Valley Health Plan - medical insurance summary of benefits for year 2023
These are in network hospitals contracted with Valley Health Plan (IFP and Family plans including CoveredCa)
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VALLEY HEALTH NETWORK FOR PRIMARY CARE:
Independent Practice Physicians Medical Group of San Jose (PMG)
San Benito Medical Associates (SBMA)
Santa Clara Valley Medical Center (SCVMC) + Valley Health Center Clinics Silicon Valley Medical Development
Community Clinics
- Asian Americans for Community Involvement(AACI)
- Bay Area Community Health
- Gardner Family Health Network
- Indian Health Center of Silicon Valley
- North East Medical Services (NEMS)
- Planned Parenthood Mar Monte
- Ravenswood Family Health Center
- Roots Community Health Center
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Vision & Dental Pediatric Services
– Eligible Enrollees are children from birth to age 19
– Dental services are through Liberty Dental Plan of California Program (LDP)
– Vision Service Plan (VSP) covers an annual FREE eye examination
– VSP offers 1 pair of FREE glasses per year (or contact lenses)
If you are considering a Valley Health Plan (either directly or via CoveredCA) medical plan, please feel free to reach us out!
We can compare various plans and also compare it with other options. Comparing various options will allow you to see a clear picture and make the best plan selection for you and your family.
If you consider offering Valley Health Plan health plans via a corporate plan or through a small business for your employees, please reach out to us! We can help!
*Please check provider networks before making any contractual agreements. You can check the doctors on the plan's web site at:
https://www.valleyhealthplan.org
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URGENT CARE LOCATIONS:
– Concentra Urgent Care (Statewide)
– Evergreen Urgent Care
– Gateway Family Medical Center
– Pinnacle Healthcare Center - Hollister
– Samaritan Medical Care Center
– South Valley Family & Occupational Health Center
– Valley Health Center Bascom, Downtown, East Valley, Moorpark
– Willow Glen Urgent Care
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PHARMACY LOCATIONS:
Costco pharmacies (Nationwide)
– Raley’s pharmacies (Nationwide)
– Safeway pharmacies (Nationwide)
– Select local pharmacies
– Walgreens pharmacies (Nationwide)
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LAB LOCATIONS:
– Select local labs
– Quest Diagnostics labs (Statewide)
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24/7 FREE Nurse Advice Line!
Speak to a registered nurse anytime anywhere!
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MDLINE Telehealth
- Secure, video, phone, or mobile visits – 24/7/365
- access to urgent/behavioral care and more than 200 languages available
– Board certified providers
– Behavioral health teletherapy – Online prescriptions sent to your pharmacy
Valley Health Plan (VHP) Provider Directory CoveredCA
Doctors accepting VHP health insurance plan (including via CoveredCA) in Santa Clara County and surrounding cities: Alviso, Campbell, Coyote, Cupertino, Gilroy, Holy City, Los Altos, Los Gatos, Milpitas, Morgan Hill, Mount Hamilton, Mountain View, Palo Alto, Redwood Estates, San Jose, San Martin, Santa Clara, Saratoga, Stanford, Sunnyvale
VHP offers two options through the online payment service – Autopay and Quick Pay.
Once you register:
Click the History tab to see your payments made on this system. Payments made the same business day will display as “processing” until the next business day.
Yes, as long as you have the VHP Member’s Subscriber ID and the member zip code. If you choose to set up an account to save your payment information you will also need to set up your profile.
For first-time payment: log in to your CoveredCA.com account and follow the payment instructions.
If you are a current member, visit http://www.valleyhealthplan.org/Pages/paybill.aspx.
San Francisco Lockbox
County of Santa Clara — VHP
PO Box 398435
San Francisco, CA 94139-8435
Valley Health Plan only accepts money orders and checks. Follow the directions on your invoice.
(888) 421-8444
Get an Instant health insurance quote online! If you need help please feel free to reach us! We love helping people find affordable medical insurance plans including obamacare, CoveredCa!
Unless you have a "Qualifying Life Event" you won't be able to apply for major medical health insurance at this time.
On average, your health plan pays 60 percent of your medical expenses, and you pay 40 percent.
On average, your health plan pays 70 percent of your medical expenses, and you pay 30 percent.
On average, your health plan pays 80 percent of your medical expenses, and you pay 20 percent.
On average, your health plan pays 90 percent of your medical expenses, and you pay 10 percent.
Based on income - available only at CoveredCa. The plan pays either 94 percent, 87 percent or 73 percent of expenses, with the enrollee responsible for the rest.
If you are under 30, you may be able to buy an additional health insurance plan option called minimum coverage plan.
Check out this great video to learn more about health plans
Compare Various Health Plans and learn how to select a health plan that will save you money! Open Enrollment in California is Nov. 1 through January 31
Is there a federal tax penalty for not having health insurance?
Is there a penalty for not having health insurance in California?
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Find a doctor that takes VHP health insurance plan in your city:
Aromas
Holister
King City
Marina
Monterey
Pacific Grove
Pajaro
Prunedale
Salinas
San Juan Bautista
Scledad
Speckels
If you are considering a Valley Health Plan - VHP medical plan, please feel free to reach out! We can compare various plans and also compare it with other options. Comparing various options will allow you to see a clear picture and make the best plan selection for you and your family.
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Frequently Asked Questions:
HMO vs PPO which one is best?
What is the income limit to get a subsidy in CoveredCA?
Can I get a health insurance stipend if I drive for Uber, Doordash and other apps?
Where can I get IRS form 1095-A and FTB 3895?
Dental Insurance PPO or HMO?
Cobra health insurance or CoveredCA?
When is the open enrollment to get health insurance for 2021?
What is Covered by Dental Insurance?
Can I get subsidized health plans in the CoveredCA if my employer also provides health insurance as an employee benefit?
Is mental health covered by health insurance?
Do I have to pay a penalty if I don’t have health insurance in 2018 or 2019? do i need form 1095-A?
What are exemptions from health insurance tax penalty and who qualifies for exemption?
What are 1095 Tax Forms for Health Care 1095 A, 1095 B, 1095 C?
Why is Health Insurance expensive? How to choose the best health insurance plan?
How to choose the best dental insurance plan?
What is HSA Account? Can new immigrants get Medicaid/Medi-Cal or Obamacare subsidized health insurance plans?
What is EPO, PPO, HMO?
What is Cobra?
How to find a health insurance broker?
What is Co-payment?
What is Co-insurance?
What is Medical Deductible?
What is the difference of PPO and HMO? How your income affects how much you pay for your health insurance. What income to include when applying for medical insurance?
How to delegate a Certifid Insurance Agent in CoveredCA?
What is SEP?
What do you need to know about dental insurance?
What do you need to know about vision insurance? Emergency room vs. Urgent care costHow to save money on doctor’s visits?
Medicare Supplement Insurance vs Medicare Advantage
Check out this great video about health insurance plans available via VHP - Valley Health Plan
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