View detailed information about your health plan via benefit documents, such as Summary of Benefits, Evidence of Coverage, Formulary(drug list), and more.
Individual, Family & Covered CA Plans
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.
Platinum 90 HMO
Gold 80 HMO
Silver 70 HMO
2020
Summary of Benefits (SBC) for Covered CA
Combined Evidence of Coverage (EOC) and Disclosure Form
Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA
2021
Summary of Benefits (SBC) for Covered CA
Combined Evidence of Coverage (EOC) and Disclosure Form
Combined Evidence of Coverage (EOC) and Disclosure Form for Covered CA
Bronze 60 HMO
Bronze 60 HDHP
2020 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.
Optional Vision Rider – VSP
(CCHP’s Vision Partner)
Adult Vision Summary
(not applicable to Covered CA)
VSP In-Network Provider Search / Member Account Access
Optional Vision & Dental Rider Rate 2020
Member Resources
CCHP Pharmacy Directory (All Plans)
Updated 1/2021
CCHP Pharmaceutical Management Procedures
Formulary (List of Covered Drugs) for Commercial Plans
Updated 1/1/2021
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
Member Important Information I Covered California
Plain Language Filing Description
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
English, Chinese | Updated 10/2020
CCHP Provider Directory – Covered CA
English, Chinese | Updated 10/2020
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.
