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Insurance Center Helpline, Inc.
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Summary of Benefits - Valley health plan

Valley Health Plans for California 2022

Valley health Plan silicon valley medical insurance dental vision small business group employee hmo
Valley health Plan silicon valley medical insurance dental vision small business group employee
Valley health Plan silicon valley medical insurance dental vision small business group employee
Valley health Plan silicon valley medical insurance dental vision small business group employee

These are the medical tiers plans and benefits offered by Valley Health Plan:

  • Minimum_Coverage_HMO
  •  Bronze 60 HDHP HMO 
  •  Bronze 60 HMO  
  •  Silver 70 HMO
  •  Gold 80 HMO 
  •  Platinum 90 HMO 

Request a Comparison of These Plans

Downloads

Valley Health Plan - medical insurance summary of benefits for year 2023

Platinum 90 2023 benefit details (pdf)Download
Gold 80 2023 benefit details (pdf)Download
Enhanced Silver 94 2023 benefit details (pdf)Download
Enhanced Silver 87 2023 benefit details (pdf)Download
Enhanced Silver 73 2023 benefit details (pdf)Download
Silver 70 2023 benefit details (pdf)Download
Bronze 60 2023 benefit details (pdf)Download
Mimimum Coverage Plan 2023 benefit details (pdf)Download
platinum gold, silver, enhanced silver, bronze, deductible, copay, coinsurance, vhp, hmo, ppo, hsa

Lic. 0I21751

Additional Information

These are in network hospitals contracted with Valley Health Plan (IFP and Family plans including CoveredCa) 


 

  • Fremont Hospital
    Hospital

    Fremont Hospital
    39001 Sundale Drive
    Fremont, CA 94538
    Available only through a hospital or facility
    (510) 796-1100 [Office]
    (510) 574-4888 [Fax


  • Lucile Packard Children's Hospital Stanford
    Hospital

    725 Welch Road
    Palo Alto, CA 94304
    Available only through a hospital or facility
    (650) 497-8000 [Office]


  • O'Connor Hospital
    Hospital

    2105 Forest Ave San Jose, CA 95128
    2105 Forest Avenue
    San Jose, CA 95128
    Available only through a hospital or facility
    (408) 283-7727 [Fax]
    (408) 947-2500 [Office]
  • Saint Louise Regional Hospital
    Hospital

    Saint Louise Regional Hospital
    9400 No Name Uno
    Gilroy, CA 95020
    Available only through a hospital or facility
    (408) 848-4943 [Fax]
    (408) 848-2000 [Office]
  • San Jose Behavioral Health
    Acute Psychiatric Hospital

    San Jose Behavioral Health
    455 Silicon Valley Boulevard
    San Jose, CA 95138
    Available only through a hospital or facility
    (615) 861-6000 [Office]
  • Santa Clara Valley Medical Center
    Hospital

    Santa Clara Valley Medical Center
    751 South Bascom Avenue
    San Jose, CA 95128
    Available only through a hospital or facility
    (408) 885-5000 [Appointment]
    (408) 885-4387 [Fax]


  • Stanford Hospital and Clinics
    Hospital

    300 Pasteur Drive Palo Alto, CA 94303
    300 Pasteur Drive
    Palo Alto, CA 94303
    Available only through a hospital or facility
    (650) 723-4000 [Office]


================= 

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 

 


=========== 


 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)

Providers


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  

  • 1. click: Find a Provider
  • 2. Select Product Type (individual or CoveredCa plan)
  • 3. Select the service type 

====================== 


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  


================== 

PHARMACY LOCATIONS: 


 Costco pharmacies (Nationwide) 

– Raley’s pharmacies (Nationwide) 

– Safeway pharmacies (Nationwide) 

– Select local pharmacies 

– Walgreens pharmacies (Nationwide) 


==================== 


LAB LOCATIONS: 


 – Select local labs 

– Quest Diagnostics labs (Statewide) 


==================== 


 24/7 FREE Nurse Advice Line! 


