Individual, Family & Covered CA Plans

View detailed information about your health plan via benefit documents, such as Summary of Benefits, Evidence of Coverage, Formulary(drug list), and more.

Balance by CCHP - Individual & Family 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.

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)
Updated 1/2021

CCHP Pharmaceutical Management Procedures

Formulary (List of Covered Drugs) for Commercial Plans
Updated 6/2021

Members may obtain maintenance medications either in person at any network pharmacy, including Chinese Hospital Pharmacy, Costco Pharmacy or by mail order with Costco Pharmacy. To get order forms and information about filling your prescriptions by mail, please call CCHP Member Services Center.

Price Inquiry, Estimating the Cost of Care

Independent Medical Review & Enrollee Grievance Process

Continuity of Care

Prior Authorization Process

How to Pay

Member Important Information I Covered California

Quick Start Guide

Community Health Newsletter

Plain Language Filing Description

Notice of Privacy Practices

CAHPS Survey

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

CCHP Nurse Advice Line at 1-888-243-8310 available 24 hours a day, seven days a week—including weekends and holidays.

Urgent Care Facilities

Jade | HPMG (By clicking on these links, you will leave CCHP’s website)

Provider Directory
Start an online provider search

CCHP Provider Directory
English, Chinese | Updated 3/2021

CCHP Provider Directory – Covered CA
English, Chinese | Updated 3/2021

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.

  1. Telephone: 1-415-955-8834
  2. Email: pic@cchphealthplan.com
  3. 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.

Visit

386 Gellert Boulevard

Daly City, CA 94105

Monday-Friday from 9:00 a.m. to 5:30 p.m.

If you have any questions, please visit, call or email us.

445 Grant Ave

San Francisco, CA 94108

Monday-Saturday from 9:00 a.m. to 5:00 p.m.

If you have any questions, please visit, call or email us.