CCSB Portfolio & Network Glossary

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CCSB Small Group Plans & Networks

Description

HMO

HMO plans available with 3 carriers:

  • Blue Shield HMO: Trio HMO network
  • Kaiser Permanente HMO: Full HMO network
  • Sharp Health Plus HMO: Performance or Premier HMO networks
PPO

PPO plans available with 2 carriers:

  • Blue Shield PPO: Full PPO network
  • Health Net PPO: Full or EnhancedCare (CA employees only) PPO networks
HSA

HSA-compatible HMO or PPO plans available with 4 carriers:

  • Health Net PPO HSA: Full or EnhancedCare (CA employees only) PPO networks
  • Kaiser Permanente HMO HSA: Full HMO network
  • Oscar: Full EPO network
  • Sharp Health Plan HMO HSA: Premier HMO network
EPO

EPO plans available with Oscar's Full network.

   

Other Important Information

Description

Portfolio (All Plans)

Will allow all adjacent metallic tiers to be sold together.

Formulary

  • Blue Shield: Standard Drug Formulary
  • 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 Covered California Drug List

Pediatric Dental Networks

  • Blue Shield: Blue Shield DPPO or DHMO
  • Health Net: Dental Benefits Provider
  • Kaiser Permanente: Delta Dental DeltaCare USA
  • Oscar: Liberty
  • Sharp: Access Dental

Pediatric Vision Networks

  • Blue Shield: Blue Shield Vision
  • Health Net: EyeMed Vision Care
  • Kaiser Permanente: Kaiser Permanente Vision
  • Oscar: Davis Vision
  • Sharp Health Plan: VSP Advantage

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