Covered California & Health Insurance
Health coverage designed around you and your family.
We help individuals, families, and small businesses understand their health insurance options, compare available coverage, and find a plan that fits their needs and budget.
Support available in English and Vietnamese.
Health Insurance Options
We help you explore health insurance options based on your household, coverage needs, and budget. Depending on your situation, options may include Covered California, individual and family health plans, small-business health coverage, and other qualifying programs.
Covered California
Individual and family health plans available through Covered California. Depending on eligibility, financial assistance may be available to help lower the cost of coverage.
Individual & Family Health Insurance
Health coverage options for individuals and families based on your household, coverage needs, and budget.
Small Business Health Insurance
Health insurance options for eligible small businesses and their employees.
Covered California for Small Business generally serves businesses with 100 or fewer full-time-equivalent employees, at least one eligible W-2 employee who is not the owner's spouse, and a majority of eligible employees living in California. Sole proprietors without W-2 employees may instead qualify for individual-marketplace coverage.
Who May Qualify?
Individual & Family Coverage
Eligibility depends on your individual circumstances. Generally, Covered California considers factors such as:
California residency
Household size
Household income
Citizenship or immigration status
Current health coverage
Other eligibility requirements
Your household generally includes the tax filer, spouse, and tax dependents, even if some household members are not applying for coverage.
Financial assistance eligibility is based on household circumstances and expected income for the coverage year.
Financial Assistance
Depending on your household income and circumstances, you may qualify for financial help with your health coverage.
Financial assistance may include:
Federal Premium Tax Credits
California state financial assistance, when available
Enhanced Silver plans with lower cost-sharing for qualifying households
Medi-Cal for those who qualify
Covered California uses household income and the Federal Poverty Level (FPL) to help determine eligibility for financial assistance and Medi-Cal.
Your estimated income should reflect what you expect to earn during the coverage year, not simply what you earned last year. If your income or household situation changes, your Covered California account should be updated.
What We Can Help You Review
We can help you understand:
Monthly premiums
Deductibles
Copays
Coinsurance
Out-of-pocket maximums
Doctor and hospital networks
Prescription drug coverage
Plan options
Financial assistance
Medi-Cal eligibility
Household and income changes
Qualifying life events
Our goal is to help you understand your options so you can make an informed coverage decision.
When Can You Enroll?
Covered California has an annual Open Enrollment period. Outside of Open Enrollment, you may still be able to enroll if you experience a qualifying life event.
Examples may include certain changes in:
Household
Residence
Health coverage
Marriage or divorce
Birth or adoption
Loss of qualifying coverage
Medi-Cal enrollment is available year-round for people who qualify.
Because enrollment dates and eligibility rules can change, we recommend checking your current eligibility and enrollment options when you are ready to apply.
California Paid Family Leave (PFL)
Support When Family Leave Affects Your Income
California Paid Family Leave (PFL) provides short-term wage-replacement benefits to eligible California workers who need time away from work to:
Bond with a new child
Care for a seriously ill family member
Support a family member in the U.S. Armed Forces who is deploying to a foreign country
PFL Eligibility
You may qualify for PFL if you:
Need time away from work for a qualifying family-leave reason
Lose wages because of your leave
Are working or looking for work when your family leave begins
Earned at least $300 during the applicable base period with State Disability Insurance (SDI) withheld
Meet the applicable claim and documentation requirements
Eligible workers may receive PFL benefits for up to 8 weeks.
PFL is a California wage-replacement program, not health insurance.
For official eligibility requirements and applications, visit the California Employment Development Department (EDD).