The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area...
Transcript of The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area...
Right for You. Right for Your Family. Right Next Door.
The Central Valley’s Local Health Care Plan
BECAUSE YOUR COMMUNITY IS OUR COMMUNITYCommunity Care Health (CCH) is not your traditional health insurer. We see our members as family, which is why we are focused not only on designing the strongest portfolio of products, member tools, and services, but also on building a stronger community for us to share.
Responsive to customer needs because we are part of the local community and best understand the Central Valley
PARTNERS with our community through employment, charity and local spending
Reinvestment in the community. Your premium dollar remains here in the Central Valley
San Francisco
Los Angeles
Fresno
How
Your Premium Dollars Are Spent
Fresno
Kings
Madera
* ZIP Codes.
Our Investment in the Central ValleyH
ow Your Premium Dollars Are Spent
Being local is a critically important value in our mission to not only become the health insurer of choice for the Central Valley, but your community partner as well.
85% goes to medical care
1% community support (e.g., sponsorships,
charitable contributions)
13% Central Valley
employment, vendors & resources
1% reinvestment in tools, people and services to enhance member experience
Access to the Care You Deserve
700+Practice Sites
20Urgent Care Centers
1350+Primary Care Physicians
& Specialists
A Powerful Network for Comprehensive Care
CCH Mobile AppBe in control of your health.
e-VisitsTeaming with Community Medical Providers to provide remote, personalized care.
Online Chat. CCH Mobile App and Web Site*
Online Provider, Pharmacy and Urgent Care Directory
CCH Member Portal
Pharmacy Benefit Portal
Dental Benefit Portal
* Coming Soon!
TeladocOn-demand medical care.
MyChartYour online, interactive health portal.
Innovative Customer Tools
CCH provides a variety of HMO plans, including traditional HMOs, High-Deductible HMOs, HSA-Compatible HMOs as well as Dental, Vision and Pharmacy Benefits. In addition to the plans below, we also offer other options. For more information, please contact 1 (559) 250-0988, 1 (559) 776-7925 or visit www.communitycarehealth.org.
Dental & Vision
THE COMMUNITY CARE LARGE GROUP PORTFOLIO
PORTFOLIO Vineyard Orchard Harvest Summit GlacierDeductible Range $0-$0 $250-$1,500 $1,000-$3,000 $3,000-$6,500 $1,350-$6,800
Copayment Range $10-$20 $20-$40 $25-$40 $30-$50 $20-$50
Out of Pocket Maximum Range $500-$2,000 $1,000-$3,000 $2,000-$4,000 $4,000-$6,500 $2,000-$6,750
Inpatient Admission Range $150-$500 $500-$1,500 $500-20% coinsurance 20%-40% coinsurance 20%-40% coinsurance
OP ER and OP Surgery Range $100-$250 $250-$400 $250-20% coinsurance 20%-40% coinsurance 20%-40% coinsurance
Rx Copayment Range $5/$15/$30 $10/$20/$40 $10/$25/$50 $15/$30/$60 $15/$30/$60
DENTAL Program A Program B Program C $50/$150 $50/$150 $50/$150
$1,500 $1,500 $2,000
100/90/60 with & without Ortho 100/80/50 with & without Ortho 100/90/60 with & without Ortho
VISION Program A Program B Program C 12/12/12 12/12/24 12/24/24
$10/$20 $10/$20 $10/$10
$120/$130/$150* $120/$130/$150* $120/$130/$150*
* Frame allowance options
Fresno/Kings/Madera Community Care Health Network
CaliforniaNational Network
Out of StateHealthSmart PHCS
Covered Care Outside of the AreaCCH provides continuing coverage while you or your family are traveling outside of the area (including children away at school) - giving you peace of mind that you and your family will always have access to the care you need, wherever you are.
communitycarehealth.org
Right for You. Right for Your Family. Right Next Door.