IFP Renewal center New California Premium Subsidy & Eligibility Calculator

New California Premium Subsidy & Eligibility Calculator

Find out if you qualify for financial help

Please enter the ages for each individual in your household needing coverage. Do not include anyone 65 or older.

Important: This calculator is only a tool for informational purposes and does not confirm eligibility. It is not a contract. Eligibility requirements are only partially described. It is not intended for personalized or legal advice.

Based on the information you provided, you may be eligible for premium assistance.

Estimated subsidy amount: *

To learn more about your options, please contact your broker
or call Customer Service at (888) 256-3650 Mon – Sat 8 am to 8 pm.

Before you make the decision to switch from your plan direct from Blue Shield to one through Covered California, make sure you consider the following:

  • Lower cost options may be available directly from Blue Shield
  • Confirm the availability of your preferred doctor(s) in any new plan that you consider
  • Confirm you still have access to the drug(s) you need by checking the formulary for any new plan that you consider

Learn more here. For information about what you’ll need to do to switch to a Blue Shield plan through Covered California, view this checklist.

* The results from this tool are just an estimate based on the information you provided. If you decide to apply for a plan through Covered California, then Covered California will determine your eligibility and actual subsidy amount based on the information you enter in your application.

Additionally, this tool does not determine potential Medi-Cal eligibility, which offers low-cost or free health coverage for Californian residents with limited income. Depending on a family’s household size and income, some family members may be eligible for Medi-Cal coverage, while others would be eligible for subsidies. For more information, please visit coveredca.com/medi-cal.

Based on the information you provided, you are not likely eligible for premium assistance.*

For details about your current plan in 2020, visit the renewal center. If after reviewing your information and renewal packet, you decide to keep your current coverage in 2020, just keep paying your monthly bills.

If you want to look at lower cost options, you can use our online renewal tool to compare plans and explore other options from Blue Shield.

* The results from this tool are just an estimate based on the information you provided. If you decide to apply for a plan through Covered California, then Covered California will determine your eligibility and actual subsidy amount based on the information you enter in your application.

Additionally, this tool does not determine potential Medi-Cal eligibility, which offers low-cost or free health coverage for Californian residents with limited income. Depending on a family’s household size and income, some family members may be eligible for Medi-Cal coverage, while others would be eligible for subsidies. For more information, please visit coveredca.com/medi-cal.

Based on the information you provided, you may qualify for financial help. For more information, please visit CoveredCA.com*

* The results from this tool are just an estimate based on the information you provided. If you decide to apply for a plan through Covered California, then Covered California will determine your eligibility and actual subsidy amount based on the information you enter in your application.

Additionally, this tool does not determine potential Medi-Cal eligibility, which offers low-cost or free health coverage for Californian residents with limited income. Depending on a family’s household size and income, some family members may be eligible for Medi-Cal coverage, while others would be eligible for subsidies. For more information, please visit coveredca.com/medi-cal.

What is the California Premium Subsidy?

California is the first state to provide its residents who did not previously qualify for financial help because they earned more than 400% of the Federal Poverty level with state-funded premium assistance, called the California Premium Subsidy. For those eligible, the California Premium Subsidy sets a limit on how much one pays for their medical premium based on a percentage of their annual income. The amount of premium assistance that Californians can qualify for depends on age, household income and size, and the cost of affordable health care coverage in their region. State and federal premium assistance are only available for medical plans purchased through Covered California.

See the Federal Poverty level income table and read more about the California Premium Subsidy and the individual mandate.

How do I qualify for the California Premium Subsidy?

To be eligible for the California Premium Subsidy, you must meet the following criteria:

See examples to learn more about how the California Premium Subsidy is calculated. Or you can use our subsidy eligibility calculator above as a quick check to find out if you might qualify for premium assistance and to get an estimation of your potential subsidy amount.

If you find out you may be eligible, contact your broker to learn about your options or call Customer Service at (888) 256-3650.

What to consider before switching to a Covered California plan

Read more about important things to know before switching your 2020 health plan to a plan through Covered California.

Read more

Switching your current Blue Shield plan to a Covered CA Blue Shield plan?

Follow these steps to switch your Blue Shield California plan to one through Covered California and download our simple checklist to stay on track.

Learn more