Medical Coverage

Health Insurance Options

Open Enrollment is under way!

Now is the time to enroll in medical coverage for 2019!  Remember, you can only enroll in a medical plan during a medical open enrollment period or after experiencing a qualifying event.  As the exclusive broker for the California Association of REALTORS’®, we offer members access to three different markets to find a plan to meet their needs. Only RealCare can offer the C.A.R. group plans which feature a variety of HMO and PPO options including access to a large statewide PPO network, and Kaiser group plans. In addition, we can help you compare options with Individual and Family plans, or Covered California. Finding the right fit has never been more important because the choice you make now may be locked in for an entire year! Trust RealCare to help you find the right plan for you and your family.

Open Enrollment Dates

  • C.A.R. Group MEDICAL Plans  November 1, 2018 to December 15, 2018
  • Individual health plans and Covered California –  October 15, 2018 to January 15, 2019   

INSTANT C.A.R. GROUP PLAN QUOTES: C.A.R. Member Benefits Portal  


OPTION 1: C.A.R. Group Health Plans

If you are a member of the California Association of REALTORS® you are eligible for coverage under the C.A.R. group health plans. C.A.R. offers group medical, dental, vision, life, and AD&D coverage for members, their families, and their full time W2 employees. The C.A.R. group medical plans are offered through Kaiser and Anthem Blue Cross. Here are some key features of the medical plans:

  • All guaranteed issue plans with no pre-existing condition limitations
  • Kaiser group medical rates are often lower than individual plans
  • C.A.R.’s Kaiser portfolio includes additional plan options and plans with lower deductibles
  • C.A.R. Anthem PPO plans are available statewide
  • C.A.R. Anthem plans use the full Prudent Buyer PPO and CaliforniaCare networks giving you access to more doctors and hospitals than you can get with individual plans

OPTION 2:  Individual and Family Plans

As mentioned above, the Open Enrollment for Individual and Family Plans (IFP) started October 15th.  You can’t purchase an IFP plan outside of their Open Enrollment period unless you experience a Qualifying Event such as a loss of other coverage, birth, adoption, marriage, or divorce.

All IFP plans are guaranteed issue – no one can be turned down due to medical conditions or history, and there is no waiting period for pre-existing conditions.

We offer IFP plans from a variety of insurers including Kaiser, Anthem Blue Cross, Blue Shield of California, Sutter Health Plus, Health Net, Sharp Health Plan, and Western Health Advantage. Individual plans may or may not offer lower rates than group health plans. The rates depend on many factors including network access, plan design, zip code and age. We encourage everyone to compare their IFP and group options – whether through C.A.R. or another group. Often you will find that IFP plans are less expensive, but provider access is significantly restricted to small provider lists.

“It is extremely important that consumers do their homework to research provider access, availability of medication, and overall out of pocket costs before making a change. We do our best to provide the tools consumers need to select the right plan for them.”
-Pat O’Brien, Vice President

INSTANT INDIVIDUAL PLAN QUOTES:  Individual and Family Plans Quoting Page 


OPTION 3:  Covered California

The Open Enrollment period for Covered California coincides with that for IFP plans and started October 15th.

Some consumers will qualify for assistance with health insurance costs under the Affordable Care Act. Those who meet certain income and family size guidelines may qualify for the Advance Premium Tax Credit (APTC) and/or Cost Sharing Reduction (CSR).  The only way to get the Advance Premium Tax Credit or Cost Sharing Reduction is to apply for coverage through Covered California. The tax credit can reduce your premiums significantly. In addition, the Cost Sharing Reduction, if continued by Congress,  can lower your out of pocket expenses. We encourage every consumer to check their eligibility for the tax credit or cost sharing reduction. If you do qualify, then you must apply through Covered California to get assistance. If you won’t qualify, then there is no reason to apply through this new system.

All the plans available in Covered California are also available through the Individual and Family plans directly. The only difference in these plans is whether you can get a tax credit or cost sharing assistance or not.

To find out if you may qualify for the tax credit or cost sharing, call us.  We will need to know:

  • Determine your best estimate of what your household Adjusted Gross Income will be for 2019.
  • Look up the number of people in your family (the number you claim on your tax return) and find the income closest to your estimate. If your income falls within certain federal guidelines, you may qualify for a tax credit and potentially cost sharing reduction.

 

December 6th, 2018 by RealCare Insurance Marketing, Inc.