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editHealthcare Providers in California
editThe table below shows the top Health Provider classifications by Specialty and ACA Plan Participation, with primary practice addresses in California. Also, 35333 pharmacists in California staff 10159 pharmacies (7240 pharmacies accept ACA plans) according to the NPPES via summary report by Pharmacy Near Mepharmacy locator.
Types of Coverage
editInsurance can be offered in an individual or group plan.
Group Insurance
editA group insurance plan is a type of health plan that gets an individual through a job, union or a retiree.[1] Also called employer-based coverage, health insurance through a group plan is by a group of employees and their dependents who are insured together under an employer policy. [2]
Group insurances should be considered when one is self-employed, a contractor, work part-time, or are ineligible for employee-sponsored coverage.
Employers can choose to enroll or decline a coverage that they are eligible for. Premium payments, if enrolled, may be covered by the employers. It is up to the employer whether or not they may cover premium costs. [3]
According to the Affordable Care Act, employers with more than 50 full-time employees must offer health insurance that meets minimum requirements for coverage and cost or be subjected to a fee.[2]
Individual Insurance
editAn individual insurance plan is a type of health plan that an individual buys for themselves, or for themselves and their family. [1] It is bought outside of an employer or association. [4]
Individual insurance is primarily accessed through Covered California- the state's official health insurance marketplace. You are able to shop for individual insurance if you do not get health insurance through an employer and do not quality for Medi-Cal or other public programs. [4]
The Affordable Care Act allows for Covered California to exist as a method of being able to buy private insurance. Individuals, families, and small businesses are able to buy insurance from the market place. Covered California is also able to help identify if an individual qualifies for Medi-Cal. [5]
References
edit- 1 2 "Types of Coverage". www.dmhc.ca.gov. Archived from the original on 2026-02-18. Retrieved 2026-04-27.
- 1 2 "Group Coverage Through Your Job". www.coveredca.com. Retrieved 2026-04-27.
- ↑ "What is Group Insurance & How Does It Work?". MetLife. Retrieved 2026-04-27.
- 1 2 "Overview: Healthcare Coverage in California". www.insurance.ca.gov. Retrieved 2026-04-27.
- ↑ "Shopping for Individual/Family Coverage". www.insurance.ca.gov. Retrieved 2026-04-27.