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Covered California Q&A

Covered California and Obamacare related questions from consumers, employers and agents are answered by Phil Daigle with the best information available at the time. Archived entries may no longer be accurate as the Covered California and Obamacare knowledge-base is evolving quickly. TO REQUEST A PERSONAL RESPONSE INCLUDE EMAIL ADDRESS.

Can I use doctors outside of my pricing region?

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Question: I see that prices for subsidies vary substantially between pricing regions. Will I be able to see doctors outside of my pricing region with the plans offered in the exchange?

Answer: Yes. You will be ale to see doctors outside of the pricing region. Provider networks are completely independent of pricing regions. Just to clarify, subsidies DO NOT vary between pricing regions. Your subsidy (premium assistance) amount is a fixed amount based on a percentage of your income. It does not vary by pricing region. The premium rate does vary and thus the net out of pocket payment for those receiving premium assistance varies by pricing region.

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