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 February 2023

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


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 Monkeypox (MPX) Illustration

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

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​

 

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