Medical, Dental, Vision and More
Ameritas
A division of Ameritas Life Insurance Corp., Ameritas is proud to offer flexible dental plans backed by efficient, informed and accessible customer service.
eServices
We offer enhanced online services for employees and dentists, with quick access to dental benefits and coverage information.
With a secure member account , you have benefit summary information for you and your dependents at your fingertips. You can view a benefit summary, certificate of coverage, pending and paid claims, pretreatment estimates and the status of plan maximums and deductibles.
Your secure account lets you quickly verify patient benefits, view dental and/or orthodontic claims, confirm payment amounts and check dates for processed claims.
Find a Dental ProviderNeed to find a dentist lets you quickly verify patient benefits, view dental and/or orthodontic claims, confirm payment amounts and check dates for processed claims.
AmeritasAnthem Blue Cross
Our plans offer choices and meet Affordable Care Act requirements.
Who we areAnthem, Inc. is one of the largest health benefits companies in the United States. Through its affiliated health plans, Anthem companies deliver a number of leading health benefit solutions through a broad portfolio of integrated health care plans and related services, along with a wide range of specialty products such as life and disability insurance benefits, dental, vision, behavioral health benefit services, as well as long term care insurance and flexible spending accounts. With local service and the value of the Blue Cross brand, we have been committed to ensuring our members have access to affordable health benefits for over 80 years.
Strong product portfolio offers choice to our customersOur Anthem portfolio of plans, including HMO, PPO, EPO and CDHP/PPO, are designed to be the best health care value in our industry. All plans meet federal and state compliance laws, manage total cost of care through network, clinical and product design solutions, and provide choice in flexibility. This means CaliforniaChoice® customers receive essential health benefits (EHBs) including:
as well as other features needed to comply with the Affordable Care Act (ACA).
Superior network strength means extra savings and convenience:Get the most out of your health plan! All Anthem Blue Cross members are encouraged to register for our website, www.anthem.com/ca or download our new digital platform, Syndey Health, on your device. You'll be able to:
Don't forget to download our mobile app - available for Androids and Apple phones.
Integrated care management programs and tools - when you need itAssurity
Innovative group product marketing, customer service at the highest level and top-notch administrative expertise at reasonable costs are the familiar characteristics of Assurity's Group Insurance Division. As the first carrier to offer an accelerated death benefit on a group life plan and a group critical illness product, we continue to be among the industry leaders in inventive product design.
Assurity's Group Division works with brokers, third-party administrators (TPAs) and managing general underwriters (MGUs) to develop lasting marketing, customer service and administrative relationships. We also provide a level of plan customization not usually possible with the large national carriers.
Dentegra Smile Club
With Dentegra Smile Club, you can access sweet discounts whenever you visit the dentist.
EyeMed (provided by Ameritas)
Eye exams are an important part of any health and wellness program. Comprehensive eye exams allow your eye care professional to view the interior of the eye and can lead to the early detection of serious illnesses like diabetes, heart disease and high blood pressure.
EyeMed Vision Care is a leading vision benefits company providing vision wellness programs to more than 140 million members. Ensuring vision wellness is easy with EyeMed. Members have the choice of thousands of private practitioners and leading optical retailers including LensCrafters® , Sears Optical® , JCPenney Optical® and most Pearle Vision® locations. EyeMed's unique approach to vision care offers substantial savings on eye care and eyewear purchases.
Our program makes it easy to protect your vision and your health by providing:
Cigna + Oscar
Cigna + Oscar is designed to work for small businesses like yours. We’re bringing together the power of Cigna's nationwide and local provider networks, and Oscar’s member-focused experience, to deliver small group health insurance that understands the unique needs of small businesses and their employees. We’re here to provide affordable care that works for your team, and insurance that cares for your business.
Small business health coverage in Northern and Southern CaliforniaOur small group portfolio of EPO plans range across metal tiers, and feature varying balances of copay-based and coinsurance-based benefits to meet all employee needs.
Member Experience- Save Time and MoneyAll carriers have networks, benefits and rates (see ours below) but the Cigna + Oscar difference is centered around the member experience with plan features like:
All Cigna + Oscar members get full access to Cigna’s LocalPlus® network, a locally designed network of doctors, specialists, and hospitals that offer cost-effective medical care without sacrificing the quality employees expect.
