Find a Doctor along with Plan Information & Resources.

It’s important to note that Doctors and hospitals do not work with all insurance plans. Check the provider search websites below to see if your preferred Doctor or Hospital is IN-Network (aka Contracted) before finalizing your plan choice. Preventive care services (i.e., annual physicals, well-woman, well-baby checkups, etc) are only covered at no charge with IN-Network providers. HMO plans do not provide any coverage for OUT-of-Network providers. PPO plans will only offer a partial reimbursement after a separate Out-of-Network deductible of $5,000 or more is met even if you have a plan that has no deductible for IN-Network providers. Therefore, we recommend using IN-Network doctors and hospitals whenever possible.


EPO Plans

Anthem Blue Cross EPO


As of January 1st, 2022, Sutter Health will be IN-Network with the Anthem Blue Cross Pathway EPO Individual and Family plans. Below is the link to see the accepted health plans with Sutter Health.
www.sutterhealth.org/health-plan

Click below to download the Anthem Blue Cross Mobile app that connects you to everything you need to know about your health plan.
www.anthem.com/ca/mobileapp/


Earn rewards for healthy habits. Anthem’s Smart Rewards program lets you earn rewards for completing health and wellness activities. For example, you can make $25 for a physical exam or well-woman exam within the first 90 days of when your plan begins. Also, get $20 for taking a Health assessment via the Anthem Mobile App (Sydney Health). As you complete the activities, your plan is updated, and you can redeem rewards for a digital gift card from a selection of top retailers. Redeem rewards on anthem.com/ca or via the Anthem Sydney app.

Below is the link to search Anthem Blue Cross SELECT Drug Formulary to find out what Tier level your current prescriptions are.
www.anthem.com/ca/pharmacyinformation/


You can view a list of all the Preventive Care that is covered at no charge with Anthem Blue Cross at the website below.
www.anthem.com/preventive-care/

Anthem offers free telehealth (aka virtual care) under all non-HSA metal tier plans (Bronze, Silver, Gold & Platinum). Connect with a doctor any time of the day or night by phone video. Receive help with Mental Health, Allergies, and non-emergency medical issues. You can even schedule appointments with specific doctors for ongoing treatment. Please visit the website below for more information on how to receive virtual care.
www.anthem.com/ca/virtual-care

Anthem EPO Members have “Full Access” for care, meaning they can use any provider within the U.S. or outside the country as long as they go to a Blue Card provider. Blue Card providers can be found by calling 800-810-2583 or visiting the website below.
bcbs.com

Children under 19 automatically have Pediatric Dental & Vision coverage included under all Anthem medical plans. Find out what is covered by viewing the pdf below.
Anthem Pediatric Dental & Vision Benefits

Use the website below to find an Anthem Pediatric Dentist or call the Dental Prime department at (877) 567-1804.
www.anthem.com/DentalPrime

Use the website below to find an Anthem Pediatric Vision Care provider or call the Blue View Vision department at (866) 723- 0515.
www.anthem.com/BlueViewVision

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OSCAR EPO

Find a Doctor in Los Angeles & Orange County

SELECT Network*:
*The Choice network (previously called Circle) will be discontinued on December 31st, 2022. Unfortunately, this change means all Oscar individual EPO members will lose access to Cedars-Sinai, UCLA, UCI & Hoag hospitals, and their affiliated doctors on January 1st, 2023. Blue Shield's PPO network will be the only option to include these hospitals and their affiliated doctors.

Find a Doctor in San Francisco County & San Mateo Counties


View the pdf below to see all the hospitals in Los Angeles & Orange County that are covered under Oscar’s Select & Choice EPO networks.
www.OscarLA-OrangeAreaHospitals.com

View the pdf below to see all the hospitals in San Francisco & San Mateo Counties that are covered under the Oscar network.
www.OscarBayAreaHospitals.com

All plans include Oscar Care, which includes $0 and unlimited Virtual Urgent Care consultations, a dedicated Care Team, Step Tracking rewards, and Oscar’s mobile app.

