How do I apply for health insurance through Covered California during the open enrollment period?
To apply for health insurance through Covered California, you must complete an application and select a plan during the open enrollment period, which typically runs from November 1 to January 31. The process can be completed online, by phone, or with free, certified in-person assistance.
Here is how to apply:
Step 1: Gather Required Information
Before you start, collect the necessary documents for everyone in your household applying for coverage. This includes Social Security numbers, federal tax returns or recent pay stubs to estimate income, and immigration documents for non-citizens.
Step 2: Use the Shop and Compare Tool
Go to the official Covered California website (www.coveredca.com). Use the "Shop and Compare" tool to get a preliminary estimate of plans and costs. This tool will show if you and your family qualify for financial help, such as premium tax credits or cost-sharing reductions.
Step 3: Complete the Official Application
Create an account on the Covered California website and fill out the full application. You must provide details about your household size, income, and ZIP code. Be accurate, as this information determines your eligibility for financial assistance and plan options. You can also apply by calling Covered California or by meeting with a certified enroller in person.
Step 4: Compare and Select a Health Plan
Once your application is processed, you will see the specific health plans available to you. Compare the plans based on their monthly premium, deductible, copayments, and provider networks. Ensure your preferred doctors and hospitals are included in the plan's network before you make a final choice.
Step 5: Confirm Your Choice and Pay
After selecting a plan, you must confirm your choice. Your coverage will not begin until you make your first month's premium payment directly to the insurance company you selected.
Important Details:
The open enrollment deadline to get coverage for the year is January 31. Under the California Health and Safety Code, you are required to have minimum essential coverage for yourself and your dependents or face a potential tax penalty. If you miss the open enrollment period, you cannot enroll unless you experience a qualifying life event (e.g., losing a job, getting married, having a baby).
Warnings and Limitations:
Application deadlines are strict. Free assistance from certified enrollers is available through Covered California; be cautious of anyone who asks for payment to help you enroll. Plan details, including provider networks, can change annually, so always verify your doctors are in-network each year.
This is general information and does not constitute legal advice. For complex situations, such as eligibility appeals or issues involving mixed-immigration status households, consult with a qualified California attorney.
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Disclaimer:
This information is for general guidance only and should not be considered as legal advice. Please consult with a qualified attorney for specific legal matters.
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Updated: August 13, 2025
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