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Individual & Family Plan

Valley Health Plan is dedicated to helping you get the care and service you need, at the right time, at the right place, by the right provider. We care about you and your family as well as care for you.  As the only locally-based health plan in Santa Clara County, we understand the needs of our members. Serving the community for over 30 years, we know our providers and can help find the best fit for your health care needs. VHP offers a quality network of primary and specialty care providers, convenient nationwide Safeway and Walgreens pharmacies as well as select local pharmacies, and free health education classes focused on nutrition, fitness, and parenting, as well as a variety of chronic disease prevention and management programs. 
 
Enrollment Periods
  • Open Enrollment starts November 1st, 2017 and ends January 31st, 2018. 
  • Special Enrollment begins February 1st, 2018 and goes until the next Open Enrollment period starts. Submitting your application during this period, will require that you have a qualifying life event such as a change in family size, involuntary loss of coverage, or moved to Santa Clara County. For a more complete list of qualifying life events and acceptable documentation, please refer to the application. 
Application Submission
  • To apply using our on-line application (coming soon) you will need an email address to sign the application electronically. 
  • To apply using a fillable and printable application, or a paper application, please submit a completed application by using one of the following options.  
        Mail:
        Valley Health Plan
        Attn: Sales & Broker Relations Department
        2480 North First Street, Suite 160
        San Jose, CA 95131

 
        Email:

 
        Secure Fax:
        408.954.1027

 
Questions or Concerns
  • Contact Sales & Broker Relations at 408.885.3560.
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Affordable Care Act Essential Health Benefits:​
  • ​Ambulatory Patient Services​
  • Emergency Service​
  • ​Hospitalization​
  • Maternity and Newborn Care
  • Mental Health and Substance Abuse Disorder Treatment 
  • Prescription Drugs
  • R​​ehabilitation Services and Devices
  • Lab Services
  • Preventive and Wellness Services and Chronic Disease Support
  • Pediatric Services, including Dental and Vision​​
​​​Health Coverage Exemption May Apply to You
Health coverage exemptio​ns are available for a variety of reasons. Most people who do not have health coverage must pay a fee, some people can qualify for an exemption. Use the HealthCare.gov Exemption Tool to see if any exemptions apply to you. For more information and links to the applications, visit www.healthcare.gov/exemptions.
Hardship Exemptions
 
If you qualify, apply, and are granted a hardship exemption, you will be able to buy a catastrophic/minimum coverage plan no matter how old you are or what your income is. A catastrophic/minimum coverage plan offers lower-priced coverage that mainly protects you from high medical costs if you get seriously hurt or injured. Catastrophic/Minimum coverage with a hardship cannot be subsidized and can only be purchased directly through Valley Health Plan’s Individual and Family Plan. This exemption cannot be used to buy insurance through Covered California.
To buy catastrophic/minimum coverage with a hardship, bring the Exemption Certificate Number (ECN) you received from the Federal Government to Valley Health Plan to buy the coverage of your choice. Note: If you get a hardship exemption, you do not have to buy a catastrophic/minimum coverage plan. It’s just an option available to you.​
Related Links
Last updated: 5/10/2018 5:34 PM