Skyline Benefit

Plans and metal tiers

Covered California Health Plans

Compare Covered California health plans by metal tier, network, benefits, prescriptions, and total yearly cost, not premium alone.

Individual Health Carriers
Anthem Blue Cross Balance by CCHP Blue Shield of California Health Net Inland Empire Health Plan Kaiser Permanente L.A. Care Health Plan Molina Healthcare Sharp Health Plan Valley Health Plan Western Health Advantage

2026 standard benefit snapshot

Compare metal tiers side by side.

Higher metal tiers generally have higher monthly premiums and lower costs when care is used. These figures summarize Covered California's 2026 standard patient-centered benefit design for individual coverage.

Comparison of 2026 standard Covered California Bronze, Silver, Gold, and Platinum plan benefits.
Standard benefit Bronze 60 Silver 70 Gold 80 Platinum 90
Average plan share 60% 70% 80% 90%
Primary care visit $60 $50 $40 $15
Generic prescription $20 $19 $18 $9
Medical deductible $5,800 $5,200 None None
Out-of-pocket maximum $9,800 $9,800 $9,200 $5,000

Individual amounts shown. Prescription prices are for a 30-day supply. Carrier designs and plan-specific rules may vary, so review the current Evidence of Coverage before enrolling.

Beyond the metal tier

Three checks before you choose a plan.

Metal tier is only one part of plan fit. Provider access, prescriptions, and total yearly cost can change which option works best.

01

Provider network

Confirm your doctors, hospitals, medical groups, and HMO, PPO, or EPO access rules.

02

Prescriptions

Check the formulary, drug tiers, pharmacy network, and prior-authorization requirements.

03

Total yearly cost

Compare premium, deductible, copays, coinsurance, and the out-of-pocket maximum together.

From our clients

Trusted health coverage guidance from a local team.

FAQ

Frequently asked questions about Covered California Health Plans

What are the Covered California metal tiers?

The standard metal tiers are Bronze, Silver, Gold, and Platinum. They describe how costs are generally shared between you and the plan.

Does a higher metal tier mean better medical care?

No. Metal tiers describe cost sharing, not the quality of covered care.

Which Covered California health plan is best?

The best fit depends on your budget, expected medical use, providers, prescriptions, and eligibility for Enhanced Silver savings.

Should I choose the Covered California plan with the lowest premium?

Not automatically. A lower premium can come with higher deductibles or copays, so compare likely total yearly costs.

Ready to compare Covered California?

Talk with a certified local agent.

Schedule a free consultation

(714) 888-5112