Information on Cost-Sharing and Payments With Respect To Out-of-Network Coverage
You can find information about Out-of-Network costs for each Qualified Health Plan (QHP) offered on the Exchange on the Covered California website, via the PREVIEW PLANS functionality found in SHOP AND COMPARE. This will allow you to view the “Summary of Benefits and Coverage” for each Plan, for each QHP, and find the Out-of-Network costs.
Click on the following link (https://www.coveredca.com/) to visit the PREVIEW PLANS page directly. The documentation below shows how to navigate there manually.
Click the “Shop and Compare” button.

Having arrived on the page, enter the required customer information, and then click “See My Results.”

Click “Continue” on the pop-up message:

Click on the “Preview Plans” button to see all the QHPs available to you on the Exchange based on the information you entered.

Answer the following questions about your specific health care needs:



Continue to click the “Next” button to filter for a specific doctor, dentist, or hospital if you so choose.

Click on the “Next” button to see all the QHPs available to you on the Exchange based on the information you entered.
Pick one you’re interested in and click the “Plan Details” button.

Click on the “Summary of Benefits and Coverage” link to see a download of the document for the plan in which you’ll be able to see any Out of Network costs.

Consumer Information
- Information on Cost-Sharing and Payments With Respect To Out-of-Network Coverage
- Enrollee Rights Information Under Title I of the Affordable Care Act
Quality Ratings
Claims
Data and Enrollment
Financial Information
Rate Booklet
- 2024 Regional Rate Sheets
- 2023 Regional Rate Sheets
- 2022 Regional Rate Sheets
- 2021 Regional Rate Sheets
- Covered California's Health Insurance Companies and Plan Rates for 2022
- 2020 Health Plan Rate Booklet
- 2019 Health Plan Rate Booklet
- 2021 Family Dental Rate Booklet
- 2020 Family Dental Rate Booklet
Contracts
- 2017-2023_QDP_Contract_8.-1-22_Clean-Final
- 2023-2025_QHP-IND_Att-1_8-1-22_Clean-Final
- 2023-2025_QHP-IND_Att-2_8-1-22_Clean-Final
- 2023-2025_QHP-IND_Att-3_8-1-22_Clean-Final
- 2023-2025_QHP-IND_Att-4_8-1-22_Clean-Final
- 2023_QHP-IND_Benefit-Design-Off-Exchange Silver_8-1-22
- 2023-2025 QHP-IND_Contract_8-1-22_Clean-Final
- 2023-2025 QHP-CCSB_Att-1_8-1-22_Clean-Final
- 2023-2025_QHP-CCSB_Att-2_8-1-22_Clean-Final
- 2023-2025_QHP-CCSB_Att-3_8-1-22_Clean-Final
- 2023-2025_QHP-CCSB_Contract_8-1-22_Clean-Final
- 2023_QHP-CCSB_Att-5_8-24-22_Clean-Final
- 2022-Amend QHP-IND Contract 8-9-21_Clean-Final
- 2022-Amend_QHP-IND Att-7_8-9-21_Clean-Final
- 2022-Amend_QHP-IND_Att-14_12-16-21_Clean-Final
- 2022-Amend_QDP Contract_8-9-21_Clean-Final
- 2022-Amend_QDP Att-3 8-9-21_Clean-Final
- 2022-Amend_QDP Att-7 8-9-21_Clean-Final
- 2022-Amend_QDP Att-14 8-9-21_Clean-Final
- 2022-Amend_QHP-CCSB Contract 8-9-21_Clean-Final
- 2022-Amend_QHP-CCSB Att-3 8-9-21_Clean-Final
- 2022-Amend_QHP-CCSB Att-7 8-9-21_Clean-Final
- 2022-Amend_QHP-CCSB Att-14 8-9-21_Clean-Final
- QHP Model Contract for 2017-2021 – Amended for 2021
- QDP Model Contract for 2017-2021 – Amended for 2021
- CCSB Model Contract for 2017-2021 – Amended for 2021
- CCSB Attachment 3 2017-2021 – Amended for 2021
- CCSB Attachment 7 2017-2021 – Amended for 2021
- CCSB Attachment 14 2017-2021 – Amended for 2021
- Attachment 7 for the Individual Market 2017-2021 – Amended for 2021
- Attachment 14 for for the Individual Market 2017-2021 – Amended for 2021
- QHP Model Contract for 2017-2020 – Amended for 2020
- QDP Model Contract for 2017-2020 – Amended for 2020
- CCSB Model Contract for 2017-2020 – Amended for 2020
- Attachment 7 for 2017-2020 – Amended for 2020
- Attachment 14 for 2017-2020 – Amended for 2020
- QHP Model Contract for 2017-2019 – Amended for 2019
- QDP Model Contract for 2017-2019 – Amended for 2019
- CCSB Model Contract for 2017-2019 – Amended for 2019
- Attachment 7 for 2017-2019 - Amended for 2019
- Attachment 14 for 2017-2019 – Amended for 2019
- QHP Model Contract 2017-2019 – Amended for 2017 and 2018
- QDP Model Contract 2017-2019 – Amended for 2017 and 2018
- CCSB Model Contract 2017-2019 – Amended for 2017 and 2018
- Attachment 7 – Amended for 2017 and 2018
- QHP Model Contract for 2017-2019
- QDP Model Contract for 2017-2019
- CCSB Model Contract for 2017-2019