Speak to a registered nurse anytime anywhere! 


===================== 

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 

Find out more

Valley Health Plan (VHP) Provider Directory CoveredCA

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

Download PDF

Payment options

valley health plan insurance medical medicaid medicare pay payments broker agent obamacare coveredca

What are my options with VHP’s online payment service?

 VHP offers two options through the online payment service – Autopay and Quick Pay. 

How do I sign up for Autopay (recurring payments)?

 Once you register:

  •  - Follow the link on the VHP website and Click ‘Enroll’. Enter the information required.
  •  - Click ‘Validate’. Please note, you will need the Subscriber ID and zip code to enroll, and a valid form of payment.
  •  - Enter your Phone, Email Address, and Mailing Address if required, then click ‘Continue to Login & Password’.
  •  - Choose Login ID, Password, select security image and label, select security questions, and fill in answers.
  •  - Click ‘Continue to Terms of Service’. Check the “Terms of Service” box and click ‘Continue to Payment Accounts’.
  •  - Select the Default Payment Method tab and enter Payment Account information, check the “I Agree” box, if applicable. 
  • - Click ‘Finish Enrollment’.
  •  - Go to your email account and open the email just sent to you. 
  • - Click on the ‘Activate’ button or hyperlink. 
  • NOTE: You will not be able to make payments until you click on the ‘Activate’ button. 

How can I view and confirm that a payment has been made?

 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. 

If I am paying for someone else's account, can I make a one-time payment using Quick Pay?

 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. 

Are there any other options to pay for insurance?

 

Pay Online

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.


Pay by Mail

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.


No invoice received?

 (888) 421-8444 

Get a Health Insurance Quote & compare all medical plans

 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!  

Compare Plans

Quote and Apply Online

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Unless you have a "Qualifying Life Event" you won't be able to apply for major medical health insurance at this time. 

Special Enrollment

Find a Health Plan that Works for You

Bronze Plans

Bronze Plans

Bronze Plans

 On average, your health plan pays 60 percent of your medical expenses, and you pay 40 percent. 

Silver Plans

Bronze Plans

Bronze Plans

 On average, your health plan pays 70 percent of your medical expenses, and you pay 30 percent.  

Gold Plans

Bronze Plans

Platinum Plans

 On average, your health plan pays 80 percent of your medical expenses, and you pay 20 percent. 

Platinum Plans

Minimum coverage plan

Platinum Plans

On average, your health plan pays 90 percent of your medical expenses, and you pay 10 percent.

Enhanced Silver Plans

Minimum coverage plan

Minimum coverage plan

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. 

Minimum coverage plan

Minimum coverage plan

Minimum coverage plan

 If you are under 30, you may be able to buy an additional health insurance plan option called minimum coverage plan. 

Social

All You Need to Know about health insurance for year 2023

Check out this great video to learn more about health plans 

Our Youtube Videos

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 

Do I have to Pay a Tax Penalty for not having insurance?

Is there a federal tax penalty for not having health insurance? 

Compare Kaiser HMO & Blue Shield PPO plans

Is there a penalty for not having health insurance in California?

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Federal Poverty level qualify for coveredca or medi-cal income limits. Enhanced silver 94, 87, 73

2023 Health Insurance

Additional Information

Find a doctor that takes VHP health insurance plan in your city: 


Alviso

Aromas

Campbell

Coyote

Cupertino

Gilroy

Holy City

Holister

King City

Los Altos

Los Gatos

Marina

Milpitas

Morgan Hill

Mount Hamilton

Mountain View

Monterey

Palo Alto

Redwood Estates

Pacific Grove

Pajaro

Prunedale

Salinas

San Juan Bautista

San Jose

San Martin

Santa Clara

Saratoga

Scledad

Stanford

Sunnyvale

Speckels


Learn More

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. 


==================  

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
 

Find out more

Video explainer

Check out this great video about health insurance plans available via VHP - Valley Health Plan

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Quote and Apply Online

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