Find a Doctor that accepts your Insurance

It’s important to note that Doctors and hospitals do not work with all insurance plans. We highly suggest checking the provider search websites below to see if your preferred Doctor or Hospital is IN-Network (aka Contracted) with the plan you are considering before finalizing your plan choice. Keep in mind that Preventive care services (i.e. annual physical, well-woman & well-baby checkups) are only covered at no charge with IN-Network providers. HMO plans do not provide any coverage for OUT-of-Network providers and PPO plans will only provide 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 always recommend using IN-Network doctors and hospitals whenever possible.


EPO

Anthem Blue Cross EPO

Find a Doctor:

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.
https://www.anthem.com/preventive-care/

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OSCAR EPO

Find a Doctor in Los Angeles & Orange County

SELECT Network*:
*As of January 1st, 2020, the SELECT network will be the only option available through Covered CA and the doctors & hospitals with UCLA & Hoag will no longer be covered.
CIRCLE EPO Network*
*Doctors & hospitals with UCLA & Hoag will still be covered under the CIRCLE network, which will only be available for plans purchased directly from OSCAR as of January 1st, 2020.
If you live in LA/OC, click below to see the difference between the OSCAR Select and Circle networks.
https://www.hioscar.com/faq/la-oc-dual-network

Find a Doctor in San Francisco County

Find a Doctor:

View the pdf below to see all the hospitals in Los Angeles & Orange County that will be covered under Oscar’s SELECT & CIRCLE EPO networks for 2020.
https://assets.ctfassets.net/

View the pdf below to see all the hospitals in San Francisco County that will be covered under Oscar network for 2020.
https://assets.ctfassets.net/

Walgreens & Rite Aid will NOT be covered (i.e. IN-Network) pharmacies under any of the Oscar plans starting January 1st, 2020.

View the pdf below to find out how to set up your Oscar account once you have enrolled.
https://assets.ctfassets.net

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

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

Oscar reduced the cost many of the most commonly prescribed drugs to $3. Check the pdf below to view the list of $3 drugs.
https://assets.ctfassets.net

Also, OSCAR offers its 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.
https://www.hioscar.com/doctor-on-call/

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HMO

Anthem Blue Cross HMO

Find a Doctor:

Click below for a list of the Medical Groups & Hospitals that will be covered under the Anthem HMO plan.
List of Medical Groups & Hospitals

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.
https://www.anthem.com/preventive-care/

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Blue Shield HMO


You can find more information about how the Blue Shield Trio HMO plan works by visiting the website below.
https://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.
https://www.blueshieldca.com/bsca/find-a-plan/ifp-member-guide/navigating-your-hmo.sp

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

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.
https://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.
https://teladoc.com/bsc

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

Blue Shield Mental Health Network Search: https://www.blueshieldca.com/bsca/find-a-provider/
Choose your Benefit Plan: BSC Covered CA Exchange
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:
https://www.blueshieldca.com/bsca/bsc/public/member

Children under the age of 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.
https://www.blueshieldca.com/bsca/find-a-plan/

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Health Net HMO

Find a Doctor:

First, select a plan year: 2020, enter your city
Second, add a filter: Select Filter by Plan/Network
Covered California: HMO - CommunityCare Individuals and Family plans*
*HMO PCP must be within 30 miles of Zipcode

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


Visit the website below to find out how to schedule an appointment and receive care with the Health Net Community Care HMO plan.
https://ifp.healthnetcalifornia.com/health-plans/more_for_your_health/communitycare_hmo.html

Health Net’s Mental Health Network Search:
https://providers.mhn.com/member/practitionerSearch.do?search=clear&key=pracSearch
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 CommunityCare Individual and Family.
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.
https://www.healthnet.com/portal/member/content/iwc/member/unprotected/health_plan/content/drug_list_ifp.action

Children under the age of 19 automatically have Pediatric Dental & Vision coverage included under all Health Net medical plans. You can read more about how to use this coverage by clicking below or calling (888)926-4988.
https://www.healthnet.com/static/broker/unprotected/pdfs/ca/ifp/2018_ca_ifp-sbg_ppo_pediatric_dental-vision.pdf

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Kaiser Permanente HMO


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

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.
https://thrive.kaiserpermanente.org/care-near-you/southern-california/los-angeles/make-an-appointment/

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

Learn how to access Pediatric Dental coverage for children under the age of 19 and other benefits such as discounted Chiropractic by visiting the Kaiser website below. You can also call (800) 589-4618 to learn more about the DeltaCare USA dental coverage included under all Kaiser Permanente medical plans for children under the age of 19.
https://m.kp.org/health

Pediatric Vision coverage is also included under all Kaiser Permanente medical plans for children under the age of 19. Click below to find out how to access these vision services.
https://m.kp.org/health/care/

