HealthCare.com is a privately owned website, and monthly costs shown above are estimates only. Your monthly premium may change based on the data provided, outside fees, optional benefits or if other factors take effect before your coverage start date. Note that insurance companies reserve the right to change your premium rate and the policy terms at any time. Effective date, benefit amounts and other conditions may apply at the discretion of the insurance carrier you select. Depending on your state of residence, this website may not display all plans available by state. The Obamacare Tax Subsidy Calculator amounts are estimates only and the actual amount of subsidy eligibility may differ. Access to your physician depends on network selected, and networks can change without notice. Contact your health insurance company to confirm your healthcare provider is still available in the network you select.
Important information about your Sharp Health Plan Click here to search for a Vision provider. Click here to search for a Dental provider. Click here for important information about Performance Network. Click here for important information about Premier Network. Out-of-Area Information Out-of-Area means services received while a Member is outside the Service Area. Out-of-Area coverage includes Urgent or Emergent services for the sudden onset of symptoms of sufficient severity to require immediate medical attention to prevent serious deterioration of a Member’s health resulting from unforeseen illness or injury or complication of an existing condition, including pregnancy, for which treatment cannot be delayed until the Member returns to the Service Area. Out-of-Area medical services will be covered to meet your immediate medical needs. Applicable follow-up for the Urgent or Emergent service must be Authorized by Sharp Health Plan and will be covered until it is prudent to transfer your care into the Plan’s Service Area. Exclusions and Limitations Information 1. Not Medically Necessary; 2. Not specifically described as covered in the Member Handbook or supplemental benefit materials; 3. In excess of the limits described in the Member Handbook or described in the Health Plan Benefits and Coverage Matrix; 4. Specified as excluded in the Member Handbook; 5. Not provided by Plan Providers (except for Emergency Services or Out-of-Area Urgent Care Services); 6. Not prescribed by a Plan Physician and, if required, Authorized in advance by your Primary Care Physician, your Plan Medical Group or the Plan (Note: Emergency Services do not require Authorization); 7. Part of a treatment plan for noncovered services; or 8. Received prior to the Member’s effective date of coverage or after the Member’s termination from coverage under this Plan FOR APPLICANTS 30 YEARS OLD AND OVER: You may be eligible for a Minimum Coverage plan if you are over the age of 30 and are able to provide a certification that you are without affordable coverage or are experiencing financial hardship. If so, please contact Sharp Health Plan for more information.
Health Net You will be mailed a bill from Health Net for your first months premium after your application is processed. Once you receive your Health Net ID card indicating your ID number, you may also make a payment online at www.healthnet.com.
Anthem All medical plans and rates are subject to regulatory approval. We will continue to add to our plan offerings on this site as we obtain regulatory approvals. Please keep checking back. By state law, you are required to have coverage for all 10 essential health benefits, including Child (Pediatric) Dental. If you have selected a Medical Plan that does not include coverage for the Pediatric Dental essential health benefit, you will be required to purchase the required Pediatric Dental coverage in addition to your selected medical coverage even if you have other dental coverage. The cost of the dental coverage will be in addition to the cost of your selected medical coverage. At this time, the separate Pediatric Dental plan is not available. It will be available on this quoting site in the near future. Until then, you can create a profile and save the medical plan you selected so the application process is faster when the Pediatric Dental plans and application are available. Catastrophic plans are only available to those under the age of 30 or those who meet the eligibility requirements set forth by the Affordable Care Act. If you don’t meet the requirements, please choose one of our many other plans. Anthem reserves the right to request additional documentation to confirm eligibility.
Anthem All medical plans and rates are subject to regulatory approval. We will continue to add to our plan offerings on this site as we obtain regulatory approvals. Please keep checking back.
Blue Shield If you are eligible for Medicare, you are not eligible for an Individual and Family commercial plan.
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