Covered California Health and Dental

View plan booklets and health benefit tables for Covered California individual and family plans. View formularies and provider directories.

Health, Dental and Vision Plan Websites

Questions about premium bills, payment due dates and costs associated with doctor visits or other services should be directed to the health insurance plan, dental plan and vision plan. Plan representatives can also answer questions about doctor and hospital networks and can help consumers choose a provider. The phone numbers and websites of the health insurance companies, dental companies and vision companies working with Covered California are listed on the Health Plan Websites page.

Learning Management System (LMS)

Community enrollment partners can access Covered California’s Learning Management System at any time to review certification courses as a refresher for the following:

• Introduction to the Affordable Care Act.
• Introduction to Health insurance.
• Covered California for Small Business.
• Understanding Your Community Enrollment Partners Role.
• Eligibility for Individuals and Families.
• Plan Options.
• Privacy, Security and Compliance.
• CalHEERS.

Enrollment Partner Tool Kit

To make the enrollment process as simple as possible, access the Enrollment Partner Tool Kit, which includes important information and resources community enrollment partners need to handle a variety of scenarios and quickly identify a consumer’s needs. The following tool kits are found within the Enrollment Partner Tool Kit:

• Special Enrollment.
• Covered California Health and Dental Plans.
• Webinars and Briefings.
• Community Enrollment Partners Extranet.
• Subsidy-Eligible Maps.
• Storefront.
• Small Business.

Online Application (CalHEERS) Login

Access Covered California’s online application (CalHEERS) login page.

Delegation and Delegation Change Request Policy

Consumers can delegate their application to a community enrollment partner in the online application to assist them with the entire application process, including filling out the application, submitting the application, making changes to cases, terminating cases, renewing coverage, selecting a plan and more.

Privacy and Security

Personally Identifiable Information (PII) must remain secure and confidential in accordance with Covered California’s security and privacy policies, including all applicable laws and regulations. It is the responsibility of community enrollment partners to ensure that they handle this information in the appropriate manner. Remember that emails with consumer PII must be encrypted or secured.

Protecting Consumer Information Resources:

• Using 7-Zip for Encryption.
• Privacy and Security.

Certified Application Counselors.

Enrollment Assistance Program.

Medi-Cal Managed Care Enrollment Assistance Program.

Certified Plan-Based Enrollers.