All Oscar plans offer a Non-gated network, which means no Primary Care Physician (PCP) assignment is required. Members never need a referral to see an In-Network specialist and are not assigned or required to select a PCP.

For 2022, Oscar will be offering an HSA plan for the Choice Network, which includes access to Cedars-Sinai, UCLA & UCI hospitals. Hoag will not be covered under any Oscar plan for 2022.

Below is Oscar's website regarding the COVID-19 pandemic.
www.hioscar.com/covid19

OSCAR offers Virtual Primary Care visits in Los Angeles & Orange counties at no charge under all their plans. The website below describes how it works.
www.hioscar.com/blog/what-is-virtual-primary-care

CVS Caremark is Oscar’s exclusive pharmacy vendor. Unfortunately, this means Walgreens & Rite Aid pharmacies are not covered (i.e., IN-Network) pharmacies under any of the Oscar plans.

View the pdf below to find out how to set up your Oscar account once you have enrolled.
www.SetupOscarAccount.com

Click below to find out what your new OSCAR concierge team can do for you!
www.hioscar.com/concierge/

Getting started with Oscar. This video series will walk you through everything you need to know and do to set up your Oscar health plan:
www.youtube.com/playlist/

You can view a list of all the Preventive Care that is covered at no charge with OSCAR at the website below.
www.hioscar.com/benefits/preventive/

Also, OSCAR offers Doctor-On-Call service at no charge under all their plans. This service is available 24/7 and can be used nationwide. The website below describes how it works.
www.hioscar.com/doctor-on-call/

Oscar reduced the cost for some of the most commonly prescribed drugs to $3. Check th website below to view the list of $3 drugs.
www.hioscar.com/prescriptions/3-dollar-lis

You can read about Oscar’s Grace Period and Termination rules regarding past due premiums at the website below.
www.hioscar.com/faq/grace-period

Click below to see 5 free essential health benefits for kids with Oscar.
www.hioscar.com/blog/kids

Click below to see how Out-of-Network charges are handled with Oscar.
www.hioscar.com/blog/stick-with-oscar-doctors-save-money-on-health-care

Children under the age of 19 automatically have Pediatric Dental coverage through Liberty Dental & Vision coverage through Davis Vision included under all Oscar Health plans. Please contact Liberty Dental at (888) 703-6999 and Davis Vision at (800) 999-5431 for more information on how to use these benefits.

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HMO Plans

Anthem Blue Cross HMO

Find a Doctor:

As of January 1st, 2022, Facey Medical Group in Los Angeles County will be IN-Network with the Anthem Blue Cross Pathway HMO Individual and Family plans.

Click below to download the Anthem Blue Cross Mobile app that connects you to everything you need to know about your health plan.
www.anthem.com/ca/mobileapp/

New for 2022! Earn rewards for healthy habits. Anthem’s Smart Rewards program lets you earn rewards for completing health and wellness activities. For example, you can make $25 for a physical exam or well-woman exam within the first 90 days of when your plan begins. As you complete the activities, your plan is updated, and you can redeem rewards for a digital gift card from a selection of top retailers. Redeem rewards on anthem.com/ca or via the Sydney app.

Anthem Members receive discounts for many services such as ancestry service kits, grocery store coupons for healthier foods, gym memberships, infertility treatment, glasses, LASIK, hearing exams, and more. Click below for a list of all the Anthem Member discounts that are offered.
List of Member Discounts

Below is the link to search Anthem Blue Cross SELECT Drug Formulary to find out what Tier level your current prescriptions are.
https://www11.anthem.com/ca/pharmacyinformation/

You can view a list of all the Preventive Care that is covered at no charge with Anthem Blue Cross at the website below.
www.anthem.com/preventive-care/

Anthem offers free telehealth (aka virtual care) under all non-HSA metal tier plans (Bronze, Silver, Gold & Platinum). Connect with a doctor any time of the day or night by phone video. Receive help with Mental Health, Allergies, and non-emergency medical issues. You can even schedule appointments with specific doctors for ongoing treatment. Please visit the website below for more information on how to receive virtual care.
www.anthem.com/ca/virtual-care

