What is the penalty for no health insurance in California?
The penalty for not having coverage the entire year will be at least $900 per adult and $450 per dependent child under 18 in the household when you file your 2023 state income tax return in 2024. A family of four that goes uninsured for the whole year would face a penalty of at least $2,700.
The penalty for not having coverage the entire year will be at least $900 per adult and $450 per dependent child under 18 in the household when you file your 2023 state income tax return in 2024. A family of four that goes uninsured for the whole year would face a penalty of at least $2,700.
If you do not have health insurance, Covered California can help you determine if you qualify for Medi-Cal or federal subsidies, and can provide you with coverage options and plan costs. You can contact Covered California by phone at (800) 300-1506, TTY: (888) 889-4500 or by visiting their website at www.coveredca.com.
Individual Mandate
Most people in California are required to have health coverage. If you do not have health coverage you may have to pay a tax penalty. This is called the “individual mandate.”
| Company | Monthly Cost | Plan |
|---|---|---|
| Inland Empire Health Plan | $385 | Inland Empire Health Plan Silver 70 HMO |
| Anthem Blue Cross | $404 | Silver 70 HMO |
| Molina Health Care | $413 | Silver 70 HMO |
| SHARP Health Plan | $416 | Silver 70 Premier HMO |
What you need to know about the individual mandate — and how it impacts you and your family. Having health insurance isn't just a good idea — if you live in California, it's the law. In fact, 2020 marked the first year that Californians are required by state law to have health insurance.
In a worst-case scenario, you could be sued and have your wages garnished. You might even be forced into bankruptcy. The Commonwealth Fund's 2023 Health Care Affordability Survey found that 38% of people surveyed said they delayed or skipped needed healthcare or prescription drugs because they couldn't afford it.
The LA Care Silver 70 HMO is the best cheap health insurance in California, with rates as low as $335 per month.
How is health insurance in California? California residents can expect to pay an average of $487 per person* for a major medical individual health insurance plan. Prices will vary and premiums can be lower if you are in good health.
If you're eligible for or enrolled in premium-free Medicare Part A (hospital insurance), you can't apply for new coverage through Covered California. However, if you must pay for Medicare Part A, you may sign up for coverage through Covered California instead of Medicare Part A.
What type of insurance is mandatory in California?
The law says that you must have auto liability insurance. However, if you have a low income, it can be hard to pay the premium. California has a program to help you. This program helps income-eligible good drivers get insurance.
In 2024, an individual in a one-person household is eligible for some degree of Covered California subsidies if they earn up to $33,975 Meanwhile, that limit rises to $69,375 for a household size of 4. These numbers refer to your Adjusted Gross Income (AGI) as found on line 11 of your Form 1040.
The State of California adopted a new state individual health care mandate that requires individuals to maintain health insurance beginning January 1, 2020. Individuals who do not obtain health insurance for themselves and their dependents will be subject to a penalty unless they qualify for an exemption.
For some, especially those with employer-sponsored coverage or receiving subsidies under the ACA, $200 might seem high. For others, especially those in the private market without subsidies, $200 might be considered affordable.
The ever-increasing costs within the healthcare sector contribute significantly to Covered California's pricing. Medical advancements, prescription drug costs, and the general inflation of healthcare services all contribute to the overall expense of providing comprehensive coverage.
On average, premiums for individual plans can range from $300 to $600 per month, but subsidies available through the Affordable Care Act (ACA) can lower these costs for eligible individuals and families.
Urgent care centers are the easiest and fastest way to get medical support when your physician is unavailable or you can't wait for an appointment. The average base cost of an urgent care visit in the state of California ranges from $90 to $300.
Gavin Newsom and lawmakers agreed in 2022 to provide health care access to all low-income adults regardless of their immigration status through the state's Medicaid program, known as Medi-Cal. California is the most populous state to guarantee such coverage, though Oregon began doing so in July.
Summary: Based on 2022 California Health Interview Survey (CHIS) data, the percentage of nonelderly Californians without health insurance dropped to 6.2% in 2022, a significant decline from 2021 (7.4%).
