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Starting July 1, Covered California for Small Business (CCSB) is offering new Blue Shield plans, providing more options for enrollees. These plans include the Access+ HMO Network with Platinum, Gold, and Silver metal tier options, as well as the Bronze Trio HMO 7000/70. The two most popular Blue Shield High Deductible Health Plans (HDHP), Silver Full PPO Savings 2300/25% and Bronze Full PPO Savings 7000 plans, are also now available.
All of these plans offer benefits such as Wellvolution, Teladoc Mental Health, Nurse Help 24/7, LifeReferrals 24/7, and the Blue Card program for when members are outside of California.Login To Prism
What if I decide my plan is too expensive?
Individuals who cannot afford coverage, meaning the individual’s required contribution for coverage for the month exceeds 8% of the individual’s household income are exempt from the individual mandate and thus will not be subject to the penalty.
There are also options that make coverage more affordable. If your household income for the taxable year is below 138% of the federal poverty level (FPL), you may be eligible for Medi-Cal if you also meet the other eligibility requirements. If your household income for the taxable year is within 138% and 400% of the FPL, you may be eligible for premium assistance through Covered California if you also meet the other eligibility requirements. If your household income for the taxable year is within 138% and 250% of the FPL, you may also be eligible for a cost-sharing reduction through Covered California if you meet the other eligibility requirements. However, cost-sharing reductions are only available to people who enroll in a silver plan through Covered California.
See pages 8-19 in the Eligibility for Individuals and Families participant guide.
There may be a more recent answer to this question. Contact Claremont for an update.