the taxpayer. In this case, the taxpayer only has the $500 additional Premium Tax Credit to report and that goes on line 31 of form 1040.