The study estimates that 35,327 to 44,789 people between the ages of 18 and 64 die in the U.S. each year because they lack heath insurance. That's more than double the previous estimate made by the Institute of Medicine in 2002.
Why are so many Americans uninsured?
Most uninsured people are in low-income families and have at least one worker in the family. Reflecting the more limited availability of public coverage in some states, nonelderly adults are more likely to be uninsured than children.
As of 2022, more than 100 million Americans carried debt related to obtaining health care, according to the Kaiser Family Foundation. Commonwealth Fund President Joseph Betancourt, M.D., also suggested that high health care costs are linked to Americans having one of the highest rates of chronic disease in the world.
Buying Individual Health Insurance on Your Own
You can buy an individual policy from an insurance company, a licensed health insurance agent, or from Covered California- California's Healthcare Marketplace. You can reach Covered California at www.coveredca.com or call them at (800) 300-1506.
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $19,392 |
| 2 | $26,228 |
| 3 | $33,064 |
| 4 | $39,900 |
| Health insurance plan member | Average monthly cost for an HMO plan | Average monthly cost for a PPO plan |
|---|---|---|
| Adult individual age 30 | $390 | $458 |
| Adult individual age 40 | $438 | $516 |
| Adult individual age 50 | $613 | $721 |
| Adult individual age 60 | $930 | $1,095 |
References
- https://laborcenter.berkeley.edu/wp-content/uploads/2023/03/CA-remaining-uninsured-2024.pdf
- https://www.kff.org/racial-equity-and-health-policy/issue-brief/health-coverage-by-race-and-ethnicity/
- https://www.insurance.ca.gov/01-consumers/105-type/95-guides/01-auto/auto101.cfm
- https://www.ehealthinsurance.com/resources/affordable-care-act/understanding-obamacare
- https://healthpolicy.ucla.edu/our-work/publications/california-achieves-lowest-uninsured-rate-ever-2022
- https://www.ehealthinsurance.com/resources/small-business/how-many-americans-get-health-insurance-from-their-employer
- https://www.investopedia.com/terms/u/underinsurance.asp
- https://quotewizard.com/auto-insurance/basic-car-insurance
- https://www.way.com/blog/why-car-insurance-is-mandatory-for-car-owners/
- https://www.healthaffairs.org/content/forefront/national-uninsured-rate-record-low-focus-maintaining-gains
- https://singleparentsonholiday.co.uk/planning-a-road-trip-in-the-us-all-you-need-to-know-about-car-insurance/
- https://www.verywellhealth.com/why-your-health-insurance-wont-pay-for-your-health-care-1738481
- https://www.kff.org/health-costs/issue-brief/the-burden-of-medical-debt-in-the-united-states/
- https://www.msh-intl.com/en/medical-expenses-abroad-countries-most-expensive.html
- https://www.valuepenguin.com/why-health-insurance-is-important
- https://www.skuad.io/blog/an-overview-of-countries-that-offer-free-healthcare
- https://support.stridehealth.com/hc/en-us/articles/201549394-Is-there-a-tax-penalty-if-I-don-t-have-insurance-How-much-will-I-pay
- https://www.coveredca.com/support/before-you-buy/people-with-medicare/
- https://www.cbsnews.com/news/car-insurance-rates-inflation-costs/
- https://www.nomihealth.com/blog/why-is-healthcare-so-complicated
- https://www.linkedin.com/pulse/rich-peoples-tings-health-insurance-give-me-money-biko-onehealthng
- https://www.forbes.com/advisor/health-insurance/do-you-have-to-have-health-insurance/
- https://www.standard.co.uk/news/world/life-expectancy-countries-highest-lowest-list-b1067880.html
- https://www.acpjournals.org/doi/full/10.7326/M17-1403
- https://www.marketwatch.com/guides/insurance-services/why-is-car-insurance-mandatory/
- https://www.aha.org/news/perspective/2023-08-11-inadequate-health-insurance-coverage-drives-medical-debt-four-solutions-address-significant-problem