Health Net
At Health Net, we believe every person deserves a safety net for their health, regardless of age, income, employment status or current state of health. Founded in California more than 40 years ago, we're dedicated to transforming the health of our community, one person at a time. Today, Health Net's 2,600 employees and 85,000 network providers serve 3 million members. That's nearly 1 in 12 Californians.
We have also refreshed our look that lets you – and all Californians – know that you can depend on Health Net for:
HMO Plans: you choose a primary care physician, who coordinates all your care | ||
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Plan Name | Where Available | Why Choose This Plan? |
Full Network HMO | 30 Counties Statewide | The Full Network HMO is our broadest HMO option spanning 30 counties across California and offering access to over 70,000 physicians (PCPs & Specialists) and over 250 hospitals within the service area. This network is great for employers looking to offer wide provider choice and broad access across California, within a classic HMO structure. |
WholeCare HMO | 30 Counties Statewide | The WholeCare HMO network includes a select subset of our Full HMO network to include the most cost-efficient providers without compromise in quality or benefits. This flagship network spans 30 counties across California and offers access to over 37,500 physicians (PCPs/ Specialists) and over 200 hospitals within the service area. |
Salud HMO y Más | Southern CA and Parts of Mexico | A community-based HMO network available in most of Southern California which has been awarded the National Committee for Quality Assurance (NCQA) Distinction in Multicultural Health Care. We connect a carefully selected group of respected, local doctors and hospitals to the people in their area. In addition, participants will have flexible cross-border access to healthcare in northern Mexico via the SIMNSA network. In total, this includes more than 8,500 physicians (PCPs/specialists) and 50 hospitals across the Salud service area. All while being one of the lowest priced HMOs in Southern California. |
CommunityCare HMO | Los Angeles, Orange, and San Diego counties | A tailored HMO network available in Los Angeles, Orange, and San Diego counties that offers more freedom than our other HMO options. Your primary care physician can refer you to any specialist within the entire CommunityCare HMO network, not just specialists within your physician group. This network also includes plans that have deductibles to allow for greater control of costs and premiums, while providing access to over 12,000 physicians (PCPs/Specialists) and over 75 hospitals within the service area. |
Health Net is focused on giving you all the tools you need to live a healthier, more productive life. Our programs help empower you to make healthy lifestyle decisions for you and your family.
Your health and satisfaction are our priorities. When you become a Health Net member, our customer service center representatives, and our robust website, are here to provide you with the support you need.
Visit us at www.healthnet.com
Disclaimer
Health Net Decision Power Healthy Discounts is not intended as a benefit program purchased from Health Net. The Decision Power Healthy Discounts program is made available to specified Health Net members free of charge. Decision Power Healthy Discounts programs offer discounts on products/reduced-fee services. However, the products and services available from Decision Power Healthy Discounts are not part of your medical benefits plan, but are part of Health Net's Wellness Program available to its members. Decision Power Healthy Discounts providers are independent businesses. Health Net does not directly contract with providers. Services and/or supplies must be purchased directly from a Decision Power Healthy Discounts provider.
Health Net members have access to Decision Power® through their current enrollment with any of the following Health Net companies: Health Net of California, Inc.; Health Net Life Insurance Company.
3Expires December 2022
4Expires June 2022
Kaiser Permanente
What began 70 years ago as an innovative health care program for shipyard and steel mill workers has become the model for health care in the 21st century. Serving 11.8 million members in 8 states and the District of Columbia, Kaiser Permanente is the convenient, affordable health plan you can rely on to keep your employees and their families healthy and engaged. From preventive care that catches health problems early to specialty care for illnesses and injuries, we’ve got your employees covered.
Here for you in California
Founded in California in 1945, and now headquartered in Oakland, Kaiser Permanente currently serves 8.5 million members in the state — with nearly 16,000 doctors at over 450 medical offices and 36 hospitals.
Affordable options to meet your needs
Our plans are priced with your business in mind. In fact, Kaiser Permanente was rated the most cost-efficient plan in California.1 And you have 14 group plans to choose from, including:
Dedicated to excellence
As new members, your employees can browse our online doctor profiles to choose a personal doctor based on factors that are important to them — and they can change doctors anytime. And when members register on kp.org, they can enjoy easy-to-use, customized features like being able to:
Members also have 24/7 access to care by phone, including help determining what level of care they may need.
