VHP Silver HMO Plans - Covered California
VHP Silver 70 HMO | Plan Highlights 2022
- Overall Medical Deductible: Individual $4,000| Family $8,000
- Pharmacy Deductible: Individual $300 | Family $600
- $0 Copay for Preventive Services
- $0 Copay for Prenatal & Preconception Services
- $40 Copay for Primary Care Services
- $40 Copay for Lab Tests
- Maximum out-of-pocket: Individual $8,200 / Family $16,400
VHP Silver 73 HMO | Plan Highlights 2022
- Overall Medical Deductible: Individual $3,700 | Family $7,400
- Pharmacy Deductible: Individual $275 | Family $550
- $0 Copay for Preventive Services
- $0 Copay for Prenatal & Preconception Services
- $35 Copay for Primary Care Services
- $40 Copay for Lab Tests
- Maximum out-of-pocket: Individual $6,500 / Family $13,000
VHP Silver 87 HMO | Plan Highlights 2022
- Overall Medical Deductible: Individual $1,400 | Family $2,800
- Pharmacy Deductible: Individual $100| Family $200
- $0 Copay for Preventive Services
- $0 Copay for Prenatal & Preconception Services
- $15 Copay for Primary Care Services
- $20 Copay for Lab Tests
- Maximum out-of-pocket: Individual $2,850 / Family $5,700
VHP Silver 94 HMO | Plan Highlights 2022
- Overall Medical Deductible: Individual $75| Family $150
- Pharmacy Deductible: $0
- $0 Copay for Preventive Services
- $0 Copay for Prenatal & Preconception Services
- $5 Copay for Primary Care Services
- $8 Copay for Lab Tests
- Maximum out-of-pocket: Individual $1,000 / Family $2,000
Plan Information
- Summary of Benefits and Coverage Table (SBC)
- Summary of Benefits (SBC) Uniform Glossary
- Combined Evidence of Coverage & Disclosure (EOC)
- Pharmacy Information
- Provider Directory Search
Drug Cost Look Up
- Bronze 60
- Bronze 60 AI/AN
- Silver 70
- Silver 73
- Silver 87
- Silver 94
- Silver 70 AI/AN
- Gold 80
- Gold 80 AI/AN
- Platinum 90
- Platinum 90 AI/AN
- Minimum Coverage
- $0 Cost-Share AI/AN
General Information
- Health Education Classes
- Member’s Rights and Responsibilities
- Protected Health Information
- Grievances