- https://www.healthpartners.com/blog/how-to-figure-out-what-your-health-plan-covers/
- https://www.decent.com/post/health-insurance-costs-for-employers-an-unavoidable-expense-or-a-smart-investment
- https://wallethub.com/answers/ci/california-new-car-insurance-grace-period-2140713252/
- https://www.medicare.gov/what-medicare-covers/what-isnt-covered-by-part-a-part-b
- https://www.libertymutual.com/insurance-resources/auto/car-insurance-for-non-us-citizens
- https://www.commonwealthfund.org/publications/surveys/2023/oct/paying-for-it-costs-debt-americans-sicker-poorer-2023-affordability-survey
- https://www.valuepenguin.com/platinum-health-insurance-guide
- https://www.statista.com/statistics/986620/health-uninsured-population-share-by-us-state/
- https://www.census.gov/library/publications/2023/demo/p60-281.html
- https://www.allstate.com/resources/car-insurance/do-you-need-car-insurance
- https://zeemedicalbilling.com/unethical-medicalbilling-practices-monitorabusereport/
- https://www.ehealthinsurance.com/resources/individual-and-family/how-much-does-individual-health-insurance-cost
- https://www.dmv.ca.gov/portal/vehicle-registration/insurance-requirements/
- https://www.ehealthinsurance.com/california-health-insurance
- https://www.benefits.gov/benefit/1620
- https://blog.healthsherpa.com/which-states-charge-you-penalty-if-dont-have-health-insurance/
- https://freopp.org/united-states-11-in-the-2022-world-index-of-healthcare-innovation-7175b47ab5d7
- https://en.wikipedia.org/wiki/List_of_countries_with_universal_health_care
- https://www.humana.com/medicare/medicare-resources/what-does-medicare-cover
- https://www.quora.com/Can-non-US-citizens-buy-a-car
- https://www.ehealthinsurance.com/resources/affordable-care-act/all-about-the-covered-california-income-limits
- https://www.healthforcalifornia.com/blog/insurance-price-increase-2023
- https://www.urban.org/sites/default/files/publication/50831/411317-Why-Do-People-Lack-Health-Insurance-.PDF
- https://www.avrek.com/blog/driving-without-insurance-in-california/
- https://www.citywidelaw.com/resources/why-do-insurance-companies-deny-claims/
- https://www.investopedia.com/articles/insurance/09/services-health-insurers-do-not-cover.asp
- https://www.gmlawyers.com/insurance-denies-surgery-what-to-do/
- https://www.usatoday.com/money/blueprint/auto-insurance/do-i-need-rental-car-insurance/
- https://www.bankrate.com/insurance/car/average-cost-of-car-insurance/
- https://www.uhcsr.com/insurance101
- https://www.statista.com/statistics/1290168/health-index-of-countries-worldwide-by-health-index-score/
- https://finance.yahoo.com/news/17-countries-better-healthcare-united-193623712.html
- https://www.policygenius.com/auto-insurance/car-insurance-required-in-every-state/
- https://www.usnews.com/insurance/glossary/underinsurance
- https://www.investopedia.com/is-health-insurance-mandatory-4773106
- https://qz.com/2128764/self-pay-may-be-better-with-high-deductible-health-plans
- https://www.nerdwallet.com/article/insurance/how-much-is-car-insurance
- https://www.forbes.com/advisor/health-insurance/how-much-is-obamacare/
- https://www.cdc.gov/nchs/hus/topics/health-insurance-coverage.htm
- https://www.sacbee.com/news/california/article280458369.html
- https://www.pgpf.org/blog/2023/07/how-does-the-us-healthcare-system-compare-to-other-countries
- https://shipscience.com/which-items-cant-be-insured-a-comprehensive-guide/
- https://www.moneygeek.com/insurance/health/analysis/top-states-health-care/
- https://www.healthinsurance.org/faqs/is-there-still-a-penalty-for-being-uninsured/
- https://www.pgpf.org/blog/2024/01/why-are-americans-paying-more-for-healthcare
- https://www.worthinsurance.com/post/health-insurance-statistics
