www.coveredca.com Open in urlscan Pro
23.99.0.12  Public Scan

Submitted URL: http://coveredca.com/
Effective URL: https://www.coveredca.com/
Submission: On January 06 via api from US — Scanned from DE

Form analysis 5 forms found in the DOM

/site-search.html

<form class="form-inline my-2 my-lg-0 py-3 px-3 d-lg-none nav-site-search-form" action="/site-search.html">
  <div class="position-relative w-100">
    <div class="row">
      <div class="col-12">
        <div class="input-group d-flex align-items-start w-100">
          <input type="hidden" class="d-none" name="index" value="1">
          <input class="form-control nav-site-search-form__input nav-site-search-form__input--mobile" placeholder="Search" aria-label="Search" name="query" type="text">
          <button class="btn border-left-0 border-radius-0 border-raidus-top-right-1 border-raidus-bottom-right-1 px-2 p-0 d-flex align-items-center border-gray-light" style="height: 40px;right: -1px" type="submit">
            <i class="material-icons text-primary">search</i>
          </button>
        </div>
      </div>
      <div class="col-12 nav-site-search-form__invalid-feedback nav-site-search-form__invalid-feedback--red d-none" id="nav-site-search-input-invalid-feedback">
      </div>
    </div>
  </div>
</form>

/site-search.html

<form action="/site-search.html" class="flex-grow-1 nav-site-search-form" id="site-search-form-nav">
  <div class="form-group mb-0">
    <div class="row">
      <div class="col-10 col-md-11">
        <div class="input-group">
          <div class="input-group-prepend">
            <button type="submit" class="form-control btn btn-white btn-primary-on-hover h-100 d-flex align-items-center border border-right-0" style="left: -1px">
              <i class="material-icons color-primary">search</i>
            </button>
          </div>
          <label for="site-search-input-nav" class="sr-only" style="top:1000px;">Search</label>
          <input type="text" class="form-control nav-site-search-form__input nav-site-search-form__input--desktop" style="border-top-right-radius: 50rem; border-bottom-right-radius: 50rem;" id="site-search-input-nav" name="query"
            placeholder="Search CoveredCA.com">
          <input type="hidden" class="d-none" id="site-search-index-nav" name="index" value="1">
        </div>
      </div>
      <div class="col-2 col-md-1">
        <div class="d-flex h-100 align-items-center">
          <button class="bg-transparent border-0 p-0 search-active-toggle" type="button" style="height: 24px;"><i class="w-24px color-white material-icons">close</i></button>
        </div>
      </div>
      <div class="col-12 nav-site-search-form__invalid-feedback nav-site-search-form__invalid-feedback--white d-none" id="nav-site-search-input-invalid-feedback">
      </div>
    </div>
  </div>
</form>

