L.A. Care Covered 2016 health plan documents

Kevin Knauss

9 years ago

2016 L.A. Care Covered Health Plans

L.A. Care Covered will offer standard benefit design health plans in all of Region 16 (S.W. Los Angeles County) and part of Region 15 (N.E. Los Angeles County). All their plans are HMOs and they offer no non-standard benefit design plans off the exchange.

In 1997 L.A. Care HMO (health maintenance organization) was established as a locally created health plan to provide health care services to Medi-Cal beneficiaries under California’s Two-Plan Model. Today, L.A. Care serves all of Los Angeles County with their HMO plans for Medi-Cal, PASC-SEIU Homecare Workers, Medicare Advantage and ACA compliant individual and family plans offered through Covered California. L.A. Care Covered is their portfolio of individual and family plans that can be purchased directly from L.A. Care.

2016 Evidence of Coverage and Member Handbook

This publication is called a Subscriber Agreement & Combined Evidence of Coverage and Disclosure Form (also called the Subscriber Agreement & Member Handbook). It is a legal document that explains your health care plan and should answer many important questions about your benefi ts. is document contains some words and terms that you may not be familiar with. Please refer to the Definitions Section at end this Member Handbook to be sure you understand what these words and phrases mean.

Whether you are the primary Enrollee of coverage or enrolled as a family member, your Subscriber Agreement & Member Handbook is a key to making the most of your membership. You’ll learn about important topics like how to select a Primary Care Physician and what to do if you need hospitalization. AI-AN : American Indian – Alaska Native

To review and download the 2016 Evidence of Coverage and Member Agreement Handbook documents along with the Summary of Benefits for all their 2016 individual and family plans visit L.A. Covered Health Plans