- https://www.healthcare.gov/how-plans-set-your-premiums/
- https://www.texmed.org/uninsured_in_texas/
- https://www.valuepenguin.com/best-cheap-health-insurance-california
- https://www.calpers.ca.gov/page/retirees/health-and-medicare/medicare
- https://www.citizen.org/news/nobody-should-die-because-they-cant-afford-health-care/
- https://www.forbes.com/advisor/health-insurance/what-happens-if-you-dont-have-health-insurance/
- https://www.kff.org/uninsured/issue-brief/key-facts-about-the-uninsured-population/
- https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022
- https://translayte.com/blog/cost-of-health-insurance-in-the-usa
- https://www.valuepenguin.com/auto-insurance/florida/penalties-driving-without-insurance
- https://www.patientadvocate.org/explore-our-resources/insurance-denials-appeals/where-to-start-if-insurance-has-denied-your-service-and-will-not-pay/
- https://www.lemonade.com/homeowners/explained/negligence/
- https://www.moneygeek.com/insurance/auto/resources/international-driver-guide/
- https://ois.iu.edu/living-in-the-us/transportation/drivers-permit/index.html
- https://roundstoneinsurance.com/blog/why-is-health-insurance-expensive/
- https://www.socaluc.com/without-insurance
- https://www.healthpartners.com/blog/is-health-insurance-required/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193322/
- https://www.internationalinsurance.com/health/countries-free-healthcare.php
- https://www.rosslawgroup.com/car-insurance-requirements-texas/
- https://www.iii.org/article/is-it-legal-to-drive-without-insurance
- https://www.commonwealthfund.org/publications/issue-briefs/2023/oct/high-us-health-care-spending-where-is-it-all-going
- https://www.insurance.ca.gov/01-consumers/105-type/95-guides/05-health/health-ins-guide.cfm
- https://www.moneygeek.com/insurance/health/cheap-health-insurance-california/
- https://www.policygenius.com/homeowners-insurance/home-insurance-exclusions/
- https://americaninequality.substack.com/p/insurance-and-inequality
- https://www.thezebra.com/auto-insurance/policies/6-month-vs-12-month-auto-insurance/
- https://www.fairhealthconsumer.org/insurance-basics/healthcare/healthcare-services-not-covered-by-health-insurance
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633404/
- https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2023/202305.htm
- https://www.internationalinsurance.com/health/systems/
- https://apnews.com/article/california-medicaid-expansion-undocumented-immigrants-34d8deb2186e9195b253f499e81a3d77
- https://www.kff.org/report-section/ehbs-2023-section-1-cost-of-health-insurance/
- https://www.irs.gov/affordable-care-act/questions-and-answers-about-health-care-information-forms-for-individuals
- https://www.ftb.ca.gov/about-ftb/newsroom/tax-news/october-2019/california-healthcare-mandate.html
- https://www.dmhc.ca.gov/HealthCareinCalifornia/LoworNo-IncomeOptionsandTheUninsured.aspx
- https://medium.com/@biyachb461/why-is-covered-ca-so-expensive-6e288925ed8e
- https://www.texastribune.org/2023/09/14/census-bureau-texas-healthcare-insurance/
- https://www.coveredca.com/learning-center/tax-penalty-details-and-exemptions/penalty/
- https://www.cbsnews.com/news/health-care-costs-unaffordable-even-for-insured-americans-commonwealth-fund/
- https://www.coveredca.com/marketing-blog/why-are-californians-required-by-law-to-have-health-insurance/
- https://dmv.ny.gov/brochure/auto-liability-insurance
- https://www.progressive.com/answers/driving-without-insurance/
- https://www.ncbi.nlm.nih.gov/books/NBK223657/
- https://www.dmhc.ca.gov/healthcareincalifornia/choosetherightplan.aspx
- https://insights.q4intel.com/employers/breaking-down-full-coverage-health-insurance
- https://www.pgpf.org/blog/2023/11/the-share-of-americans-without-health-insurance-in-2022-matched-a-record-low