<form id="calculator-form" class="subsidy-calculator__form py-3 px-3 px-md-0" autocomplete="off">
  <!-- Calculator API Error Message -->
  <div id="subsidy-calculator__calculate-error-message" class="row mr-0 d-none">
    <div class="col">
      <div class="alert alert-danger text-center"> We are experiencing technical difficulties. Please try again later. </div>
    </div>
  </div>
  <!-- Household Income, Zip and County -->
  <div class="row mr-0 align-items-end">
    <!-- Household Income -->
    <div class="col-md-4 py-3">
      <div id="household-income-component-01">
        <div class="household-income-component">
          <!-- HouseholdIncome Label -->
          <div class="mb-2">
            <label class="household-income-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__household-income"> Household Income </label>
            <span id="calculator-tooltip--household-income" data-toggle="tooltip" title="" class="font-18px text-primary cursor-pointer d-inline material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
              data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
              data-original-title="Household income refers to the estimated combined income of all family members for the year you plan to have coverage."> info </span>
          </div>
          <!-- HouseholdIncome Input -->
          <div class="d-flex">
            <input id="subsidy-calculator__household-income" class="household-income-component__input subsidy-calculator__input subsidy-calculator__input-income order-2" placeholder="28,000" type="text">
            <div class="input-group-prepend order-1">
              <span class="subsidy-calculator__dollar-sign">$</span>
            </div>
          </div>
          <!-- HouseholdIncome Invalid Feedback -->
          <div id="subsidy-calculator__household-income-invalid-feedback" class="household-income-component__invalid-feedback invalid-feedback"> Please enter a number </div>
        </div>
      </div>
    </div>
    <!-- ZIP -->
    <div class="col-6 col-md-4 py-3">
      <div id="zip-component-01">
        <!-- ZIP Code Component -->
        <div class="zip-code-component">
          <!-- Label -->
          <label class="font-weight-bold zip-code-component__label" for="subsidy-calculator__zip-code">ZIP Code</label> <br>
          <!-- Input Group -->
          <div class="d-flex">
            <!-- Input -->
            <input id="subsidy-calculator__zip-code" class="zip-code-component__input subsidy-calculator__input" placeholder="95834" type="text">
            <!-- Location Button -->
            <div class="input-group-append">
              <span class="input-group-text icon-styles subsidy-calculator__form-control">
                <button class="subsidy-calculator__flat-button gtm-calculator-geolocation zip-code-component__location-button" type="button">
                  <span class="sr-only">location</span>
                  <svg class="subsidy-calculator__icon-primary" focusable="false" viewBox="0 0 24 24" aria-hidden="true">
                    <path
                      d="M12 8c-2.21 0-4 1.79-4 4s1.79 4 4 4 4-1.79 4-4-1.79-4-4-4zm8.94 3c-.46-4.17-3.77-7.48-7.94-7.94V1h-2v2.06C6.83 3.52 3.52 6.83 3.06 11H1v2h2.06c.46 4.17 3.77 7.48 7.94 7.94V23h2v-2.06c4.17-.46 7.48-3.77 7.94-7.94H23v-2h-2.06zM12 19c-3.87 0-7-3.13-7-7s3.13-7 7-7 7 3.13 7 7-3.13 7-7 7z">
                    </path>
                  </svg>
                </button>
              </span>
            </div>
          </div>
          <!-- Invalid Feedback -->
          <div class="zip-code-component__invalid-feedback invalid-feedback"> Please enter a valid ZIP code </div>
        </div>
      </div>
    </div>
    <!-- County -->
    <div class="col-6 col-md-4 py-3">
      <div id="county-01" class="d-none">
        <div class="county-component">
          <label class="county-component__label font-weight-bold" for="subsidy-calculator__county">County</label> <br>
          <select id="subsidy-calculator__county" class="county-component__input subsidy-calculator__select">
            <option value="Sacramento">Sacramento</option>
          </select>
        </div>
      </div>
    </div>
  </div>
  <!-- Household Size, How many need coverage, coverage year-->
  <div class="row mr-0 align-items-end">
    <div id="household-size" class="col-6 col-md-4 py-3">
      <div class="household-size-component subsidy-calculator__household-size">
        <div class="mb-2">
          <label class="household-size-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__household-size"> Household Size </label>
          <span id="calculator-tooltip--household-size" data-toggle="tooltip" data-placement="right" title="" class="font-18px text-primary cursor-pointer material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
            data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
            data-original-title="Include only the tax filer and any spouse or dependents (even if they aren’t applying for insurance)."> info </span>
        </div>
        <select id="subsidy-calculator__household-size" class="subsidy-calculator__select household-size-component__input">
          <option value="1">1</option>
          <option value="2">2</option>
          <option value="3">3</option>
          <option value="4">4</option>
          <option value="5">5</option>
          <option value="6">6</option>
          <option value="7">7</option>
          <option value="8">8</option>
        </select>
        <div role="alert">
          <div id="subsidy-calculator__household-size-invalid-feedback" class="invalid-feedback household-size-component__invalid-feedback"> Household size must be the same or more than how many need coverage. </div>
        </div>
      </div>
    </div>
    <div id="need-coverage" class="col-6 col-md-4 py-3">
      <div class="need-coverage-component">
        <label class="need-coverage-component__label font-weight-bold" for="subsidy-calculator__need-coverage">How many need coverage?</label> <br>
        <select id="subsidy-calculator__need-coverage" class="need-coverage-component__input subsidy-calculator__select">
          <option value="1">1</option>
          <option value="2">2</option>
          <option value="3">3</option>
          <option value="4">4</option>
          <option value="5">5</option>
          <option value="6">6</option>
          <option value="7">7</option>
          <option value="8">8</option>
        </select>
        <div role="alert">
          <div id="subsidy-calculator__need-coverage-invalid-feedback" class="need-coverage-component__invalid-feedback invalid-feedback"> Cannot be more than the household size </div>
        </div>
      </div>
    </div>
    <div id="coverage-year" class="col-12 col-md-4 py-3" style="display: none;">
      <div class="coverage-year-component">
        <div class="mb-2">
          <label class="coverage-year-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__coverage-year"> When do you want to start coverage? </label>
        </div>
        <select disabled="" id="subsidy-calculator__coverage-year" class="coverage-year-component__input subsidy-calculator__select">
          <option value="2022">Next year (2022)</option>
          <option value="2021">This year (2021)</option>
        </select>
        <div class="coverage-year-component__invalid-feedback invalid-feedback" role="alert"> Please enter a coverage year </div>
      </div>
      <script>
        const now = new Date();
        if (now.getFullYear() > 2021) document.getElementById('coverage-year').style.display = 'none';
      </script>
    </div>
  </div>
  <!-- Age of members needing coverage -->
  <div class="row">
    <div id="ages" class="col-12">
      <div class="ages-component pt-4">
        <div class="mb-2">
          <span class="ages-component__label d-inline-block font-weight-bold pr-2"> Age of People Needing Coverage <span id="calculator-tooltip--member-ages" data-toggle="tooltip" data-placement="right" title=""
              class="font-18px text-primary cursor-pointer material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
              data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
              data-original-title="If under one year old, enter &quot;1&quot;. Enter the age you and your household members will be on Jan. 1, 2022."> info </span>
          </span>
          <span id="member-age-label" class="d-none">Age of People Needing Coverage</span>
        </div>
        <!-- Household Member Ages Input Container -->
        <div id="household-members" class="ages-component__ages-container d-flex flex-wrap m-0 w-100">
          <div class="household-member-age mr-2"><label for="dynamic-age-input-1" class="font-weight-bold sr-only"><br> Age of People Needing Coverage<br> <br> info<br> <br> </label><input type="number" id="dynamic-age-input-1"
              class="subsidy-calculator__household-member-age subsidy-calculator__input ages-component__age-input mr-2" placeholder="45"></div>
        </div>
        <div role="alert">
          <div id="household-members-invalid-feedback" class="ages-component__invalid-feedback invalid-feedback"> Please enter a valid age for each person. </div>
        </div>
      </div>
    </div>
  </div>
  <!-- UIB -->
  <div class="row mr-0 align-items-end pt-4">
    <div id="received-unemployment-benefits" class="col-md-8">
      <div class="uib-component d-none">
        <div class="font-weight-bold mb-2"> Received unemployment benefits in 2021? <span id="calculator-tooltip--uib" data-toggle="tooltip" data-placement="right" title=""
            class="font-18px text-primary cursor-pointer ml-2 material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
            data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
            data-original-title="If yes, your household likely qualifies for Silver 94 plans with lower deductibles, copays, and coinsurance — all for as low as $1 per person."> info </span>
        </div>
        <div class="d-inline-block pr-5 radio-container">
          <label for="yes-unemployment">Yes <input class="uib-component__yes-radio" type="radio" id="yes-unemployment" name="unemployment-benefits" value="yes">
            <span class="custom-radio"></span>
          </label><br>
        </div>
        <div class="d-inline-block radio-container">
          <label for="no-unemployment">No <input class="uib-component__no-radio" type="radio" id="no-unemployment" name="unemployment-benefits" value="no" checked="">
            <span class="custom-radio"></span>
          </label><br>
        </div>
        <div id="received-unemployment-benefits--info" class="subsidy-calculator__uib-info d-none">
        </div>
      </div>
    </div>
  </div>
  <!-- Calculate Button -->
  <div class="row mr-0 mt-auto pt-4">
    <div class="col-12 d-md-flex justify-content-md-end pr-md-5 py-3">
      <div id="calculate">
        <a href="#results-container" id="calculate-desktop" class="subsidy-calculator__calculate-button btn btn-primary px-0 px-lg-5 d-none d-sm-block gtm-calculator-calculate disabled">Calculate</a>
        <a href="#results-container" id="calculate-mobile" class="subsidy-calculator__calculate-btn-mobile btn btn-primary px-5 d-block d-sm-none w-75 mx-auto gtm-calculator-calculate disabled">Calculate</a>
      </div>
    </div>
  </div>
</form>

