Income Attestation Form   2024 Plan Summary   Trio HMO  Payment   MEC

Starts 10/1/23 thru 1/31/24

Los Angeles - Orange County - San Diego - Riverside - Sacramento - And More!

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    Serving ALL of California   Since 1998
                                 949-713-7222

Need Help Renewing with CoveredCA.com?

Open Enrollment 2024

Open Enrollment 2022

$5 Urgent Care

$8 Lab / $8 X-ray
Rx: $3 Generic / $10 Tier 2 / $15 Tier 3
10% Hospitalization
10% Outpatient Surgery

10% Inpatient Surgery (After Deductible)

$1,000 Out of pocket maximum (2 max)

Silver 87- $650 Deductible / $50 Rx
$15 Dr. Visit Copay / $25 Specialist
$10 Urgent Care
$15 Lab / $25 X-ray
Rx: $5 Generic / $20 T2 / $35 T3 (After Ded.)
15% Hospitalization
15% Outpatient Surgery
15% Inpatient Surgery (After Deductible)
$2,600 Out of pocket maximum (2 max)

Silver 73- $2,200 Deductible / $175 Rx
$35 Dr. Visit Copay / $75 Specialist
$35 Urgent Care
$35 Lab / $75 X-ray
Rx: $15 Generic / $50 T2 / $75 T3 (After Ded.)
15% Hospitalization
15% Outpatient Surgery
15% Inpatient Surgery (After Deductible)
$6,300 Out of pocket maximum (2 max)

Marc's analysis of WESTERN HEALTH!

2018 Strategy:  If your Silver plan from last year is going up over 20%, then you might want to consider downgrading to a Bronze 60 plan with a much higher deductible and much lower premium per month.  We will help you compare all of your options.

WESTERN HEALTH

We have done all of
the analysis for you!

  - Carrier Details & Phone #s

  - Information / Co. Facts

  - Pros & Cons of the Carrier

  - Hospital & Doctor Network

  - BBB Rating / Review Links

  - Wiki Links and more!

(Click Logo to Apply Online)

- Get the BEST VALUE

- Licensed CERTIFIED Agent

- 19 Years of Experience

Meet Marc Harris
Your Local Certified Insurance Agent

I have been helping clients since 1998 and was
one of the first agents to get certified with
Covered California and the CoveredCA.com
Exchange.  After reviewing the kaiser Permanente options for this years open enrollment, I have concluded that they are going through a huge restructure and are unsure of their operations for this coming year. Some of our clients have seen upwards of a 40% rate increase.  What a "bait and switch" in my opinion.  Ready to renew your policy? We can help you today!  Complete our short Covered CA RENEWAL FORM and someone will contact you.

WESTERN HEALTH ADVANTAGE Info / Facts:
Founded in 1995 (23+ Years Ago)

750 Million+ in Revenue (Privately Held Company)
# of Employees: 300 
Privately Held Company: not-for-profit
BBB Rated: A- (Click Here) - Started 8/4/1995

website:  WesternHealth.com
Customer Service Phone: (888) 563-2250
Payment Phone: (888) 442-2206
Nurse Advice Services: (877) 793-3655
In-Network:  Find a HOSPITAL   /  DOCTOR Search        

Notes (Advantages & Disadvantages):
- PROS: HMO network with High Customer Satisfaction
- A- Rated and Accredited by the Better Business Bureau
- Doctor's office, Nurse Advice Services, Etc.
- User friendly APP to download.

- Started in Sacramento, and branching out to Bay Area

- CONS:
- You are stuck in their managed care HMO system.

- Must get authorization and jump through hoops
- Much fewer selection of hospitals in CA vs other carriers

- Local system in Northern CA ONLY.

- All of the above is just our honest opinion.

Click a carrier below for company details:

• ANTHEM BLUE CROSS
  
• BLUE SHIELD OF CA - PPO
  
• BLUE SHIELD OF CA - TRIO ACO HMO
  
• HEALTH NET
  
• WESTERN HEALTH ADVANTAGE
  
• LA CARE COVERED
  
• MOLINA HEALTHCARE
  
• OSCAR
  
• SHARP

Health Plan Summary:
Platinum 90 - $0 Deductible

$15 Dr. Visit Copay / $30 Specialist

$15 Urgent Care

$15 Lab / $30 X-ray
Rx: $5 Generic / $15 Tier 2 / $25 Tier 3

10% Outpatient Hospitalization
10% Outpatient Surgery

10% Inpatient Hospitalization

$3,350 Out of pocket maximum (2 max)

Gold 80 - $0 Deductible
$30 Dr. Visit Copay / $55 Specialist
$30 Urgent Care
$35 Lab / $55 X-ray
Rx: $15 Generic / $55 Tier 2 / $75 Tier 3
20% Hospitalization
20% Outpatient Surgery
10% Inpatient Surgery
$7,200 Out of pocket maximum (2 max)

Silver 70- $2,500 Deductible / $200 Rx
$40 Dr. Visit Copay / $80 Specialist
$40 Urgent Care
$35 Lab / $75 X-ray
Rx: $15 Generic / $55 Tier 2 / $80 Tier 3 (After Ded.)
20% Outpatient Hospitalization
20% Outpatient Surgery
20% Inpatient Hospitalization (After Ded.)
$7,550 Out of pocket maximum (2 max)

Bronze 60 - $6,300 Deductible
$75 Dr. Visit Copay (3) visits / $105 Specialist (3) visits
$75 Urgent Care (3) visits
$40 Lab / X-ray not covered until meet deductible
Rx: $15 Generic / $50 Tier 2 / $70 Tier 3 (After Ded.)
100% Hospitalization (After Deductible)
100% Outpatient Surgery (After Deductible)

100% Inpatient Hospitalization (After Deductible)
$7,550 Out of pocket maximum (2 max)