HIPAA Plans from Sedona Benefits

HIPAA plans can keep you covered when coverage through an employer-sponsored plan ends. Coverage is guaranteed under HIPAA plans for anyone who qualifies.

To qualify for a HIPAA plan, you must:

  • have completed a minimum of 18 months of continuous health coverage, most recently under an employer-sponsored group health plan
  • have elected and exhausted continuation of coverage under COBRA or Cal-COBRA, if available
  • have lost coverage within the last 63 days, for reasons other than fraud or non-payment of premiums, and not be eligible for Medi-Cal or Medicare, or have any other medical coverage.

To enroll, you must be a permanent legal resident of California and one of the following;

  • the applicant's spouse or qualified Domestic Partner who is not Medicare eligible;
  • the applicant’s children (under 19 years of age), or the children (under 19 years of age) of the enrolling applicant’s spouse or qualified Domestic Partner
  • the applicant’s unmarried dependent child between the ages of 19 and 23 ("dependent" as defined by the Internal Revenue Service).

What are your HIPAA plan choices?

  • HIPAA Basic PPO 1000 - Featuring a $1,000 annual deductible for inpatient or surgical procedures only
  • HIPAA PPO Share 1500 - Featuring a $1,500 annual deductible
  • HIPAA PPO Share 2500 - Featuring a $2,500 annual deductible
  • HIPAA PPO Share 5000 - Featuring a $5,000 annual deductible