<form class="sign-up__form subscription w-100" id="footer-subscribe">
  <input type="hidden" name="StateSubsidy" value="true">
  <input type="hidden" name="Source" value="footer">
  <div class="row mx-0">
    <div class="col-12">
      <div class="form-group w-90 mx-auto">
        <label class="text-dark m-0 pl-3" for="Name">First Name</label>
        <input type="text" id="Name" name="Name" class="form-control form-control-sm border border-dark rounded-pill" placeholder="e.g. John">
      </div>
    </div>
    <div class="col-6 ml-2">
      <div class="form-group w-90 mx-auto">
        <label class="text-dark m-0 pl-3" for="Zip">ZIP Code</label>
        <input type="text" id="Zip" name="ZipCode" class="form-control form-control-sm border border-dark rounded-pill" placeholder="12345">
      </div>
    </div>
    <div class="col-12">
      <div class="form-group w-90 mx-auto mb-0">
        <label class="text-dark m-0 pl-3" for="EmailAddress">Email*</label>
        <input type="email" id="EmailAddress" name="EmailAddress" class="form-control form-control-sm border border-dark rounded-pill" placeholder="youremail@example.com" required="">
      </div>
    </div>
    <div class="col-12">
      <div class="w-90 mx-auto">
        <span class="font-size-12px pl-3">* required</span>
      </div>
    </div>
    <div class="col">
      <button type="submit" id="gtm-sign-up" class="sign-up__submit-button--footer btn btn-sm btn-primary d-block mx-auto mt-2 mt-lg-0 px-5">Subscribe</button>
    </div>
  </div>
</form>

