| CaliforniaChoice Small Group Plans & Networks |
Description |
| HMO |
HMO plans available with 7 carriers:
- Anthem Blue Cross HMO: CaliforniaCare HMO (Full), Select HMO, and Priority Select HMO networks
- Health Net HMO: Full, WholeCare, SmartCare, Salud y Mas, or CommunityCare HMO networks
- Kaiser Permanente HMO: Full HMO network
- Sharp Health Plan HMO: Performance or Premier HMO networks
- Sutter Health Plus HMO: Full HMO network
- UHC HMO: SignatureValue, Alliance, or Harmony HMO networks
- WHA HMO: Full HMO network
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| PPO |
PPO plans available in the Anthem Blue Cross's Prudent Buyer (Full), Advantage (removed in 2023), and Select PPO networks.
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| HSA |
HSA-compatible plans available with 6 carriers:
- Anthem Blue Cross EPO HSA: Prudent Buyer (Full) PPO network (EPO plans no longer available in 2023)
- Anthem Blue Cross PPO HSA: Prudent Buyer (Full) or Select PPO networks
- Cigna + Oscar EPO HSA: Open Access Plus (Full) and LocalPlus networks
- Kaiser Permanente HMO HSA: Full HMO network
- Sharp Health Plan HMO HSA: Performance HMO network
- Sutter Health Plus HMO HSA: Full HMO network
- WHA HMO HSA: Full HMO network
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| HSP (Health Service Plan) |
HSP plan (PCP selection required, in-network self-referrals permitted) available in the Health Net PureCare HSP network.
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| EPO |
EPO plans (in-network only, no PCP required) available with 2 carriers:
- Anthem EPO: Prudent Buyer PPO network (EPO plans no longer available in 2023)
- Cigna + Oscar EPO: Open Access Plus EPO (Full) and LocalPlus EPO networks
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| Other Important Information |
Description |
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Portfolio (All Plans)
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Single, Double, Triple, and Total Choice (all 4 tiers) options available.
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Formulary
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- Anthem Blue Cross: Select Formulary
- Cigna + Oscar: Express Scripts High Performance Formulary for Cigna + Oscar
- Health Net: Essential Rx Drug List or "Affordable Care Act Exchange Drug List"
- Kaiser Permanente: California Marketplace Formulary
- Oscar: Oscar Formulary
- Sharp Health Plan: Sharp Health Plan Drug List
- Sutter Health Plus: Sutter Health Plus Formulary
- UnitedHealthcare: California Small Group 4-Tier
HMO and PPO Prescription Drug List
- WHA: Preferred Drug List Four-Tier Prescription Drug Plan
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Pediatric Dental Networks
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- Anthem: Prime Dental
- Cigna + Oscar: Liberty
- Health Net: Dental Benefits Provider
- Kaiser: Delta Dental DeltaCare USA
- Sharp: Access Dental
- Sutter: Delta Dental DeltaCare USA
- UHC: CA Select Managed Care DHMO
- WHA: Delta Dental DeltaCare USA
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Pediatric Vision Networks
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- Anthem: Blue View/EyeMed
- Cigna + Oscar: Davis
- Health Net: EyeMed
- Kaiser: Kaiser Permanente
- Sharp: VSP
- Sutter: VSP Choice
- UHC: Spectera
- WHA: MES Vision
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