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. Author manuscript; available in PMC: 2016 Jun 1.
Published in final edited form as: Am J Hosp Palliat Care. 2014 Mar 10;32(4):440–447. doi: 10.1177/1049909114526298

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