Anthem HMO Members only have coverage for Emergency or Urgent Care situations outside of their county of residence. In an Emergency or Urgent Care situation, they go to any Blue Card provider within the U.S. or outside the country. Blue Card providers can be found by calling 800-810-2583 or visiting the website below.
bcbs.com

Children under 19 automatically have Pediatric Dental & Vision coverage included under all Anthem medical plans. Find out what is covered by viewing the pdf below.
Anthem Pediatric Dental & Vision Benefits

Use the website below to find an Anthem Pediatric Dentist or call the Dental Prime department at (877) 567-1804.
www.anthem.com/DentalPrime

Use the website below to find an Anthem Pediatric Vision Care provider or call the Blue View Vision department at (866) 723- 0515.
www.anthem.com/BlueViewVision

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Blue Shield HMO


Visit the website below to find out everything you need to know about renewing your Blue Shield plan during the Open Enrollment.
www.blueshieldca.com/renewalcenter

You can find more information about how the Blue Shield Trio HMO plan works by visiting the website below.
www.blueshieldca.com/trio

Visit the website below to find out how to schedule an appointment and receive care with the Blue Shield Trio HMO plan.
www.blueshieldca.com/bsca/navigating-your-hmo

Below is the link to search Blue Shield Drug Formulary to find out what Tier level your current prescriptions are.
www.blueshieldca.com/pharmacy/formulary

Blue Shield Trio HMO members can join the Healthy Savings® program, which provides access to healthier foods for a reduced price at participating grocery stores. Click below to learn more.
www.blueshieldca.com/healthysavings

Blue Shield Trio HMO members have $0 copays for Teladoc, which provides access to board-certified doctors and pediatricians via phone or online video consultations. Click the link below to sign up for this service.
teladoc.com/bsc

Click below to understand what is covered as no charge under Preventive Care with Blue Shield:
www.blueshieldca.com/preventive-care

Blue Shield Mental Health Network Search: www.blueshieldca.com/find-a-provider
Choose your Benefit Plan: BSC Individual/Family Plan Network
You can also perform the search by phone at (877) 263-9952.

Blue Shield Acupuncture Provider Search:
https://www.ashlink.com/
You can also perform the search by phone at (800) 678-9133.

Preventive Guidelines for Children can be found below:
www.blueshieldca.com/childrenpreventivecare

Children under 19 automatically have Pediatric Dental & Vision coverage included under all Blue Shield medical plans. You can read more about how to use this coverage by clicking below.
www.blueshieldca.com/pediatricdentalandvision

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Ambetter HMO from Health Net

First, select a plan year: 2023, enter your city
Second, add a filter: Select Filter by Plan/Network
Covered California: HMO - Ambetter HMO IFP*
*HMO PCP must be within 30 miles of Zipcode

Find a Pharmacy that accepts Health Net*:
ifp.healthnetcalifornia.com/pharmacy
*Walgreens is not a covered (i.e. IN-Network) pharmacy under the CommunityCare HMO plan.


Health Net has renamed its CommunityCare HMO network to Ambetter HMO. The provider networks and plans will stay the same. However, every Health Net member will get a new ID cards for 2023.

Health Net’s Mental Health Network Search:
providers.mhn.com/member/practitionerSearch
Benefit Plan Selection: Other Health Net Plans (Health Net of California/Oregon/Arizona)
Other Health Net Plans: Health Net of California
Do you want to search for providers who accept a specific plan? Yes
Please select the plan from this list: Covered California - HMO - Ambetter IFP.
You can also perform a search by phone at (800) 227-1060

Below is the website to view Health Net’s list of Covered drugs.
www.healthnet.com/covereddrugs

My Health Pays is a rewards program that pays you for the healthy decisions you're most likely already making every day. Starting January 1, 2023, earn up to $422 in rewards per calendar year. Visit the Health Net website below for more details.
www.healthnet.com/myhealthpays

Health Net’ provides you with access to the wellness tools and resources you need to maximize your health via Sharecare. Visit the Health Net site below to get started.
www.healthnet.sharecare.com/

