News Release

Date Posted

Central Coast Enrollment Figures Released by Covered California and Department of Health Care Services

SACRAMENTO, Calif. — Covered California™ and the California Department of Health Care Services (DHCS) announced today that from Oct. 1 to Dec. 31, under the Patient Protection and Affordable Care Act, 35,301 consumers in six Central Coast counties enrolled in subsidized and non-subsidized Covered California health insurance plans.


The three-month total represents 108 percent of the base projection of 32,602 Covered California estimated for the region during the entire six-month enrollment period, which ends March 31 (see the table attached).

The Central Coast counties of Santa Cruz, Monterey, San Benito, San Luis Obispo, Santa Barbara and Ventura represent about 7 percent of the statewide enrollment. The local total includes 30,418 consumers eligible for financial subsidies. These counties encompass Covered California pricing regions 9 and 12.

For the three-month period, which is half of the open-enrollment period for 2014 coverage, 500,108 consumers enrolled in plans statewide.

Tables and graphics showing enrollment by metal tier and health insurance plan in each region are available online at https://www.CoveredCA.com/news/PDFs/regional-stats-dec/dec-regionals-all.pdf and https://www.CoveredCA.com/news/PDFs/regional-stats-dec/RegionalEnrollmentTables.pdf.

About Covered California
Covered California is the state’s marketplace for the federal Patient Protection and Affordable Care Act. Covered California, in partnership with the California Department of Health Care Services, was charged with creating a new health insurance marketplace in which individuals and small businesses can get access to affordable health insurance plans. With coverage starting in 2014, Covered California helps individuals determine whether they are eligible for premium assistance that is available on a sliding-scale basis to reduce insurance costs or whether they are eligible for low-cost or no-cost Medi-Cal. Consumers can then compare health insurance plans and choose the plan that works best for their health needs and budget. Small businesses can purchase competitively priced health insurance plans and offer their employees the ability to choose from an array of plans and may qualify for federal tax credits.

Covered California is an independent part of the state government whose job is to make the new market work for California’s consumers. It is overseen by a five-member board appointed by the Governor and the Legislature. For more information on Covered California, please visit www.CoveredCA.com.

About the Department of Health Care Services
The Department of Health Care Services (DHCS) works to preserve and improve the physical and mental health of all Californians. DHCS provides health care services for more than 8.5 million Californians through Medi-Cal, including medical, dental, mental health, substance use treatment services and long-term services and supports. This is accomplished through an investment of approximately $70 billion annually in public funds for the care of low-income families, children, pregnant women, seniors and persons with disabilities. DHCS focuses on delivering quality, effective services primarily through the more coordinated systems of care provided by 21 Medi-Cal managed care plans located in all of California’s 58 counties. For more information about DHCS, please visit www.dhcs.ca.gov.


Total Three-Month Enrollment Compared
with Six-Month Base Projection
Base Projection*
for 3/31/2014
Total Enrolled
(with plan selection)
on 12/31/2013
Difference
from
Base Projection
for 3/31/14
Performance
to date
(% of 3/31/14
base projection)
Geographic Region
Greater Bay Area
89,599
116,635
27,036
130%
Sacramento
28,726
27,227
(1,499)
95%
Central Coast
32,602
35,301
2,699
108%
Los Angeles
177,602
132,209
(45,393)
74%
Specific Counties
 Fresno
14,500
6,748
(7,752)
47%
 Orange
44,392
50,016
5,624
113%
 San Diego
43,054
45,081
2,027
105%
San Bernardino
35,692
16,057
(19,635)
45%
Riverside
40,377
23,417
(16,960)
58%
Statewide
Total
580,000 
500,108
(79,892)
86%
*Covered California projections based on available information, including CalSIM 1.8 data.