Regardless of the error, Medi-Cal updates the Covered California income section denying the non-Medicare spouse their private health insurance with the subsidy. The spouse is determined Medi-Cal eligible and their health plan is terminated.
Covered California Application
Posts related to the Covered California application, consumer account, estimating income, household size, monthly subsidies, health plans, Medi-Cal, and terminations.
Social Security Increases and Covered California Income Updates
Because of the Social Security Fairness Act, Jan will receive a monthly benefit of $1,000. Unfortunately, Jan doesn’t receive the one-time lump payment for 2025 until December, too late to amend their Covered California income estimate. Jan and David must reconcile the higher annual income on their federal income tax return.
Fire and Earthquake Natural Disaster Special Enrollment Period
Individuals and families have a 60-day window to enroll in Covered California, or if they are current consumers, change their health plans. If someone has lost their health insurance because of the Palisades Fire, they can enroll in Covered California, outside of Open Enrollment, by March 8. If the individual or family wants the health insurance to start March 1st, they need to enroll by February 28th.
Confirming You Filed Your Taxes for Covered California
Covered California checks an IRS database of members to confirm they have filed a federal tax return. If you filed with an extension after April 15th, your federal tax filing status may not have been logged in the IRS system when Covered California checked the tax filing status. Consequently, many people who file their taxes with an extension are getting the Covered California letter stating they cannot confirm if the primary tax filer submitted a tax return. Another issue is if the primary tax filer for the last tax year is different than who is listed on the Covered California application.
Will Covered California Survive Trump?
Except for the initial funds from the federal government to establish Covered California back in 2011, they receive no federal or state money to fund their operations. While they do work under the Department of Managed Health Care, Covered California is an independent agency. They are funded by participation fees paid by the health plans.
Special Enrollment Covered California Renewal Issue
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.
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.
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.