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L.A. Care HMO

Find a Doctor:
Choose a Program: L.A. Care Covered

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

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.
http://www.lacare.org/providers/provider-resources/pharmacy-services/medication-adherence/list-covered-drugs

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

Children under the age of 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: http://www.lacare.org/members/member-services/dental-services
-Contact Liberty Dental at 1-888-700-5243

Pediatric Vision: http://www.lacare.org/members/member-services/vision-services
-Contact VSP at 1-800-877-7195

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Molina Healthcare HMO


Click below for information about how to access Mental Health Services through Molina Healthcare.
https://www.molinahealthcare.com/members/ca/en-US/mem/medicaid/medical/coverd/Pages/mtlhlth.aspx

Below is the website to view Molina’s List of Covered Drugs.
https://www.molinahealthcare.com/providers/ca/marketplace/drug/pages/formulary.aspx

Visit the website below to find out how to schedule an appointment and receive care with Molina Healthcare.
https://www.molinahealthcare.com/members/ca/en-US/mem/marketplace/Pages/marketplace.aspx

Click below to understand what is covered as no charge under Preventive Care with Molina Healthcare.
https://www.molinahealthcare.com/providers/ca/duals/resource/Pages/prevent.aspx

Molina’s 24 Hour Nurse Advice Line: 888-275-8750
https://www.molinahealthcare.com/providers/common/marketplace/resource/Pages/nurseadvice.aspx

Molina Healthcare is pleased to offer Teladoc (Virtual Care) to all their members. Click below for more information.
https://www.molinahealthcare.com/members/ca/en-US/mem/marketplace/coverd/Pages/virtual-care.aspx

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: https://www.molinahealthcare.com/members/ca/en-US/hp/marketplace/services/Pages/pediatric-dental.aspx

Pediatric Vision: https://www.molinahealthcare.com/members/ca/en-US/mem/marketplace/coverd/Pages/vision.aspx

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SHARP Health Plan HMO


Click below for information about how to access Mental Health Services through SHARP.
https://www.sharphealthplan.com/members/types-of-care/mental-health

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

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

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

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

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.

Click below for information about how to access Mental Health Services through Valley Health Plan. https://www.valleyhealthplan.org/sites/m/pn/Pages/MentalHealth.aspx

Below is the website to view Valley Health Plan's List of Covered Drugs. https://www.valleyhealthplan.org/sites/m/pn/Pharm/Pages/Pharmacy-Formulary(home).aspx

Valley Health Plan offers MDLIVE Telahealth benefits (Virtual Care) to all their members. Click below for more information. https://www.valleyhealthplan.org/sites/m/pages/mdlive.aspx

Valley Health Plan’s 24 Hour Nurse Advice Line: (855) 348-9119 https://www.valleyhealthplan.org/sites/m/pn/Pages/NurseAdviceLine.aspx

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


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

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

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

Find out how to connect with your doctor 24/7 by visiting the website below: https://www.westernhealth.com/search-for-providers/the-wha-network/connect-with-your-doctor/

Frequently Asked Questions for new members with Western Health Advantage can be found below. https://www.westernhealth.com/mywha/welcome-to-western-health-advantage/new-member-faqs/

Click below to understand what is covered as no charge under Preventive Care with Western Health Advantage. https://www.westernhealth.com/health-and-wellness/secure/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: https://www.westernhealth.com/pdfs/shared/copayment-summaries/peddent-deductible18-e-1-pdf/
Pediatric Vision: https://www.westernhealth.com/pdfs/shared/benefit-summaries/vision-benefits/pediatric-vision-copay/

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PPO

Blue Shield PPO


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

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

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

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:
https://www.blueshieldca.com/bsca/bsc/public/member/

Children under the age of 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.
https://www.blueshieldca.com/bsca/find-a-plan/getting-started/dental-vision/

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Health Net PPO

Find a Doctor:
First, select a plan year: 2020, enter your city
Second, add a filter: Select Filter by Plan/Network
Covered California: PPO - EnhancedCare Individual & Family

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.

Visit the website below to find out how to schedule an appointment and receive care with Health Net’s EnhancedCare PPO plan
https://ifp.healthnetcalifornia.com/health-plans/more_for_your_health/enhancedcare_ppo.html

Health Net’s Mental Health Network Search: https://providers.mhn.com/member/practitionerSearch.do?search=clear&key=pracSearch
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 EnhancedCare Individual and Family.

Below is the website to view Health Net’s list of Covered drugs. https://www.healthnet.com/portal/member/content/iwc/member/unprotected/health_plan/content/drug_list_ifp.action

Children under the age of 19 automatically have Pediatric Dental & Vision coverage included under all Health Net medical plans. You can read more about how to use this coverage by clicking below or calling (888)926-4988.
https://www.healthnet.com/static/broker/unprotected/pdfs/ca/ifp/2018_ca_ifp-sbg_ppo_pediatric_dental-vision.pdf

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