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.

Jade 15 HMO Platinum

Single Plan Benefit Highlights 2023

Summary of Benefits (SBC) 2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form  2022 2023

Amber 50 HMO Silver

Single Plan Benefit Highlights 2023

Summary of Benefits (SBC) 2022  2023

Combined Evidence of Coverage (EOC) and Disclosure Form 2022 2023

ActiveChoice PPO Silver

Single Plan Benefit Highlights 2023

Summary of Benefits (SBC) 2022  2023

Combined Evidence of Coverage (EOC) and Disclosure Form: 2022 2023

AI/AN HMO

Single Plan Benefit Highlights 2023

Summary of Benefits (SBC) 2022  2023

Combined Evidence of Coverage (EOC) and Disclosure Form  2022 2023

Platinum 90 HMO

Single Plan Benefit Highlights 2023

Single Plan Benefit Highlights for Covered CA 2023

Summary of Benefits (SBC) 2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form 2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA 2022 2023

Gold 80 HMO

Single Plan Benefit Highlights 2023

Single Plan Benefit Highlights for Covered CA 2023

Summary of Benefits (SBC) 2022  2023

Combined Evidence of Coverage (EOC) and Disclosure Form 2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA 2022 2023

Silver 70 HMO

Single Plan Benefit Highlights 2023

Single Plan Benefit Highlights for Covered CA 2023

Summary of Benefits (SBC)  2022  2023

Summary of Benefits (SBC) for Covered CA  2022  2023

Combined Evidence of Coverage (EOC) and Disclosure Form  2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA  2022 2023

Silver 73 HMO

Single Plan Benefit Highlights for Covered CA 2023

Summary of Benefits (SBC)  2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA  2022 2023

Silver 87 HMO

Single Plan Benefit Highlights for Covered CA 2023

Summary of Benefits (SBC) 2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA  2022 2023

Silver 94 HMO

Single Plan Benefit Highlights for Covered CA 2023

Summary of Benefits (SBC)  2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA 2022 2023

Bronze 60 HMO

Single Plan Benefit Highlights 2023

Single Plan Benefit Highlights for Covered CA 2023

Summary of Benefits (SBC)  2022  2023

Combined Evidence of Coverage (EOC) and Disclosure Form  2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA  2022 2023

Bronze 60 HDHP

Single Plan Benefit Highlights 2023

Single Plan Benefit Highlights for Covered CA 2023

Summary of Benefits (SBC)  2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form 2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA   2022 2023

Minimum Coverage HMO

Single Plan Benefit Highlights 2023

Single Plan Benefit Highlights for Covered CA 2023

Summary of Benefits (SBC)  2022  2023

Combined Evidence of Coverage (EOC) and Disclosure Form  2022 2023

Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA  2022 2023

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) 2022 2023

CCHP Pharmaceutical Management Procedures

Formulary (List of Covered Drugs) for Commercial Plans 2022

Members may obtain maintenance medications either in person at any network pharmacy, including Chinese Hospital Pharmacy or by mail order. 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 2022, 2023

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 2022 2023

CCHP Provider Directory – Covered CA 2022 2023

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

San Francisco Offices

445 Grant Avenue, San Francisco, CA 94108

Monday – Friday: 9 a.m. – 5:30 p.m.

Saturday: 9 a.m. – 5 p.m.

845 Jackson Street, San Francisco, CA 94133

Monday – Saturday: 9 a.m. – 5:30 p.m.

Daly City Office

386 Gellert Boulevard, Daly City, CA 94015

Monday – Friday: 9 a.m. 5:30 p.m.