Summary of Benefits - Kaiser Permanente

Valley Health Plans for California 2020

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
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 

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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]

 

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 


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!  

Quote and Apply Online

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Now that the open enrollment is closed what other options do I have?

The Open Enrollment is Now Closed. Unless you have a "Qualifying Life Event" you won't be able to apply for major medical health insurance at this time. However, other options are available.  Faith Based Health Insurance Plans are available year round. You can learn more and apply online

Find a Health Plan that Works for You

Bronze Plans

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

Silver Plans

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

Gold Plans

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

Platinum Plans

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

Enhanced Silver Plans

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

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

All You Need to Know about health insurance for year 2019

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! 

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

Federal tax reform legislation was signed into law on December 22, 2017 and contains a provision that eliminates the individual mandate penalty starting in year 2019 

Compare Kaiser HMO & Blue Shield PPO plans

The best way to find a health insurance plan that will work for you is to compare options! Learn more by watching this video. 

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2020 Health Insurance

Additional Information

The table above shows a comparison of various plans and benefits by metal tiers. 

Learn More

You can watch  our presentation on Youtube