Children under 19 automatically have Pediatric Dental & Vision coverage included under all Health Net HMO & HSP medical plans. Pediatric Dental Services are administered by Dental Benefit Providers (DBP) - (866) 249-2382. Pediatric Vision Services are administered by EyeMed - (866) 392-6058. You can read more about the level of coverage by downloading the pdf below. or calling the
www.healthnet.com/pediatric_dental-vision.pdf

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Kaiser Permanente HMO


New Members: Visit the website below to find a care team, make your first appointment, and quickly access helpful coverage information.
www.kp.org/newmember

Below is the Kaiser website that explains how to get access to care. healthy.kaiserpermanente.org/get-care

Click below to understand what is covered as no charge under Preventive Care with Kaiser: healthy.kaiserpermanente.org//preventive-services

Kaiser offers free telehealth (aka virtual care) under all non-HSA plans (Bronze, Silver, Gold & Platinum). All their virtual care (including mental health) is provided by a Kaiser Professional and is powered by the world’s largest Electronic Health Record. Please visit the website below for more information on how to receive virtual care. healthy.kaiserpermanente.org/virtualcare

Click below for information about how to access Mental Health Services through Kaiser Permanente.
healthy.kaiserpermanente.org/mental-health

The Ginger app offers immediate 1-on-1 support for coping with many common challenges — from stress and low mood to issues with work and relationships, and more. Ginger’s highly trained emotional support coaches are ready to help 24/7, and adult Kaiser Permanente members can use Ginger for 90 consecutive days at no cost.
Download the Ginger App

Whether you’re headed to a family vacation, a work conference, or college, Kaiser Permanente has you covered while you’re away from home. You can get urgent and emergency care anywhere in the world. And now, when you’re outside of a Kaiser Permanente state, you can visit any Cigna PPO Network provider, CVS MinuteClinics, and Concentra clinics without paying upfront or filing a claim for reimbursement. Visit the Kaiser website below for more information. healthy.kaiserpermanente.org/get-care/traveling

Get an idea of what care will cost: www.kp.org/treatmentestimates

Below is Kaiser’s website regarding COVID-19 coverage: healthy.kaiserpermanente.org/coronavirus

Below is the link to search Kaiser’s Drug Formulary to find out what Tier level your current prescriptions are
healthy.kaiserpermanente.org/formulary

Visit the website below to find out how to schedule an appointment and receive care with Kaiser Permanente. Make sure to update the region accordingly.
thrive.kaiserpermanente.org/make-an-appointment/

Pediatric Dental coverage from Delta Dental is included for children under 19 with any Kaiser Permanente medical plan. Visit the website below, call Kaiser at (800) 589-4618 or Delta Dental at (800) 835-2244 for more information.
www.kp.org/health

Pediatric Vision coverage is included under all Kaiser Permanente medical plans for children under the age of 19. Visit the website below to book an eye exam or call Kaiser’s member services at 800-464-4000 for more information.
www.kp2020.org

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L.A. Care HMO

Scroll down and click on Search Doctors and Hospitals

L.A. Care’s Member Services is available 24 hours, 7-days a week at (855) 270 - 2327.

As of September 1st, 2020, L.A. Care and UCLA Health have expanded their collaboration to offer new L.A. Care Covered enrollees the benefit of receiving primary care from the UCLA Medical Group. This is part of a three-year contract, which allows members to receive advanced and highly specialized care, when deemed medically necessary, at the world-class Ronald Reagan UCLA Medical Center and the UCLA Medical Center in Santa Monica. Please contact L.A. Care at (855) 270-2327 for more information.

Visit the website below to find out how to schedule an appointment and receive care with L.A. Care Covered.
www.lacare.org/members/getting-care/appointments

Get the care you need when you need it the most by visiting a MinuteClinic. These are walk-in medical clinics inside select CVS Pharmacy store locations nationwide. Visit the L.A. Care’s website below for more information on how to use this service.
www.lacare.org/minuteclinic

L.A. Care members have the option of getting care 24/7 virtually in non-emergency situations through Teladoc, the global leader in telemedicine. From anywhere at any time, you can reach a doctor 24/7 by secure video chat or phone—often within 10 to 15 minutes—to get a diagnosis and treatment. L.A. Care covers telehealth for free. Find out how to schedule a virtual visit by visiting this L.A. Care website:
www.lacare.org/members/telehealth

