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
- 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
- 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
- QHP Model Contract for 2017-2021 – Amended for 2021
- QDP Model Contract for 2017-2021 – Amended for 2021
- CCSB Model Contract for 2017-2021 – Amended for 2021
- CCSB Attachment 3 2017-2021 – Amended for 2021
- CCSB Attachment 7 2017-2021 – Amended for 2021
- CCSB Attachment 14 2017-2021 – Amended for 2021
- Attachment 7 for the Individual Market 2017-2021 – Amended for 2021
- Attachment 14 for for the Individual Market 2017-2021 – Amended for 2021
- QHP Model Contract for 2017-2020 – Amended for 2020
- QDP Model Contract for 2017-2020 – Amended for 2020
- CCSB Model Contract for 2017-2020 – Amended for 2020
- Attachment 7 for 2017-2020 – Amended for 2020
- Attachment 14 for 2017-2020 – Amended for 2020
- QHP Model Contract for 2017-2019 – Amended for 2019
- QDP Model Contract for 2017-2019 – Amended for 2019
- CCSB Model Contract for 2017-2019 – Amended for 2019
- Attachment 7 for 2017-2019 - Amended for 2019
- Attachment 14 for 2017-2019 – Amended for 2019
- QHP Model Contract 2017-2019 – Amended for 2017 and 2018
- QDP Model Contract 2017-2019 – Amended for 2017 and 2018
- CCSB Model Contract 2017-2019 – Amended for 2017 and 2018
- Attachment 7 – Amended for 2017 and 2018
- QHP Model Contract for 2017-2019
- QDP Model Contract for 2017-2019
- CCSB Model Contract for 2017-2019