Shaping the future of health care
We’re continually advancing patient services through innovation and technology. For example, more than half of member visits now take place through email, phone, and video — which removes barriers like distance, traffic, and busy schedules that may keep your employees from getting the care they need.
Kaiser Permanente was also an early adopter of electronic health records, and now operates one of the nation’s largest private electronic health record systems. This allows us to gather patient data that identifies trends and gaps in care, which can translate into better health outcomes for your employees.
Choose Kaiser Permanente and experience the difference. Learn more at kp.org/choosebetter.
1 Aon Hewitt Health Value Initiative™ benchmarking study — Kaiser Foundation Health Plan, Inc., Aon Hewitt, October 12, 2016.
2 Kaiser Permanente 2016 HEDIS® scores. Benchmarks provided by the National Committee for Quality Assurance (NCQA) Quality Compass® and represent all lines of business.
3 America’s Hospitals: Improving Quality and Safety, The Joint Commission’s Annual Report 2015, The Joint Commission.
4 Kaiser Permanente 2016 Annual Report.
MetLife/SmileSaver
Dental HMO Plans:
The MetLife DHMO plans provide access to a large network of dental providers throughout California. Preventive dental care is an important part of overall health and MetLife is committed to ensuring that its members receive a high level of dental care. As part of this commitment, all Quality Management Activities are designed to meet or exceed NCQA standards. These standards are applied to plan design, through the credentialing of network providers, member services standards and on-going peer review and facility audits.
Sharp Health Plan
Sharp Health Plan is a not-for-profit, locally based health plan that offers San Diegans of all ages access to high quality and affordable health insurance through their individual and family plans, commercial group plans, and Medicare plans. Sharp Health Plan continues to be recognized in California and nationally for their high-quality care and service. They are the highest member-rated health plan in California, and they also hold the highest member ratings for health care, personal doctor and specialist among reporting California health plans. As part of Sharp HealthCare’s integrated delivery system, Sharp Health Plan directly connects members to an expansive network of nationally recognized doctors, elite-rated medical groups and hospitals.
Sharp Health Plan delivers The Sharp Experience from health insurance to health care, making it easy for members to access the care they need, when they need it. Members enjoy the added benefit of video and phone visits with participating in-network providers, an after-hours nurse advice line, Emergency Travel Services for assistance nationally or abroad, and access to MinuteClinic®, the walk-in clinics inside select CVS Pharmacy® stores. Members also have access to a robust behavioral health program, including an expanded provider network, video visits and no referral needed for outpatient therapy with in-network providers. Sharp Health Plan also offers members access to their nationally accredited Best Health® wellness program, which includes personal health assessments, one-on-one health coaching, educational classes and more. For additional information please visit sharphealthplan.com or call Customer Care toll-free at 1-800-359-2002.
1 The source for this data is Quality Compass® 2021 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2021 includes certain CAHPS® data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass® is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Sharp Health Plan achieved the following summary ratings (9+10): 64.73 for Rating of the Health Plan compared to the California all LOBs average (excluding PPOs & EPOs) of 50.74; 69.47 for Rating of Health Care compared to the California all LOBs average (excluding PPOs & EPOs) of 56.78; 75.69 for Rating of Personal Doctor compared to the California all LOBs average (excluding PPOs & EPOs) of 65.86; and 76.15 for Rating of Specialist compared to the California all LOBs average (excluding PPOs & EPOs) of 68.84.
Sutter Health Plus
About Us
Sutter Health Plus is a not-for-profit HMO offering Northern California consumers a variety of affordable health plan options, convenient access to care and comprehensive coverage to help meet their needs and budgets.
Quality
Sutter Health Plus received 4.5 out of 5 stars for quality and satisfaction from the National Committee for Quality Assurance (NCQA). Sutter Health Plus is one of only three health plans in the state of California to achieve this rating for the NCQA Measurement Year 2020 Health Plan Ratings.
Convenient Access
With Sutter Health Plus, members gain access to an integrated network of high-quality healthcare providers, including many of Sutter Health’s hospitals, doctors and healthcare services.
* Members can log in to their MHO account to see if their PCP offers video visits. If their provider doesn’t participate in MHO or they're a new patient, they can contact their PCP’s office for video visit options.
