Valley Health Plan

2018 Valley Health Plan Forms Enrollment

San Jose Medical Group has been added for 2018. VHP has also added MDLive for telephone consultations about medical issues.

Health Plan Benefits Matrix

Summaries of Benefits and Coverage

Evidence of Coverage and Drug Formulary

2018 Rates

Enrollment Application

Online Enrollment

VHP is using a version of their PDF paper application for online enrollments through the web application DocuSign for off-exchange enrollments. If you would like me to be attached to the application to assist with any enrollment questions or health plan issues during the year, you will need to include my name, email address, and later on the application my license number 0H12644. After you have filled in the broker and applicant names, click on the button that says Begin Signing. That will take you to the next page to fill in the actually application. The completed application will then be forwarded to all household members over 18 years for their signature. It’s also best to assign a Primary Care Physician on the application. Search PCP Valley Health Care Providers.

Valley Health Plan online enrollment form.

2016 Individual and Family Plans

Valley Health Plan (VHP) is a Knox-Keene licensed, NCQA Interim-Accredited, Health Maintenance Organization (HMO), owned and operated by the County of Santa Clara. VHP has been serving the community for over 30 years and is the only locally based commercial health plan in Santa Clara County.

VHP offers a wide range of health care benefits under our Employer Group Plan, as well as our publicly available plan options through Covered California and VHP’s Individual & Family Plan. You must reside within Santa Clara County to be eligible to enroll in a VHP health plan either through Covered California or directly with VHP

Valley Health Plan Hospitals in network

• Santa Clara Valley Medical Center
• Fremont Hospital
• Stanford Hospital and Clinics
• Lucile Packard Children’s Hospital

Physician Groups

• Lucile Packard Children’s Hospital
• Northern Cal Advantage Medical Group
• Santa Clara Valley Medical Center
• Stanford Hospital & Clinics

PCP Medical Groups

• Variety of community clinic physicians
• Santa Clara Valley Medical Center

Valley Health Plan Provider Search

2016 Plan documents, application, drug formulary and summary of benefits and coverage

• SBC Covered California
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• SBC_Off_Exchange
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• Monthly Premiums 2016 - Rates - Individuals (0.1 MiB)
• VHP Individual and Family Plan Application (0.6 MiB)
• VHP Pharmacy Formulary 2016 (1.1 MiB)

2015 Valley Health Plan (VHP) offers HMO individual and family plans only in Santa Clara County. They offer health plans through Covered California for tax credits or mirrored products off the exchange. The Pediatric Dental benefits (children’s dental insurance for members 18 years and younger) is provided by Liberty Dental. VHP also offers Native American and Native Alaskan health plans.

The VHP provider network includes

• Asian Americans for Community Involvement
• Gardner
• Indian Health Center of Santa Clara Valley
• Mayview Community Health
• North East Medical Services
• Lucile Packard Children’s Hospital
• Planned Parenthood
• Saint Louise Regional Hospital
• Stanford Hospitals & Clinics
• Santa Clara Valley Medical Center