Below is the website to view L.A. Care’s List of Covered Drugs. The L.A. Care Covered Formulary under the Resources menu will list the Tier Level for your current prescriptions.
www.lacare.org/providers/pharmacy-services

Click below for information about L.A. Care Mental Health Services offered through Beacon Health Options. You can also call Beacon’s Behavioral Health Hotline at 1-877-344-2858 to get an appointment.
www.lacare.org/members/behavioral-health

L.A. Care’s Community Link helps you connect with community agencies for assistance with housing, food, bills, and lots more.
communitylink.lacare.org/

Children under 19 automatically have Pediatric Dental through Liberty Dental & Vision coverage through VSP included under all L.A. Care medical plans. You can read more about how to use this coverage by clicking below.

Pediatric Dental: www.lacare.org/members/member-services/dental-services
-Contact Liberty Dental at 1-888-700-5243

Pediatric Vision: www.lacare.org/members/getting-care/vision
-Contact VSP at 1-800-877-7195

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Molina Healthcare HMO


New Members: Visit the website below to log in to My Molina to make a payment, change your doctor, or request a new ID card.
www.molinamarketplace.com/members

Visit the website below to find out how to schedule an appointment and receive care with Molina Healthcare.
www.molinahealthcare.com/newmembers

Click below for information about how to access Mental Health Services through Molina Healthcare.
www.molinahealthcare.com/mental-health

Below is the website to view Molina’s List of Covered Drugs.
www.molinahealthcare.com/formulary

Click below to understand what is covered as no charge under Preventive Care with Molina Healthcare.
www.molinahealthcare.com/preventive

Molina’s 24 Hour Nurse Advice Line: 888-275-8750
www.molinahealthcare.com/nurseadvice

Molina Healthcare is pleased to offer Teladoc (Virtual Care) to all their members. Click below for more information.
www.molinamarketplace.com/virtualcare

Children under the age of 19 automatically have Pediatric Dental & Vision coverage included under all Molina Healthcare plans. You can read more about how to use this coverage by clicking the links below.

Pediatric Dental: www.molinahealthcare.com/pediatric-dental

Pediatric Vision: www.molinahealthcare.com/pediatric-vision.aspx

Molina’s Care Connections Program Provides no cost, convenient preventive care to all Molina Members. Please call 844-491-4763 to schedule an appointment. Monday-Friday: 5:00am-7:00pm & Saturday 5:00am to 5:00pm. Below are the services they provide.

  • Complete health & wellness assessment
  • Full review of current medications and medical history
  • Coordinate care and facilitate communication between the member, their primary care physician and Care Management
  • Recommendations for additional care, screenings, and resources based on needs
  • In-home visits for diabetic members includes A1c test, retinal eye exams and nephrology
  • Screenings with real time results to better direct your care
  • In-home (PPE equipped) and telehealth visits available
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SHARP Health Plan HMO


Visit the website below to compare the Premier & Performance SHARP provider networks in San Diego.
www.sharphealthplan.com/our-plans/individual-and-family-plans/compare-networks

View the pdf below for more information on SHARP’s provider network.
Sharp Health Plan Network for 2022

Click below to access SHARP’s Virtual Urgent Care, see wait times for an urgent care facility, or save your spot in line.
www.sharp.com/urgent-care-centers

Click below for information about how to access Mental Health Services through SHARP.
www.sharphealthplan.com/mental-health

Get the care you need when you need it the most by visiting a MinuteClinic. These are walk-in medical clinics inside select CVS Pharmacy store locations nationwide. Visit the SHARP website below for more information on how to use this service.
www.sharphealthplan.com/minuteclinic

Below is the website regarding SHARP's COVID-19 coverage.
www.sharphealthplan.com/covid-19

With Sharp, you are covered for urgent care and emergency services outside the San Diego and Riverside county area. Learn more about the out-of-area care options at the link below
www.sharphealthplan.com/travel-out-of-area-coverage

