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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
As rates continue to rise dramatically how is it determined who is eligible for the “cannot afford coverage” exception?
If the individual’s required contribution for coverage for the month exceeds 8% of the individual’s household income, then the individual cannot afford coverage. If the individual is eligible for an eligible employer-sponsored plan, the required contribution is the portion of the annual premium which would be paid by the individual for the lowest cost self-only coverage or lowest cost family coverage that would cover the employee and all related individuals in the employee’s family. If the individual is not eligible for an eligible employer-sponsored plan, the required contribution is the annual premium, reduced by the amount of premium assistance allowable, for the lowest cost bronze plan available in the Individual Marketplace in the rating area in which the individual resides.
There may be a more recent answer to this question. Contact Claremont for an update.