Member Updates
Periodically, Valley Health Plan will be sending you Member Updates to provide you with important benefit information, changes in policy, or new state regulations. Please keep these updates with your VHP Evidence of Coverage & Disclosure Form (EOC) booklet. These Member Updates along with articles in the Perspectives Newsletter will be your notification of changes related to your contract with Valley Health Plan (VHP).
Member Update June 2023
Access to Care Report
One of the ways we make sure members get the care they need is to conduct an annual CAHPS and QHP survey. The survey is where our members can tell us about their experiences with getting health services. This report looks at the different demographics of the members who responded to the surveys. VHP was interested to see if different people from various race/ethnicity backgrounds experienced access to health care services differently.
AAAHC Survey Notice
Valley Health Plan (VHP) will be undergoing a re-accreditation survey by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) on July 11-13th, 2023 for all Commercial Lines of Business. This survey is conducted on a three-year cycle to ensure the health plan continues to provide quality services to its members in alignment with AAAHC's national standards of care. All interested individuals holding pertinent and valid information about the organization’s compliance with AAAHC standards may request a presentation with AAAHC surveyors or may communicate such information in writing or by telephone to AAAHC for consideration. Any additional information can also be provided and discussed with the Valley Health Plan Accreditation Director, Carley Flores at [email protected]
Public Notice of AAAHC 2023 Reaccreditation Survey
Member Update April 2023
New VHP Office in Salinas
We’re pleased to share the news that Valley Health Plan (VHP) opened an office in Salinas, expanding services to help support the overall health and well-being of Monterey County and San Benito County residents.
VHP now offers affordable health plan options to individuals and families living in Monterey County, San Benito County, and Santa Clara County. Over 200,000 regional residents have selected VHP as their health plan, and we’re committed to serving more of our neighbors with quality service, comprehensive health benefits, and competitively priced premiums.
VHP’s large provider network in Monterey County and San Benito County allows members access to preferred doctors, specialists, hospitals, pharmacies, and clinics. In addition to primary and specialty care services throughout our region, VHP covers emergency care worldwide, and telehealth services by phone or video are available to members from any location.
If you, your family members, or friends have questions, need support, or would like to connect with an enrollment counselor to learn more about your coverage options, we welcome you to come by our new office, located at 917-A N. Main Street, Salinas, CA. Our office is open Monday – Friday, 9a.m. – 6p.m., except on holidays. You can also reach Member Services at 1-888-421-8444 or at [email protected].
Member Update February 2023
CAHPS/QHP progress
Valley Health Plan contracted with SPH Analytics NCQA certified vendor to ask members about their experiences with VHP with a survey. The Surveys are called Consumer Assessment of Healthcare Providers and Systems (CAHPS) for commercial members and Qualified Health Plan (QHP) survey for Covered California members.
Click here for more information
Refill Your Prescriptions Early in February 2023!
VHP will be launching a company-wide system update on 3/1/2023. In order to avoid any prescription medication delays, we will allow you to pick up one early refill for ongoing prescriptions between 2/1/23 – 2/28/23.
If you have prescriptions that you would expect to refill in March, you can refill them early at your local pharmacy anytime during the month of February. One early refill per prescription will be allowed. Controlled substances are excluded. Early refill restrictions will resume on 3/1/2023.
If you have any questions about getting your early refill, please contact Navitus Customer Service at 1.866.333.2757. Thank you for your help during this time.
Member Update October 2022
Diabetes Blood Glucose Meter Change to OneTouch Brand
Effective 10/1/2022, Valley Health Plan (VHP) is covering OneTouch brand meters and test strips for members with diabetes. OneTouch meters are free to VHP members with a prescription.
How to get your OneTouch Meter and Test Strips
If you are currently using the Freestyle/Precision meters and test strips, please bring your new prescription for the OneTouch meter and test strips, along with your VHP insurance card to any plan pharmacy to get your new meter and test strips.
When to get your new prescription
You have anytime between 10/1/2022 until 3/31/2023 to get a new prescription for the OneTouch meter and test strips. If you already have a prescription for the Freestyle/Precision meter and test strips, you can still get it at current coverage until 3/31/2023.
Continue using your meter
It is important to continue using your meter until you talk with your doctor to get your new prescription.
About OneTouch
For OneTouch meter training or more information please visit: https://professional.onetouch.com/diabetes-resources/product-training-portal.
For questions on OneTouch call: 1-800-227-8862.
Questions?
If you have any questions, please contact VHP Member Services at 1-888-421-8444 or Navitus Customer Service at 1-866-333-2757.
Member Update September 2022
What You Need to Know About Monkeypox (MPX)
cdc.gov/poxvirus
Vaccine Eligibility and Coverage
VHP is monitoring updates related to the monkeypox (MPX) virus. Due to a limited supply, you must meet criteria set by local health officials or your healthcare provider to receive the vaccine. If you qualify for a MPX vaccine in your county, then you will be asked to provide your insurance ID information. VHP will cover MPX vaccine costs, and you will not be billed.
How can you get vaccinated?
- Santa Clara County Residents Visit: https://vax.sccgov.org/
- San Benito County Residents Call: 1-831-637-5367
- Monterey County Residents Call: 1-831-755-4521
- Residents in other counties, contact your local public health department:
https://www.cdph.ca.gov/pages/localhealthservicesandoffices.aspx#
Additional Resources
- MPX Signs and Symptoms https://www.cdc.gov/poxvirus/monkeypox/index.html
- MPX News and FAQs Monkeypox - Public Health - County of Santa Clara (sccgov.org)
Member Update - February 2021
CAHPS/QHP PROGRESS
Valley Health plan contracted with SPH Analytics NCQA certified vendor to field the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey for Commercial and Qualified Health Plan (QHP) survey for Exchange plans.
Click Here for More Information
Member Update September 2021
AAAHC Accreditation Survey
Valley Health Plan (VHP) will be undergoing a re-accreditation survey by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) on October 26-28th, 2021 for all Commercial Lines of Business. This survey is conducted on a three-year cycle to ensure the health plan continues to provide quality services to its members in alignment with AAAHC's national standards of care. All interested individuals holding pertinent and valid information about the organization’s compliance with AAAHC standards may request a presentation with AAAHC surveyors or may communicate such information in writing or by telephone to AAAHC for consideration. Any additional information can also be provided and discussed with the Valley Health Plan Accreditation Director, Carley Flores at [email protected]
Public Notice Posting - AAAHC Re-Accreditation Survey 2021
Member Update - September 2020
How the Quality Management (QM) Team is Working for You
The Quality Management program is centered on Valley Health Plan’s (VHP) vision and mission. The scope and content of the quality program represent the entire VHP delivery system. The team’s monitoring and evaluation activities involve a planned, systematic, and ongoing process to improve the quality of care and service members receive.
Click here for more information