View detailed information about your health plan via benefit documents, such as Summary of Benefits, Evidence of Coverage, Formulary(drug list), and more.
Employer Group Plans
Balance by CCHP - Employer Group Plans
Health Plans
For more detailed information about your health plan, such as Benefit Highlights, Summary of Benefits, Evidence of Coverage, and Comprehensive Formulary (drug list), please click on the name of the plan you are enrolled-in below. Contact Member Services for questions about Mental Health Benefits, In-Network Provider Access, Claims Processing, and ANY other questions or concerns regarding your CCHP membership.
Ruby 10 HMO Platinum
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Ruby 20 HMO Platinum
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Ruby 40 HMO Platinum
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Opal 25 HMO Platinum
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Opal 50 HMO Platinum
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
Drug Price Check & Pharmacy Locator
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Platinum 90 HMO
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
Combined Evidence of Coverage (EOC) and Disclosure Form – Covered California
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Gold 80 HMO
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
Combined Evidence of Coverage (EOC) and Disclosure Form – Covered California
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Silver 70 HMO
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
Combined Evidence of Coverage (EOC) and Disclosure Form – Covered California
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Bronze 60 HMO
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
Combined Evidence of Coverage (EOC) and Disclosure Form – Covered California
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Bronze 60 HDHP HMO
2019
Combined Evidence of Coverage (EOC) and Disclosure Form
Combined Evidence of Coverage (EOC) and Disclosure Form – Covered California
2020
Combined Evidence of Coverage (EOC) and Disclosure Form
2021
Combined Evidence of Coverage (EOC) and Disclosure Form (Coming Soon)
Dental & Vision Plans
Dental and vision plan benefit information can be found below, regardless of your plan type or name. If you have any other questions, please contact Member Services.
Member Resources
CCHP Pharmacy Directory (All Plans) 2019 | 2020
Updated 4/2020
CCHP Pharmaceutical Management Procedures
List of Covered Drugs (Formulary) for Commercial Plans
Updated 8/2020
Price Inquiry, Estimating the Cost of Care
Independent Medical Review & Enrollee Grievance Process
Contact Member Services for additional questions including:
- Mental Health Benefits
- In-network Provider Access
- Claims Processing
- Primary Care Physician changes
- Address or phone changes
- Enrollment or disenrollment procedures
- Any other questions
Provider Directory
Start an online provider searchCCHP Provider Directory 2019 | 2020
English, Chinese | Updated 9/2020
Please call, email or submit form if you find any inaccuracies with the provider information on our website. You can also use this page to report any changes in the provider’s information such as phone number, language, and location.
- Telephone: 1-415-955-8834
- Email: pic@cchphealthplan.com
- Online Form
ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-888-775-7888 (TTY: 1-877-681-8898).
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-888-775-7888 (TTY: 1-877-681-8898)
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-775-7888 (TTY: 1-877-681-8898).
CCHP provides full and equal access to covered services, including enrollees with disabilities as required under the Federal Americans with Disabilities Act of 1990 and section 504 of the Rehabilitation Act of 1973.
Member Services
Contact our friendly Member Services staff.
