Question: I been on VA coverage for years. It sucks, but the price is right, especially the prescription drug prices. With my income, I could buy an enhanced silver plan for under $100/mo. Can I switch?
Answer: Yes. You can cancel your VA coverage and enroll in Covered California coverage. The first thing to consider is the cost tradeoffs. Va coverage has $0 monthly premium and almost $0 out-of-pocket costs except for prescription drugs which by law a considerably lower than commercially available plans.
Your fair share premium, lets say $90 for a Covered Ca policy would be due monthly, but on top of that you will have out-of-pocket expenses when you use your benefits. An enhanced Silver Plan on Covered California will cover 70% to 94% of your medical expenses depending on your income. Let’s say you have a $10,000 medical expense, at best with 94% coverage, you would be on the hook for $600, at worst with 70% coverage, you would have to pay $3,000
If you choose to cancel your VA coverage and enroll in a plan through Covered California, you can reapply for enrollment in VA health care at any time, but you should keep in mind that returning to the VA for health care enrollment will be based on eligibility factors at the time of their application, which may result in a denial of enrollment.