Jade 15 HMO Platinum

Welcome to the Jade Plan

CCHP Jade 15 HMO Platinum Plan Benefit Highlights

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2019 Benefit Highlights

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Plan Benefit Highlights (PDF) (Coming Soon)

Pediatric Dental Summary (PDF) (Coming Soon)
Pediatric Vision Summary (PDF) (Coming Soon)

Optional Rider:
Adult Vision Summary (PDF) (Coming Soon)

Rates
Individual & Family Plans Rate - San Francisco County (PDF)
Individual & Family Plans Rate - San Mateo County (PDF)

Summary of Benefits (SBC) (Coming Soon)    Chinese    Spanish

Health Plan Benefits and Coverage Matrix (PDF) (Coming Soon)

Evidence of Coverage (EOC) (PDF) (Coming Soon)

CCHP Provider Directory - HMO (English and Chinese) (PDF) (Coming Soon)

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CCHP Pharmacy Directory (English) (PDF) (Coming Soon)

 

List of Covered Drugs (Formulary) (English) * (No changes made since X/201X) (Coming Soon)

CCHP Pharmaceutical Management Procedures (English) (PDF)

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