Breadcrumb Home Members Benefits and Coverage Information for Covered California Members Summary of Benefits and Coverage (SBC) and Schedule of Benefits and Coverage Matrix (SOBM) for Covered CA plans 2022 Summaries of Benefits & Coverage SBC 2022- English VHP Minimum Coverage VHP $0 Cost Share AI-AN VHP Bronze 60 VHP Bronze 60 AI-AN VHP Gold 80 VHP Gold 80 AI-AN VHP Platinum 90 VHP Platinum 90 AI-AN VHP Silver 70 HMO VHP Silver 70 AI-AN VHP Silver 73 VHP Silver 87 VHP Silver 94 SBC 2022-Vietnamese SBC $0 Cost Share AI-AN SBC Bronze 60 SBC Bronze 60 AI-AN SBC Gold 80 SBC Gold 80 AI-AN SBC Minimum Coverage SBC Platinum 90 SBC Platinum 90 AI-AN SBC Silver 70 HMO SBC Silver 70 AI-AN SBC Silver 73 SBC Silver 87 SBC Silver 94 SBC 2022-Spanish SBC $0 Cost Share AI-AN SBC Bronze 60 SBC Bronze 60 AI-AN SBC Gold 80 SBC Gold 80 AI-AN SBC Minimum Coverage SBC Platinum 90 SBC Platinum 90 AI-AN SBC Silver 70 HMO SBC Silver 70 AI-AN SBC Silver 73 SBC Silver 87 SBC Silver 94 2022 Schedule of Benefits Matrixes SOBM 2022-English VHP Minimum Coverage VHP $0 Cost Share HMO AI-AN VHP Bronze 60 HMO AI-AN VHP Bronze 60 HMO VHP Gold 80 HMO AI-AN VHP Gold 80 HMO VHP Platinum 90 HMO AI-AN VHP Platinum 90 HMO VHP Silver 70 HMO AI-AN VHP Silver 70 HMO VHP Silver 73 HMO VHP Silver 87 HMO VHP Silver 94 HMO SOBM 2022-Vietnamese SOBM $0 Cost Share HMO AI-AN SOBM Bronze 60 HMO AI-AN SOBM Bronze 60 HMO SOBM Gold 80 HMO AI-AN SOBM Gold 80 HMO SOBM Minimum Coverage HMO SOBM Platinum 90 HMO AI-AN SOBM Platinum 90 HMO SOBM Silver 70 HMO AI-AN SOBM Silver 70 HMO SOBM Silver 73 HMO SOBM Silver 87 HMO SOBM Silver 94 HMO SOBM 2022-Spanish SOBM $0 Cost Share HMO AI-AN SOBM Bronze 60 HMO AI-AN SOBM Bronze 60 HMO SOBM Gold 80 HMO AI-AN SOBM Gold 80 HMO SOBM Minimum Coverage HMO SOBM Platinum 90 HMO AI-AN SOBM Platinum 90 HMO SOBM Silver 70 HMO AI-AN SOBM Silver 70 HMO SOBM Silver 73 HMO SOBM Silver 87 HMO SOBM Silver 94 HMO Members Home Page Contact Us 24/7 Nurse Advice Line Care Management Program Forms and Resources Health and Wellness MDLIVE Telehealth Member Materials Plan Information Pharmacy Provider Search
