Advanced Premium Tax Credit
An Advanced Premium Tax Credit is a federal subsidy available through Covered California to individuals and families whose income and age is within the program limits. This subsidy helps to pay part of their health insurance premiums in order to make insurance more affordable.
What is the process?
Eligibility & Premium Assistance Amounts
Eligibility and premium assistance amounts are determined though Covered CA, once application information has been submitted and verified.
Who is eligible?
Those individuals and families who do not have affordable insurance available to them and are within the income and age limits may use this service.
Is there a charge for this service?
The cost of this service varies according to the individual or family's income and household size.
When and where is this service offered?
Open enrollment period is November through January or if there has been a life event such as loss of employer sponsored insurance, marriage, divorce, moved from another state and birth of a child are the more common life events.
Location, directions and hours of operation
Click on location name to show hours of operation, directions and phone information
Monday - Friday 8-5
1086 East Grand Avenue
Arroyo Grande, CA 93420
Tel: (805) 474-2000
Monday - Friday 8-5
9630 El Camino Real
Atascadero, CA 93422
Tel: (805) 461-6000
Monday - Friday 8-5
600 Quintana Road
Morro Bay , CA 93442
Tel: (805) 772-6405
Fax: (805) 772-6409
Monday - Friday 8-5
681 West Tefft Street Suite 1
Nipomo, CA 93444
Tel: (805) 931-1800
Monday - Friday 8-5
406 Spring Street
Paso Robles, CA 93446
Tel: (805) 237-3110
Monday - Friday 8-5
3433 South Higuera
San Luis Obispo, CA 93401
Tel: (805) 781-1600
FAQS
You can get information about Advanced Premium Tax Credits on the Covered California website: www.coveredca.com
You can also get information through Insurance brokers that offer CoveredCA products as well as Certified Enrollers. Local Certified Enrollers can be found on the CoveredCA web site.
Yes premium assistance can change during the year, as it is based on your income and household members. So if your income or household changes, you should report the changes timely to CoveredCA so they can adjust your tax credit.
There is a reconciliation at the time you file your taxes. If your income is higher your premium tax credit is lower, if your premium tax credit has been overpaid the amount overpaid will be deducted from your tax return. In contrast if your premium has been underpaid you will receive the difference of what was paid and what should have been paid, in your tax refund.
Yes, it is a requirement of the program to file taxes to receive an Advanced Premium Tax Credit. If you fail to file, you may not be eligible to Advanced Premium Tax Credits the following year.