<form class="sign-up__form subscription" id="pop-up-subscribe">
  <input type="hidden" name="StateSubsidy" value="true">
  <input type="hidden" name="Source" value="Pop-up">
  <div class="form-group">
    <label class="text-primary" for="fNamePopUp">Enter First Name</label>
    <input id="fNamePopUp" name="fNamePopUp" class="form-control border-primary">
  </div>
  <div class="form-group">
    <label class="text-primary" for="ZipCode">Enter ZIP Code</label>
    <input name="ZipCode" id="ZipCode" class="form-control border-primary">
  </div>
  <div class="form-group">
    <label class="text-primary" for="eAddressPopUp">Enter Email Address (Required)</label>
    <input type="email" id="eAddressPopUp" name="eAddressPopUp" class="form-control border-primary" required="">
  </div>
  <a class="text-center d-inline-block mb-4" href="/privacy">Privacy Policy</a>
  <div class="loading text-center mb-3"><img src="//www.coveredca.com/images/loading.gif" alt="Loading..."></div>
  <div class="col-8 offset-2">
    <button id="signUp" type="submit" class="sign-up__submit-button btn btn-action w-100 gtm-lead-popup-subscribe" disabled="">Subscribe</button>
  </div>
</form>

Text Content

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MORE FINANCIAL HELP FOR JUST ABOUT EVERYONE.

Open enrollment for health insurance ends on Jan. 31. Apply today.


We are experiencing technical difficulties. Please try again later.
Household Income info
$
Please enter a number
ZIP Code

location
Please enter a valid ZIP code
County
Sacramento
Household Size info
1 2 3 4 5 6 7 8
Household size must be the same or more than how many need coverage.
How many need coverage?
1 2 3 4 5 6 7 8
Cannot be more than the household size
When do you want to start coverage?
Next year (2022) This year (2021)
Please enter a coverage year
Age of People Needing Coverage info Age of People Needing Coverage

Age of People Needing Coverage

info


Please enter a valid age for each person.
Received unemployment benefits in 2021? info
Yes

No


Calculate Calculate
Your Estimate $63 per month for a Silver plan. Bronze as low as $0. You may
qualify for: Covered California.
 * You save $507 per month.
 * Brand-name plans.

This isn’t an application for health coverage.