** Please note, if the Tera provider you select does not have an office in your local community, you may need to travel for an in-person appointment. You may also be able to see another Sutter provider closer to home.
Online Member Tools
Sutter Health Plus Member Portal: With the Member Portal members can:
My Health Online: Members can enroll in MHO**, a convenient way to manage their health when and where they want. Members can:
Sutter Health Plus Member Portal: With the Member Portal members can:
** If a member’s primary care physician doesn’t participate in My Health Online, functionality is limited to viewing lab and test results from Sutter facilities and accessing video visits.
UnitedHealthcare
UnitedHealthcare of California is committed to providing quality coverage and affordable benefits to help keep you and your family healthy. Our plans offer more than just doctor visits; preventive care services are also provided for every member of the family.
Plans designed to be cost-effective
Choose from a large California HMO network.
Our Signature plan offers access to a full network of contracted providers with more than 62,590 physicians and health care professionals, and 273 hospitals. The Advantage, Alliance and Harmony plans offer the same level of benefit coverage as our Signature plan but has a narrower network of contracted providers. You can find listings for physicians and hospitals in our provider directories.
Extra programs and services at no additional cost.
You'll get access to programs and services that help you get and stay healthy - at no extra cost.
With a mix of benefits that deliver patient-centered care, health and wellness programs and award-winning customer service, UnitedHealthcare is a smart choice for your family's health care coverage needs.
1 Formal HMO product names:
Signature = UnitedHealthcare SignatureValueTM
Advantage = UnitedHealthcare SignatureValue Advantage
Alliance = UnitedHealthcare SignatureValue Alliance
Harmony = UnitedHealthcare SignatureValue Harmony
Health plan coverage provided by or through UnitedHealthcare Insurance Company and UnitedHealthcare of California. Administrative services provided by United Healthcare Services, Inc., OptumRx or OptumHealth Care Solutions, Inc. Behavioral health products are provided by U.S. Behavioral Health Plan, California (USBHPC) or United Behavioral Health (UBH).
VSP (provided by Ameritas)
VSP (provided by Ameritas) is dedicated to offering affordable, high-quality eye care plans that promote visual wellness and improve their member's quality of life. As the nation's largest provider of eye care coverage, thousands of companies rely on VSP to provide a range of vision plans.
VSP provides coverage to more than 70 million members nationwide. Their provider network includes more than 25,000 doctors in 19,000 offices around the country. Whether their members live in cities, suburbs or rural areas, their doctors are nearby - an average of only four miles from where our members live and work.
Western Health Advantage
Western Health Advantage Benefits Overview
We care about you
We have a passion for health care. WHA is all about helping people obtain quality health care. We also support medical innovation and promote whole-person health to suit the various needs of the communities we serve. WHA offers affordable coverage to employer groups, individuals and families, and Medicare retirees for every stage of life. We are here to help you stay healthy and facilitate the care you need when you need it.
We're proud of our reputation
For 24 years and counting, we’ve been a reliable partner in your community. We are known for acting with integrity and for interacting honestly with our partners, while building a relationship of trust. We support the doctor-patient relationship and offer access to quality doctors and hospitals.
We love being local
WHA prides itself in being the choice of thousands. Your community is our community. We strengthen our neighborhoods and enrich the lives of community members by supporting local organizations. We affect positive change in our community through charitable outreach and volunteer efforts. Supporting the communities where we live and work is one of WHA’s core values.
We're always here for you
We build long-term, personal relationships because we’re easy to work with, reliable and innovative. The mission of our local service team is to provide exceptional service to our members, providers and partners. You can easily reach us in person or on the phone. We’re responsive and make decisions without delay.
As a 501(c)(4) community benefit, non-profit health plan created by local doctors and hospitals, Western Health Advantage’s HMO network includes major hospitals and medical centers and thousands of local, trusted doctors and specialists from Mercy/Dignity Health, NorthBay Healthcare, Hill Physicians, Meritage Medical Network, Providence Medical Network and Woodland Clinic Medical Group. WHA offers affordable, quality health care to its neighbors in Marin, Napa, Sacramento, Solano, Sonoma, Yolo and parts of Colusa, El Dorado, Humboldt, and Placer counties.
North Bay Area Facilities
Solano County Facilities
Sacramento Area Facilities
Humboldt County Facilities
MEDICAL GROUPS