Silver 87 HMO

Silver 87 HMO

Silver 87 HMO Plan Information

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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)

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 - Covered CA (English and Chinese) (PDF) (Coming Soon)

Start an online Provider Search

CCHP Pharmacy Directory - Covered CA (English) (PDF) (Coming Soon)

Pharmacy Locator

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

Covered CA Drug Preview Tool (Note: Please note that this is an estimate only. Actual cost depends on the status of your deductible balance, if any, and any applicable limitations or exceptions.)

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CCHP Pharmaceutical Management Procedures (English) (PDF)

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