QUICK QUOTE


YOU MAY QUALIFY FOR

done
$63 per month
Medi-Cal
for a Silver plan.
Bronze plans as low as $0.
After financial help from: You may qualify for: You may qualify for: Covered
California both Covered California and no-cost or low-cost coverage through
Medi-Cal. no-cost or low-cost coverage
check_circle Financial Help: $507 per month
check_circle Bronze, Gold and Platinum plans also available
check_circle Coverage for children, adults and families
check_circle Free or affordable pregnancy coverage
Learn More
This isn’t an application for health coverage. info
Total Subsidy: $506.80
Members going to cca: 1
Members going to medical: 0
Fed Fairshare: $62.90
FPL%: 217.39130434782606
Percentage of income: 0.0
SLS Benchmark cost: 569.70
SLS Rate: 394.53
Household Rating Factor: 1.44

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OUR COVERAGE OPTIONS

Health, dental and vision care — all in one place.



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Adult Vision


Adults can enroll directly into a choice of two different providers. Learn More
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Covered California Children’s Vision


Children under 19 get free vision care with a Covered California health plan.
Learn More arrow_forward
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Covered California for Small Business


Health and dental options for small businesses with 1 to 100 employees. Learn
More arrow_forward
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Covered California Bronze

Premiums LOWEST
Out-of-Pocket HIGHEST

Lower monthly premium if you qualify for financial help. Learn More
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More Savings
Covered California Silver

Premiums LOWER
Out-of-Pocket MODERATE

Lower monthly premiums if you qualify for financial help, and lower deductibles
and copays for eligible people. Learn More arrow_forward
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No Deductibles
Covered California Gold

Premiums HIGHER
Out-of-Pocket LOWER

Lower monthly premium if you qualify for financial help. Learn More
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No Deductibles
Covered California Platinum

Premiums HIGHEST
Out-of-Pocket LOWEST

Lower monthly premium if you qualify for financial help. Learn More
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Medi-Cal for Individuals and Families


Depending on your income, you can get free or low-cost health care. Learn More
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Medi-Cal for Children


Children under age 19 can get Medi-Cal, even if their parents don't qualify.
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Medi-Cal for Pregnancy


Free or affordable programs to start pregnancy coverage right away. Learn More
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Covered California Family Dental


Adults or families can add dental coverage to their health plan purchase. Learn
More arrow_forward
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Covered California Children’s Dental


Children get free dental care with a Covered California health plan. Learn More
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Adult Vision


Adults can enroll directly into a choice of two different providers. Learn More
arrow_forward
edit
Covered California Children’s Vision


Children under 19 get free vision care with a Covered California health plan.
Learn More arrow_forward
edit
Covered California for Small Business


Health and dental options for small businesses with 1 to 100 employees. Learn
More arrow_forward
edit
Covered California Bronze

Premiums LOWEST
Out-of-Pocket HIGHEST

Lower monthly premium if you qualify for financial help. Learn More
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edit
More Savings
Covered California Silver

Premiums LOWER
Out-of-Pocket MODERATE

Lower monthly premiums if you qualify for financial help, and lower deductibles
and copays for eligible people. Learn More arrow_forward
edit
No Deductibles
Covered California Gold

Premiums HIGHER
Out-of-Pocket LOWER

Lower monthly premium if you qualify for financial help. Learn More
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How to Get Covered 

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Explore Discover the programs and financial help available to you.
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Join Select the plan that's right for you. Apply online, in person, or by phone.
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All set! Start using your plan, including your free preventive care.
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HOW CAN WE HELP YOU?


When will my coverage start?

Affected by Wildfires

Transition to Another Program

Report a Change to My Account

Documents to Confirm Eligibility

Tax Information

Forgot My Username or Password

Penalty for Being Uninsured

American Rescue Plan Information
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DATES AND DEADLINES


TODAY'S EVENTS

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Apply for Coverage You can enroll in coverage right now. Medi-Cal enrollment is
year-round.
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Pay Your Bill After you pick a plan, select the Pay Now button to make your
first payment.



COMING SOON

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Jan. 31 Deadline for Coverage Starting Feb. 1 Sign up by Jan. 31 for a health
plan that starts the following month.



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