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California health insurance Downward pointing arrow icon Individual Health Plan Center

Your California Individual Health Insurance Hub

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Clear Protection 3300 individual and family health insurance plan details for California residents

Summary of the Individual Family Market:

Individual health insurance in California is for people who do not have group or government health options and need to purchase their own private health coverage. The market itself is very dynamic and frankly, confusing plus the shoppers are generally not well versed in health insurance terminology since they typically shop once every seven years for this type of coverage.

This market is the most affected by the ACA law so we will focus on how to navigate the new Covered California market to YOUR advantage.

First, let's look at the key points to understand:

Key Points for Individual Family California Health

Small button graphic for California individual and family health insurance informationIndividual is no longer medically underwritten. You do not have to qualify based on health.

Small button graphic for California individual and family health insurance navigationContracts are month to month which means that you can cancel any month and renew up to age 65 as long as payment is made.

Small button graphic for California individual and family health insurance informationCurrently, there are 4 standardized benefit levels (Bronze, Silver, Gold, and Platinum)

Small button graphic for California individual and family health insurance navigationSelf employed individuals may be able to deduct 100% of this type of insurance.

Small button graphic for California individual and family health insurance informationPayment is generally not required immediately although the policy will not be "activated" until first payment is received.

Small button graphic for California individual and family health insurance informationRates are standardized which means that the rates shown in our instant quote are best available on the market.

Small button graphic for California individual and family health insurance navigationMaternity is mandated coverage on all new plans. Preventative is covered at 100%.

Small button graphic for California individual and family health insurance navigationDominant carriers in the California individual market are Anthem Blue Cross, Kaiser, Blue Shield of California, Health Net with smaller regional carriers in that order.


Here's the big change and real the gist of the ACA law itself..

There are large tax credits available based on income which can significantly reduce your month premium and/or offer you richer benefits

We now have Open Enrollment windows (generally Nov 15th-Feb 15th) during which to apply or change plans. Otherwise, we need to qualify based on Special Enrollment triggers.

We can help you evaluate if you fall in one of these categories.

Quoting health insurance used to be pretty straight forward but those days are gone. It's best to run through your situation with us, Certified Covered California Agents, to find out which option is best. Call 800-320-6269 and we can quickly establish if you are eligible for a tax credit, eligible to enroll at this time, and what level of plan is the most cost advantageous.

You can run your Individual Health Plan Quote here to view rates and plans side by side from the major carriers...Free.

Again, there is absolutely no cost to you for our services. Call 800-320-6269 Today!

Frequently Asked Questions
▸ What is individual and family health insurance in California?
Individual and family health insurance in California is private coverage for people who don't have access to employer-sponsored or government health programs. Plans are available through Covered California (the state marketplace) or directly from carriers, and a licensed agent can help you compare options at no extra cost.
▸ Does it cost more to use a California health insurance agent?
No - working with a licensed California agent is free to you. You pay the same premium as going directly to the carrier, so there's no reason not to get professional guidance. CalHealth.net has offered this no-cost assistance statewide since 1994.
▸ What metal plan tiers are available in California's individual market?
California's individual market uses four standard metal tiers - Bronze, Silver, Gold, and Platinum - which reflect how costs are shared between you and the plan. For a current comparison of plans and pricing, get an individual and family quote or speak with a licensed agent, as costs and plan details change each year.
▸ Can I add dental and vision to my California individual health plan?
Dental and vision coverage is generally available as a separate add-on alongside individual and family health plans in California. You can learn more about your options on the dental and vision coverage page.
▸ How do I choose the best California individual health plan for my family?
Choosing the right plan depends on factors like your doctors, medications, budget, and how often you use care - there's no single "best" plan for everyone. A good starting point is comparing carriers and plan types; see our guide to picking the best Covered California plan or call a licensed agent for personalized help.
The answers above are general information about California health insurance and may change as rates, plans, and rules are updated each year. They are not a substitute for personalized advice. For current, personalized guidance, please contact us, email help@calhealth.net, or call 800-320-6269. Serving California since 1994.
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