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.

You will have the opportunity to filter for a specific doctor, dentist, or hospital if you so choose.

Continue to click the “Next” button as you scroll through a few more questions about your specific health care needs.
Click on the “View Plans” 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 “Details” button.

Click on the “Summary of Benefits and Coverage” link to see a pop-up question allowing you to “Open” the document for that plan in which you’ll be able to find the 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
- Data on Enrollment
- Data on Disenrollment
- Data on Rating Practices
- Data on Denied Claims
- Data on Appeals
Financial Information
Rate Booklet
- 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_Issuer_Model_Contract_8.1.22.pdf
- 2023-2025_QHP_IND_Att-1_Appendix-A_8-1-22_Clean_7-19_v
- 2023-2025_QHP_IND_Att-2_Performance-Standards-with-Penalties_8-1-22
- 2023-2025_QHP_IND_Att-3_Performance-Standards-and-Expectations_8-1-22
- 2023-2025_QHP_IND_Att-4_8-1-22_Clean
- 2023_QHP_IND_Att-5_Off-Exchange Silver_8-1-22
- 2023-2025 QHP_IND_Model-Contract_Final_Clean_8-1-22
- 2023-2025_ QHP_CCSB_Attachment-1_Clean_8-1-22
- 2023-2025_CCSB_Att-2_Performance-Standards-With-Penalties_8-1-22
- 2023-2025_CCSB_Att 3_Performance-Standards-and-Expectations_8-1-22
- 2023-2025_QHP_CCSB_Model-Contract_8-1-22
- 2023_Attachment-5_CCSB
- QHP Individual Market Model Contract for 2017-2022 - Amended for 2022
- QHP Individual Market Attachment 7 for 2017-2022 - Amended for 2022
- QHP Individual Market Attachment 14 for 2017-2022 - Amended for 2022
- QDP Model Contract for 2017-2022 - Amended for 2022
- QDP Attachment 3 for 2017-2022 - Amended for 2022
- QDP Attachment 7 for 2017-2022 - Amended for 2022
- QDP Attachment 14 for 2017-2022 - Amended for 2022
- CCSB QHP Model Contract for 2017-2022 - Amended for 2022
- CCSB Attachment 3 for 2017-2022 - Amended for 2022
- CCSB Attachment 7 for 2017-2022 - Amended for 2022
- CCSB Attachment 14 for 2017-2022 - Amended for 2022