Below is the website to view SHARP's List of Covered Drugs.
www.sharphealthplan.com/search-drug-list

Visit the website below to find out how to schedule an appointment and receive care with SHARP.
www.sharphealthplan.com/members/get-care

Click below to understand what is covered as no charge under Preventive Care with SHARP.
www.sharphealthplan.com/members/preventive-care

SHARP’s Best Health® is a wellness program designed to help you live a full, vibrant life. The program offers free Coaching and Support, Wellness Assessments, and fitness discounts. Find out more about Best Health® at the website below.
www.sharphealthplan.com/wellness/best-health

Children under the age of 19 automatically have Pediatric Dental coverage through Premier Access Dental & Vision coverage through VSP included under all SHARP plans. Please contact Premier Access Dental at (888) 715-0760 and VSP at (855) 868-4561 for more information on to access these benefits.

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Valley Health Plan HMO

Find a Doctor:
Product Type: Covered California plan

Call Valley Health Plan’s member services at (888) 421-8444 for help with selecting your Primary Care Physician and receiving care in a timely fashion.

View the pdf below for more information on VHP’s provider network.
Valley Health Plan Network for 2022

Click below for information about how to access Mental Health Services through Valley Health Plan. www.valleyhealthplan.org/members/behavioral-health

Below is the website to view Valley Health Plan's List of Covered Drugs. www.valleyhealthplan.org/members/pharmacy

Valley Health Plan offers MDLIVE Telehealth benefits (Virtual Care) to all its members. Click below for more information. members.mdlive.com/vhp/

Valley Health Plan’s 24 Hour Nurse Advice Line: (855) 348-9119 www.valleyhealthplan.org/members/247-nurse-advice-line

Children under the age of 19 automatically have Pediatric Dental coverage through Liberty Dental & Vision coverage through VSP included under all Valley Health plans. Please contact Liberty Dental at (888) 703-6999 and VSP at (855) 868-4561 for more information on to access these benefits.

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Western Health Advantage HMO


View the pdf below for more information on WHA’s provider network.
Western Health Advantage Network for 2022

Click below for information about how to access Mental Health Services through Western Health Advantage. www.westernhealth.com/mental-health/

WHA members have the option of getting care 24/7 virtually in non-emergency situations through Teladoc, the global leader in telemedicine. From anywhere at any time, you can reach a doctor 24/7 by secure video chat or phone—often within 10 to 15 minutes—to get a diagnosis and treatment. Western Health Advantage covers telehealth at the same copay that would apply to an in-person visit. Find out how to schedule a virtual visit by visiting this WHA website: www.westernhealth.com/virtual-visits/

Below is the website to view Western Health Advantage's List of Covered Drugs. www.westernhealth.com/pharmacy-information/

Visit the website below to find out how to schedule an appointment and receive care with Western Health Advantage. www.westernhealth.com/mywha/welcome

Find out how to connect with your doctor 24/7 by visiting the website below: www.westernhealth.com/connect-with-your-doctor/

Frequently Asked Questions for new members with Western Health Advantage can be found below. www.westernhealth.com/new-member-faqs

Click below to understand what is covered as no charge under Preventive Care with Western Health Advantage. www.westernhealth.com/preventive-health-guidelines

Children under the age of 19 automatically have Pediatric Dental & Vision coverage included under all Western Health Advantage plans. You can read more about how to use this coverage by clicking the links below.
Pediatric Dental: www.westernhealth.com/pdfs/peddental
Pediatric Vision: www.westernhealth.com/pdfs/pediatric-vision

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aetnaCVShealth HMO

Find a Doctor:

Bright HealthCare’s Mental Health Services are offered through Beacon Health. Visit the website below to find a mental health professional in your area or call (800) 228-1286 for assistance.
www.providersearch.beaconhealthoptions.com

Get care when you need it in the comfort of your own home. Bright HealthCare’s telehealth benefit partner, Doctor on Demand, offers access to licensed physicians 24 hours a day, 7 days a week. Find out how to use this service by visiting www.brighthealthcare.com/telehealth.

