L.A. Care Covered Plans

2017 Individual & Family Plans

Los Angeles, Health, Insurance, Emergency Rooms, Hospitals, Plans, Covered California

L.A. Care Covered hospital network for health plans sold through Covered California.

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.

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

AI AN 0 Cost Share LA Care Covered EOC 2016 (1.4 MiB)
AI AN Bronze LA Care Covered EOC 2016 (1.3 MiB)
AI AN Gold LA Care Covered EOC 2016 (1.3 MiB)
AI AN Platinum LA Care Covered EOC 2016 (1.3 MiB)
AI AN Silver 70 LA Care Covered EOC 2016 (1.3 MiB)
Bronze LA Care Covered EOC 2016 (1.3 MiB)
Gold LA Care Covered EOC 2016 (1.3 MiB)
Minimum Coverage LA Care Covered EOC 2016 (1.3 MiB)
Platinum LA Care Covered EOC 2016 (1.3 MiB)
Silver 70 LA Care Covered EOC 2016 (1.3 MiB)
Silver 73 LA Care Covered EOC 2016 (1.3 MiB)
Silver 87 LA Care Covered EOC 2016 (1.3 MiB)
Silver 94 LA Care Covered EOC 2016 (1.3 MiB)

Summary of Benefits and Coverage Documents

AI AN LA Care Covered 0 Cost Share SBC 2016 (0.6 MiB)
AI AN LA Care Covered Bronze 60 SBC 2016 (0.6 MiB)
AI AN LA Care Covered Gold SBC 2016 (0.6 MiB)
AI AN LA Care Covered Platinum SBC 2016 (0.6 MiB)
AI AN LA Care Covered Silver SBC 2016 (0.6 MiB)
LA Care Covered Bronze 60 SBC 2016 (0.6 MiB)
LA Care Covered Gold SBC 2016 (0.6 MiB)
LA Care Covered Minimum Coverage SBC 2016 (0.6 MiB)
LA Care Covered Platinum 90 SBC 2016 (0.6 MiB)
LA Care Covered Silver 70 SBC 2016 (0.6 MiB)
LA Care Covered Silver 73 SBC 2016 (0.6 MiB)
LA Care Covered Silver 87 SBC 2016 (0.6 MiB)
LA Care Covered Silver 94 SBC 2016 (0.6 MiB)

Provider Directory

2015 Provider Directory L.A. Care Covered Doctors and Hospitals

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.

L.A. Care Evidence of Coverage 2014

The following list of downloadable files are the Evidence of Coverage (EOC) for the different L.A. Care Covered health plans. EOCs give the critical details of how the health plan operates, a member’s rights and responsibilities. The term “AI in the name means the EOC is for the American Indian and Alaskan Native plans.

L.A. Care Summary of Benefits and Care

The Summary of Benefits and Care (SBC) are short documents outlining the basics of each of the individual and family plans offered. “AI” = American Indian and Alaskan Native health plan summaries.