Table 1.
Profile of Covered California Health Plans
| COVERED CALIFORNIA HEALTH PLANS |
ABOUT THE INSURER | PLAN TYPE |
NETWORK | PRICING REGIONS SERVED |
|---|---|---|---|---|
| Anthem Blue Cross of California | A major U.S. health insurance company with more policy holders in CA than any other insurer. An independent licensee of Blue Cross Blue Shield of CA. | PPO HMO EPO |
Hospitals: ~ 300 Physicians: ~ 30,000 |
All 19 pricing regions |
| Chinese Community Health Plan (CCHP) | Formed in 1986 to serve Chinese Hospital Health System patients. | HMO | Hospitals: 9 Physicians: 315 |
San Francisco, northern San Mateo only |
| Kaiser Permanente | One of the nation’s largest nonprofit health insurance companies. | HMO | Hospitals: 35 Physicians: 14, 219 |
All 19 regions but not in all areas within those regions |
| Contra Costa Health Plan | The first county-sponsored health insurance company in the nation to receive federal qualification and to offer Medicare. | HMO | Hospitals: 10 Physicians: ~ 5,000 |
Contra Costa |
| Health Net Inc. | A publicly traded MCO that delivers services through health plans and government-sponsored managed care plans. | PPO HMO |
Hospitals: 204 Physicians: ~ 44,000 |
13 regions |
| Sharp Health Plan | San Diego’s only locally based commercial health insurance company. | HMO | Hospitals: 10 Physicians: 2, 600 |
San Diego |
|
Western Health Advantage |
A nonprofit health insurance company. | HMO | Hospitals: 15 Physicians: 3,000 |
Two regions |
| Molina Healthcare | A national MCO and a physician-led company. | HMO | Hospitals: 29 Physicians: 4,568 |
Four regions |
| Valley Health Plan | Licensed in 1985. | HMO | Hospitals: 4 Physicians: 993 |
Santa Clarita |
|
L.A. Care Health Plan |
Nation’s largest publicly operated health insurance company. An independent local public agency created by the state of CA and LA County to serve especially vulnerable and low-income populations. |
HMO | Hospitals: 35 Physicians: 1,005 |
Two regions of Los Angeles |
| Blue Shield of California | CA based non-profit health insurance company | PPO EPO |
Hospitals: 223 Physicians: 22,048 (does not include hospital-based physicians) |
All regions |