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Health Plan Coverage Levels

Covered California plans come in coverage levels — Bronze, Silver, Gold, Platinum and the minimum coverage plan. They differ in how you share health care costs with your insurance plan.

How Coverage Levels Work

Every Covered California plan has a coverage level. All levels include the same essential health benefits. What changes is how costs are shared between you and your health plan.

In general, plans work like this:

  • Lower monthly premium, pay more when you get care.
  • Higher monthly premium, so you pay less when you get care.

There's no single right choice. The best coverage level for you depends on your budget and how much care you expect to use.

Which coverage level is right for me?

We can help point you in the right direction. What you'll pay also depends on your income, location, and more. Shop & Compare Plans to get an estimate based on your situation.

  • In a typical year, how much do you expect to use your health coverage?

    Think about doctor visits, prescriptions, and medical tests you might need.

  • What is most important when it comes to costs?

    You pay for health care two ways: a monthly premium, and out-of-pocket costs when you get care.

Based on what you selected, you may want to explore Silver Coverage

Based on what you selected, you may want to explore

Silver Coverage

Monthly Premium

What you pay each month for your plan

MEDIUM

*Deductibles

What you pay before insurance kicks in

MEDIUM

Cost of Care

Your share of the cost when you get care

~30%

*Not all plans require that you meet your deductible before coverage begins

Silver balances what you pay each month with what you pay when you need care. And if your income qualifies, you may get extra savings that lower your costs even more. Preventive care is always free and covered from day one.

Coverage Levels at a Glance

Coverage Levels at a Glance
Plan Tier
Monthly PaymentPlan Coversof average annual costYou PayPreventive Care
BronzeBronze
Low60%40%Free
SilverSilver
Medium70-94%*6-30%*Free
GoldGold
High80%20%Free
PlatinumPlatinum
Highest90%10%Free
*Silver coverage level depends on your income and household size.

The table above highlights key differences. The Health Benefits Table (PDF) compares what you pay for every covered service at each coverage level.

Looking for a minimum coverage plan?

This plan works differently from the other plans. It’s only available if you're under 30 or qualify for a hardship or affordability exemption. For details on who qualifies and how this plan works, see Minimum Coverage Plan.

Explore Coverage Levels

Learn more about each coverage level.

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Plan Types: HMO, PPO and EPO

After choosing a coverage level, you will also choose a plan type: HMO, PPO, or EPO. Your plan type affects how you receive care, such as whether you need referrals or can see doctors outside the plan’s network. It can also affect your monthly premium.

  • HMO Plans

    Health maintenance organization

    Lower cost, more structure

    • Only covers in-network care, except for emergencies
    • Need a referral to see a specialist
    • Usually the lowest monthly premium

    Best For

    Lower costs, with a primary doctor managing your care

  • PPO Plans

    Preferred provider organization

    More choice, higher cost

    • See doctors in or out of the network
    • No referral needed to see a specialist
    • Higher monthly premium than HMO or EPO

    Best For

    Flexibility to choose your own doctors and hospitals

  • EPO Plans

    Exclusive provider organization

    Part HMO, part PPO

    • Only covers in-network care, except for emergencies
    • No referral needed to see a specialist
    • Costs usually fall between HMO and PPO

    Best For

    Lower costs without needing referrals

What Every Plan Covers

No matter which plan you choose, all Covered California health plans include the same essential health benefits. What you pay for each depends on your plan.

  • Outpatient care (care without a hospital stay)
  • Emergency services
  • Hospital care, including surgery and overnight stays
  • Pregnancy, maternity, and newborn care
  • Mental health and substance use services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitation and habilitation services and devices
  • Lab services
  • Preventive care, wellness services, and chronic disease management
  • Pediatric services, including children's dental and vision care

Note: This is a general overview of covered services. Contact your health insurance company for details about your plan's benefits.

Preventive Care

Preventive care, like annual checkups and recommended screenings, is free. If you bring up a new health problem during that visit, your normal plan costs may apply to that part of the care. The preventive services themselves are still free.

Dental and Vision Insurance

Children’s dental and vision insurance are included with every plan. Adult dental and vision care are not, but you can buy them separately. Learn more about your Dental Insurance and Vision Insurance options.

Compare Plans and Prices

See the plans, monthly premiums, and doctors available in your area. Estimate your savings based on your income and household size.

Ready to apply?

Apply online on your own, or get help by phone or in person. Every option is free and confidential.