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Right for You. Right for Your Family. Right Next Door. The Central Valley’s Local Health Care Plan

The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area CCH provides continuing coverage while you or your family are traveling outside

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Page 1: The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area CCH provides continuing coverage while you or your family are traveling outside

Right for You. Right for Your Family. Right Next Door.

The Central Valley’s Local Health Care Plan

Page 2: The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area CCH provides continuing coverage while you or your family are traveling outside

BECAUSE YOUR COMMUNITY IS OUR COMMUNITYCommunity Care Health (CCH) is not your traditional health insurer. We see our members as family, which is why we are focused not only on designing the strongest portfolio of products, member tools, and services, but also on building a stronger community for us to share.

Responsive to customer needs because we are part of the local community and best understand the Central Valley

PARTNERS with our community through employment, charity and local spending

Reinvestment in the community. Your premium dollar remains here in the Central Valley

San Francisco

Los Angeles

Fresno

How

Your Premium Dollars Are Spent

Fresno

Kings

Madera

* ZIP Codes.

Page 3: The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area CCH provides continuing coverage while you or your family are traveling outside

Our Investment in the Central ValleyH

ow Your Premium Dollars Are Spent

Being local is a critically important value in our mission to not only become the health insurer of choice for the Central Valley, but your community partner as well.

85% goes to medical care

1% community support (e.g., sponsorships,

charitable contributions)

13% Central Valley

employment, vendors & resources

1% reinvestment in tools, people and services to enhance member experience

Page 4: The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area CCH provides continuing coverage while you or your family are traveling outside

Access to the Care You Deserve

700+Practice Sites

20Urgent Care Centers

1350+Primary Care Physicians

& Specialists

A Powerful Network for Comprehensive Care

Page 5: The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area CCH provides continuing coverage while you or your family are traveling outside

CCH Mobile AppBe in control of your health.

e-VisitsTeaming with Community Medical Providers to provide remote, personalized care.

Online Chat. CCH Mobile App and Web Site*

Online Provider, Pharmacy and Urgent Care Directory

CCH Member Portal

Pharmacy Benefit Portal

Dental Benefit Portal

* Coming Soon!

TeladocOn-demand medical care.

MyChartYour online, interactive health portal.

Innovative Customer Tools

Page 6: The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area CCH provides continuing coverage while you or your family are traveling outside

CCH provides a variety of HMO plans, including traditional HMOs, High-Deductible HMOs, HSA-Compatible HMOs as well as Dental, Vision and Pharmacy Benefits. In addition to the plans below, we also offer other options. For more information, please contact 1 (559) 250-0988, 1 (559) 776-7925 or visit www.communitycarehealth.org.

Dental & Vision

THE COMMUNITY CARE LARGE GROUP PORTFOLIO

PORTFOLIO Vineyard Orchard Harvest Summit GlacierDeductible Range $0-$0 $250-$1,500 $1,000-$3,000 $3,000-$6,500 $1,350-$6,800

Copayment Range $10-$20 $20-$40 $25-$40 $30-$50 $20-$50

Out of Pocket Maximum Range $500-$2,000 $1,000-$3,000 $2,000-$4,000 $4,000-$6,500 $2,000-$6,750

Inpatient Admission Range $150-$500 $500-$1,500 $500-20% coinsurance 20%-40% coinsurance 20%-40% coinsurance

OP ER and OP Surgery Range $100-$250 $250-$400 $250-20% coinsurance 20%-40% coinsurance 20%-40% coinsurance

Rx Copayment Range $5/$15/$30 $10/$20/$40 $10/$25/$50 $15/$30/$60 $15/$30/$60

DENTAL Program A Program B Program C $50/$150 $50/$150 $50/$150

$1,500 $1,500 $2,000

100/90/60 with & without Ortho 100/80/50 with & without Ortho 100/90/60 with & without Ortho

VISION Program A Program B Program C 12/12/12 12/12/24 12/24/24

$10/$20 $10/$20 $10/$10

$120/$130/$150* $120/$130/$150* $120/$130/$150*

* Frame allowance options

Page 7: The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area CCH provides continuing coverage while you or your family are traveling outside

Fresno/Kings/Madera Community Care Health Network

CaliforniaNational Network

Out of StateHealthSmart PHCS

Covered Care Outside of the AreaCCH provides continuing coverage while you or your family are traveling outside of the area (including children away at school) - giving you peace of mind that you and your family will always have access to the care you need, wherever you are.

Page 8: The Central Valley’s Local Health Care Plan · HealthSmart PHCS Covered Care Outside of the Area CCH provides continuing coverage while you or your family are traveling outside

communitycarehealth.org

Right for You. Right for Your Family. Right Next Door.