Your Plan Your Advocate - For Affordable Health Care

Keeping You Covered Through Medi-Cal Redetermination

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Watch Video: What are health plans doing to keep people covered?

Your Health is Personal

When you need medical care, whether it’s an annual preventative care visit, a broken bone, or a serious emergency, you expect and need reliable, quality, efficient and affordable health care services.

This is our mission and our priority: Providing Californians with affordable access to quality health care.

From expensive prescription drugs to the high cost of specialty care and hospital stays, health care costs can have a devastating impact on a family’s finances.

Your Health is Personal

When you need medical care, whether it’s an annual preventative care visit, a broken bone, or a serious emergency, you expect and need reliable, quality, efficient and affordable health care services.

This is our mission and our priority: Providing Californians with affordable access to quality health care.

From expensive prescription drugs to the high cost of specialty care and hospital stays, health care costs can have a devastating impact on a family’s finances.

That’s why every day, health plans advocate for high-quality affordable health care through:

  • Supporting policies to protect and lower health care costs.

  • Negotiating with providers to keep costs contained while prioritizing the delivery of quality care.

  • Holding pharmaceutical drug companies accountable for their skyrocketing prices.

  • Investing in innovation and technology to create more efficiencies and keep costs down.

  • Increasing accessibility to free or low-cost wellness and prevention services to keep Californians healthy.

That’s why every day, health plans advocate for high-quality affordable health care through:

  • Supporting policies to protect and lower health care costs.

  • Negotiating with providers to keep costs contained while prioritizing the delivery of quality care.

  • Holding pharmaceutical drug companies accountable for their skyrocketing prices.

  • Investing in innovation and technology to create more efficiencies and keep costs down.

  • Increasing accessibility to free or low-cost wellness and prevention services to keep Californians healthy.

Health Plans Are Working Every Day to Make Health Care More Affordable for Californians

Health plans are advocating for policies to make health care more affordable and negotiating with hospitals and pharmaceutical companies to contain costs while preserving quality medical care. The vast majority of health plan spending in California goes to pay for medical services like hospital and doctor visits, prescription drugs, lab tests, x-rays, and medical supplies. In fact, health plans spent more than $204 billion, or 94 cents out of every health plan dollar, on medical care in 2022.

Medical Costs: 94%
Admin Costs: 7%
Average Net Profit: -1.1%

We are making progress and will continue to be your advocate for affordable health care

84%

of Californians are satisfied with their health care plans.

94%

of Californians have health coverage – an increase of more than 10% since 2013.

94%

of each health care dollar goes to medical care to serve Californians.

7%

of each health care dollar is spent on administrative services to help process claims and assist with expediting services.

This post is also available in: Spanish

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