Step 1: Learn

What's New for 2027 Coverage

The changes that actually affect what you pay and which plan is the right buy, with what we suggest you do about each one.

What Changed, and What It Means for You

Health insurance rules move every year. Most years the changes are small. The 2026 changes were large enough to change which plan is the right buy, and the 2027 season adds more: stricter checks before financial help is granted, an end to automatic renewal of that help, and a bigger state subsidy. One of them can still change whether you get any help with your premium at all.

Here is what is different, in plain terms, with what we suggest you do about each one. If you have not looked at your plan since you first enrolled, this is the page to read before renewal.

New for 2027 coverage

  • Open enrollment for 2027 coverage runs November 1, 2026 to January 31, 2027. A federal rule that would have cut state exchanges off at December 31 was struck down by a court in June 2026 and the government has appealed, so confirm the closing date with us before you plan around it.

  • The extra federal premium help that expired at the end of 2025 has not come back. The House passed a bill to restore it in January 2026 and the Senate has not acted. Covered California's own guidance is that it may return but there is no guarantee. Plan on the ordinary credit and treat anything more as a bonus.

  • California is expanding its own state premium help for 2027, reaching further up the income scale than in 2026, and Covered California expects many lower income households to have a choice of Silver plans with no monthly premium. That help exists only through Covered California, never off the exchange.

  • Premiums are rising again statewide for 2027, though the preliminary average increase is a little smaller than the one for 2026. No insurance company is entering or leaving Santa Barbara, San Luis Obispo or Ventura County.

  • Starting with 2027 coverage, Covered California must verify income and eligibility more strictly before granting financial help, and some lawfully present immigrants lose eligibility for it. Expect to be asked for documents, and send them promptly so your help is not delayed.

  • Starting with 2028 coverage, financial help no longer renews on its own. You will have to confirm or update your information each year to keep it. From now on, treat every renewal notice as something to answer, not something to file.

The repayment rules changed, starting with 2026 tax returns

  • Starting with your 2026 federal return, filed in 2027, any credit you received in advance that you turn out not to qualify for must be repaid in full. The old repayment caps for lower incomes are gone.

  • If your final income lands above the income limit for help, the entire year's credit is repaid.

  • So report income changes to Covered California during the year, and have us re-run your numbers whenever anything shifts, rather than finding out at tax time.

Since 2026

Still in effect from 2026

These changed on January 1, 2026 and carry into 2027.

The subsidy income ceiling is back

  • There is a hard income limit on the premium subsidy again. A household whose final income for the year lands above that limit gets no premium help at all, no matter how expensive the plan is.

  • The temporary rules that removed the limit expired at the end of December 2025, and the limit returned on January 1, 2026.

  • If your income comes in above the limit after you have been taking the credit in advance, the entire year's credit is repaid when you file. See the repayment rules above: from the 2026 tax year there is no cap at any income.

  • If you were told in an earlier year that you qualified, that answer may no longer hold. Have us run your numbers again before you count on any help.

Any Bronze or Catastrophic plan can now fund an HSA

  • Since January 1, 2026, any Bronze or Catastrophic plan, bought on or off Covered California, lets you fund a Health Savings Account as long as the same plan is also sold on the exchange. It no longer has to be the plan labeled HDHP.

  • The HDHP version is still worth asking for. Its integrated deductible and lower out of pocket maximum usually make it the better buy. The Health Savings Account is simply no longer the reason to insist on it.

  • This widens the set of plans a healthy household can pair with an HSA, so it is worth re-pricing your options rather than renewing out of habit.

Two things about HSA plans people get wrong

What makes a plan HSA-qualified is set by IRS rules, not by the absence of copays. The plan has to carry at least a minimum deductible and it has to cap your out of pocket costs at or below a maximum the IRS sets each year. A plan with no copays is not automatically qualified, and a qualified plan is not disqualified merely by having one.

California does not follow the federal Health Savings Account rules. Contributions are not deductible on your California return, and the account's earnings are taxable by the state. The federal treatment is unchanged. Ask your tax preparer how the two sit together for you.

Do not treat a Covered California renewal as automatic

  • Covered California will send a renewal notice each fall. Read it rather than letting the plan roll over on its own. The federal rules changed on January 1, 2026, stricter verification starts with 2027 coverage, and from 2028 coverage financial help does not renew unless you confirm your information.

  • Tell Covered California, or tell us, whenever your income or household size changes during the year, so the credit stays accurate and there is no surprise at tax time.

  • Open enrollment runs November 1 to January 31. Apply between November 1 and December 31 and your plan starts January 1. Apply in January and coverage starts February 1. The closing date is the one most likely to move, so check with us.

Balance billing protections, and where they stop

It is worth knowing exactly how far the surprise billing rules reach, because that is what an out of network mistake costs you.

  • The federal No Surprises Act bars balance billing for emergency care, for air ambulance, and for out of network providers who treat you at an in network facility.

  • California adds protections of its own. AB 72 limits what an out of network provider can bill a patient who is treated at an in network facility under a state regulated plan.

  • Outside those situations you are exposed. A planned visit to an out of network doctor or surgery center is not protected, and a single one can undo years of premium savings.

  • So the annual network check still matters. Re-verify your doctors, labs, imaging centers, and hospital at each renewal, because networks change.

About this page. The organizations, websites and rules described here change from time to time, and what you see may not match this page exactly. It was checked on September 2, 2026. If something looks different, or you get stuck at any point, call us at (805) 966-4900 and we will walk you through it.

Not Sure How the 2027 Rules Affect You?

Bring us your household and we will tell you what changed for your situation. There is never a charge for the review.