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Private Health Insurance in California

Can you still get private health insurance in California? Yes — and in 2026 it is often the smarter buy. If you don't qualify for a Covered California subsidy (or lost most of it when the enhanced federal credits expired), buying a private medical plan directly from the carrier can get you a stronger PPO network for a similar or lower premium than an unsubsidized marketplace plan. We compare private health insurance side by side with Covered California, in every region of the state.

Licensed California insurance agency — CA License 0K90560. Independent and free to work with.

Which Carriers Offer Private Plans in California?

For 2026, California's individual market is served by Blue Shield of California, Health Net, Anthem Blue Cross, Kaiser Permanente, Molina, and strong regional carriers — L.A. Care in Los Angeles, Sharp in San Diego, IEHP in the Inland Empire, Western Health Advantage in Sacramento, CCHP in San Francisco, and Valley Health Plan in San Jose. Availability varies by pricing region.

The detail most shoppers miss: statewide, only Blue Shield and Health Net offer PPO plans — and several of the strongest PPOs (Blue Shield's Silver 1750 and HSA-eligible Silver 2600) are sold off-exchange only, so you will never see them on Covered California.

California Metro Guides

Carriers, networks, and prices differ sharply between regions. Start with your area:

Los Angeles →

UCLA, Cedars-Sinai, Keck/USC, City of Hope, Huntington Health.

Long Beach →

MemorialCare Long Beach and St. Mary Medical Center.

Orange County →

UCI Health, Hoag, Providence, MemorialCare, CHOC.

San Diego →

UC San Diego Health, Scripps, Sharp, Rady Children's.

San Francisco / San Jose →

UCSF, Sutter/CPMC, Stanford — and the city's only PPO.

Sacramento →

UC Davis Health, Sutter, Mercy, Western Health Advantage.

Inland Empire →

Loma Linda, Eisenhower, Kaiser Fontana/Ontario, Riverside Community.

Fresno →

Central Valley carriers, networks, and rates.

Bakersfield →

Kern County carriers, networks, and rates.

What Does Private Health Insurance Cost in California?

$390–$1,130/moTypical Silver plan range, age 40,
before subsidy (varies by region)
+10.3%Statewide average rate increase for 2026 —
far below the ~20% national average
2 PPOsBlue Shield & Health Net —
the only statewide PPO carriers
+ 2 exclusive private PPO plans — call to view

Your exact premium depends on your age, ZIP code, and household size — California uses 19 pricing regions, and the same plan can cost hundreds more a few counties over. We quote every carrier, on- and off-exchange, before recommending anything.

Beyond ACA Plans: True Employer-Level (ERISA) Group Coverage

Traditional on- and off-exchange plans are not the only route. Many Californians — especially the self-employed, independent contractors, and small-business owners — also qualify for true employer-level group coverage regulated under federal ERISA and Department of Labor rules. Qualifying as a bona fide employee takes only a few basic requirements — full-time work is not required — and pre-existing conditions are covered, just as with any employer group plan. You get the same kind of group PPO coverage large employers offer, with nationwide networks like Cigna, Multiplan/PHCS, Aetna, First Choice Health, and in some states Blue Cross with national Blue Card, and enrollment is open year-round, not just during open enrollment. Availability is subject to eligibility. Call us to see if you qualify.

Private Plan vs. Covered California — Which Is Right for You?

The honest answer: it depends on your subsidy. Covered California adds a surcharge to Silver plans sold on the exchange, so if you get little or no premium tax credit, the identical (or better) private medical plan bought off-exchange is frequently cheaper. If you qualify for meaningful savings, the marketplace usually wins. Since the enhanced federal subsidies expired at the end of 2025, a lot of California households have shifted from the first group to the second — and many haven't re-checked their options. A five-minute comparison settles it, and our service is free either way.

Private Health Insurance in California — FAQ

Are there PPO plan options in California beyond the public marketplace?

Yes. Beyond on- and off-exchange marketplace plans, we also offer exclusive private, employer-group (ERISA) PPO options with nationwide networks like Cigna, Multiplan/PHCS, Aetna, First Choice Health, and in some states Blue Cross with national Blue Card. These plans aren’t published on the public marketplace, enrollment is open year-round, and availability is subject to eligibility. Call us to see if you qualify.

Do private plans in California cover pre-existing conditions?

Yes. Every ACA-compliant private plan covers pre-existing conditions — no medical questions, no exclusions. ERISA employer-level group plans cover pre-existing conditions as well, just as with any employer coverage.

Can I keep my doctors?

Often, yes — this is the main reason people choose private healthcare PPO insurance, which has broader networks than most marketplace HMOs. We check your doctors against each plan's network before you enroll.

When can I enroll?

ACA plans: during open enrollment (fall through January), or year-round within 60 days of a qualifying life event. Employer-level ERISA group plans: enrollment is open year-round for those who qualify. We also have other exclusive, proprietary private healthcare PPO plan options beyond what is published online. Contact us for specific details.

Does it cost more to use an agent?

No. Premiums are identical with or without an agent — carriers pay us, not you. You get the comparison and enrollment help at no cost.

Compare Every Private & Covered California Plan at Your ZIP Code

Free comparison from a licensed California advisor — ACA, off-exchange, and employer-level coverage buy-in options.

Call (800) 939-3330 Get My Plan Options

Plus exclusive, proprietary private healthcare PPO options generally not published online — click Get My Plan Options or call us for details.

Rates shown are 2026 sample premiums from Covered California's published data and vary by age, ZIP code, and household size. Employer-level group plan availability subject to eligibility requirements.

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