Find out how to use Bright HealthCare by visiting the website below.
www.brighthealthcare.com/member-resources

Below is the link to search Bright HealthCare’s Drug Formulary to find out what Tier level your current prescriptions are.
www.brighthealthcare.com/pharmacy101/

You can view a list of all the Preventive Care that is covered at no charge with Bright HealthCare at the website below.
www.brighthealthcare.com/preventive-care/

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Balance HMO by CCHP

Category: Covered California Plans

View the pdf below for more information on the Balance by CCHP provider network.
Balance by CCHP Network for 2022

Click below for information about the Balance by CCHP plans. www.cchphealthplan.com/family-shopping/

Below is the website to view the summary of benefits for the Balance by CCHP plans. www.cchphealthplan.com/plandetails

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PPO Plans

Blue Shield PPO


Blue Shield Mental Health Network Search: www.blueshieldca.com/find-a-provider
Choose your Benefit Plan: BSC Individual/Family Plan Network
You can also perform the search by phone at (877) 263-9952.

Visit the website below to find out everything you need to know about renewing your Blue Shield plan during the Open Enrollment.
www.blueshieldca.com/renewalcenter

Below is the website regarding Blue Shield's COVID-19 coverage:
www.blueshieldca.com/coronavirus

Download Blue Shield’s mobile app for easy access to your ID card, finding an In-Network Doctor or Urgent Care facility, reviewing your claim history, viewing your plan benefits, and much more.
www.blueshieldca.com/mobile

Blue Shield PPO members have $0 copays for Teladoc, which provides access to board-certified doctors, pediatricians, licensed psychiatrist, psychologist, or counselor via phone or online video consultations. Click the link below for more information about accessing this benefit.
blueshieldca.com/teladoc

Below is the link to search Blue Shield Drug Formulary to find out what Tier level your current prescriptions are.
www.blueshieldca.com/pharmacy/formulary/p

Click below to understand what is covered as no charge under Preventive Care with Blue Shield:
www.blueshieldca.com/preventive-care

Preventive Guidelines for Children can be found below:
www.blueshieldca.com/childrenpreventivecare

Children under 19 automatically have Pediatric Dental & Vision coverage included under all Blue Shield medical plans. You can read more about how to use this coverage by clicking below.
www.blueshieldca.com/pediatricdentalandvision

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Ambetter PPO from Health Net

First, select a plan year: 2023, enter your city
Second, add a filter: Select Filter by Plan/Network
Covered California: PPO - Ambetter PPO IFP

Find a Pharmacy that accepts Health Net*: https://ifp.healthnetcalifornia.com/Pharmacy_Information/find_a_pharmacy.html
*Walgreens is not a covered (i.e. IN-Network) pharmacy under the EnhancedCare PPO plan.

Health Net has renamed its EnhancedCare PPO network to Ambetter PPO. The provider networks and plans will stay the same. However, every Health Net member will get a new ID cards for 2023.

>

Health Net’s Mental Health Network Search: providers.mhn.com/member/practitionerSearch
Benefit Plan Selection: Other Health Net Plans (Health Net of California/Oregon/Arizona)
Other Health Net Plans: Health Net of California
Do you want to search for providers who accept a specific plan? Yes
Please select the plan from this list: Covered California - PPO Ambetter IFP.

Below is the website to view Health Net’s list of Covered drugs. www.healthnet.com/covereddrugs

My Health Pays is a rewards program that pays you for the healthy decisions you're most likely already making every day. Starting January 1, 2023, earn up to $422 in rewards per calendar year. Visit the Health Net website below for more details.
www.healthnet.com/myhealthpays

Health Net’ provides you with access to the wellness tools and resources you need to maximize your health via Sharecare. Visit the Health Net site below to get started.
www.healthnet.sharecare.com/

Children under the age of 19 automatically have Pediatric Dental & Vision coverage included under all Health Net medical plans. Pediatric Dental Services are administered by Dental Benefit Providers (DBP) - (866) 249-2382. Pediatric Vision Services are administered by EyeMed - (866) 392-6058. You can read more about the level of coverage by downloading the pdf below.
www.healthnet.com/pediatric_dental-vision.pdf

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