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Covered CA

Published on: 4/25/2017 5:16 PM

Covered CA has several categories of health coverage for families above the income limit for Medi-Cal.

Advanced Premium Tax Credit (APTC)

Following the implementation of the Affordable Care Act, families and individuals with income between 139% and 400% (267% and 400% for children) may be eligible for the Advance Premium Tax Credit (APTC). This tax credit can be used to help lower the cost of monthly premiums for Covered CA insurance plans.

Cost Share Reduction (CSR)

APTC clients with income between 138% and 250% who select a Silver Plan from Covered CA will automatically receive lower copays and coinsurance.

Qualified Health Plan (QHP)

Clients with lawful presence who do not qualify for or choose not to receive Medi-Cal or APTC/CSR, may purchase a health plan through Covered CA. This option provides pre-negotiated plan premiums which may be different than premiums offered directly from the insurance provider.

For more information, visit or call 1-800-300-1506.

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