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Submitted URL: https://click.marketing.coveredca.com/?qs=a795071722069e7cd0ce51d296475193a31e390a0a9b51eaa503e89aaf8e7edc852d7bb95458395178c890ea4400...
Effective URL: https://www.coveredca.com/support/insurance-company-contacts/?utm_source=SFMC&utm_medium=email&utm_campaign=C2-SEP-AF-2022...
Submission: On June 19 via api from US — Scanned from DE

Form analysis 5 forms found in the DOM

/site-search.html

<form class="form-inline my-2 my-lg-0 py-3 px-3 d-lg-none nav-site-search-form" action="/site-search.html">
  <div class="position-relative w-100">
    <div class="row">
      <div class="col-12">
        <div class="input-group d-flex align-items-start w-100">
          <input type="hidden" class="d-none" name="index" value="1">
          <input class="form-control nav-site-search-form__input nav-site-search-form__input--mobile" placeholder="Search" aria-label="Search" name="query" type="text">
          <button class="btn border-left-0 border-radius-0 border-raidus-top-right-1 border-raidus-bottom-right-1 px-2 p-0 d-flex align-items-center border-gray-light" style="height: 40px;right: -1px" type="submit">
            <i class="material-icons text-primary">search</i>
          </button>
        </div>
      </div>
      <div class="col-12 nav-site-search-form__invalid-feedback nav-site-search-form__invalid-feedback--red d-none" id="nav-site-search-input-invalid-feedback">
      </div>
    </div>
  </div>
</form>

/site-search.html

<form action="/site-search.html" class="flex-grow-1 nav-site-search-form" id="site-search-form-nav">
  <div class="form-group mb-0">
    <div class="row">
      <div class="col-10 col-md-11">
        <div class="input-group">
          <div class="input-group-prepend">
            <button type="submit" class="form-control btn btn-white btn-primary-on-hover h-100 d-flex align-items-center border border-right-0" style="left: -1px">
              <i class="material-icons color-primary">search</i>
            </button>
          </div>
          <label for="site-search-input-nav" class="sr-only" style="top:1000px;">Search</label>
          <input type="text" class="form-control nav-site-search-form__input nav-site-search-form__input--desktop" style="border-top-right-radius: 50rem; border-bottom-right-radius: 50rem;" id="site-search-input-nav" name="query"
            placeholder="Search CoveredCA.com">
          <input type="hidden" class="d-none" id="site-search-index-nav" name="index" value="1">
        </div>
      </div>
      <div class="col-2 col-md-1">
        <div class="d-flex h-100 align-items-center">
          <button class="bg-transparent border-0 p-0 search-active-toggle" type="button" style="height: 24px;"><i class="w-24px color-white material-icons">close</i></button>
        </div>
      </div>
      <div class="col-12 nav-site-search-form__invalid-feedback nav-site-search-form__invalid-feedback--white d-none" id="nav-site-search-input-invalid-feedback">
      </div>
    </div>
  </div>
</form>

<form class="sign-up__form subscription w-100" id="footer-subscribe">
  <input type="hidden" name="StateSubsidy" value="true">
  <input type="hidden" name="Source" value="footer">
  <div class="row mx-0">
    <div class="col-12">
      <div class="form-group w-90 mx-auto">
        <label class="text-dark m-0 pl-3" for="Name">First Name</label>
        <input type="text" id="Name" name="Name" class="form-control form-control-sm border border-dark rounded-pill" placeholder="e.g. John">
      </div>
    </div>
    <div class="col-6 ml-2">
      <div class="form-group w-90 mx-auto">
        <label class="text-dark m-0 pl-3" for="Zip">ZIP Code</label>
        <input type="text" id="Zip" name="ZipCode" class="form-control form-control-sm border border-dark rounded-pill" placeholder="12345">
      </div>
    </div>
    <div class="col-12">
      <div class="form-group w-90 mx-auto mb-0">
        <label class="text-dark m-0 pl-3" for="EmailAddress">Email*</label>
        <input type="email" id="EmailAddress" name="EmailAddress" class="form-control form-control-sm border border-dark rounded-pill" placeholder="youremail@example.com" required="">
      </div>
    </div>
    <div class="col-12">
      <div class="w-90 mx-auto">
        <span class="font-size-12px pl-3">* required</span>
      </div>
    </div>
    <div class="col">
      <button type="submit" id="gtm-sign-up" class="sign-up__submit-button--footer btn btn-sm btn-primary d-block mx-auto mt-2 mt-lg-0 px-5">Subscribe</button>
    </div>
  </div>
</form>

<form class="sign-up__form subscription" id="pop-up-subscribe">
  <input type="hidden" name="StateSubsidy" value="true">
  <input type="hidden" name="Source" value="Pop-up">
  <div class="form-group">
    <label class="text-primary" for="fNamePopUp">Enter First Name</label>
    <input id="fNamePopUp" name="fNamePopUp" class="form-control border-primary">
  </div>
  <div class="form-group">
    <label class="text-primary" for="ZipCode">Enter ZIP Code</label>
    <input name="ZipCode" id="ZipCode" class="form-control border-primary">
  </div>
  <div class="form-group">
    <label class="text-primary" for="eAddressPopUp">Enter Email Address (Required)</label>
    <input type="email" id="eAddressPopUp" name="eAddressPopUp" class="form-control border-primary" required="">
  </div>
  <a class="text-center d-inline-block mb-4" href="/privacy">Privacy Policy</a>
  <div class="loading text-center mb-3"><img src="//www.coveredca.com/images/loading.gif" alt="Loading..."></div>
  <div class="col-8 offset-2">
    <button id="signUp" type="submit" class="sign-up__submit-button btn btn-action w-100 gtm-lead-popup-subscribe" disabled="">Subscribe</button>
  </div>
</form>

<form id="calculator-form" class="subsidy-calculator__form py-3 px-3 px-md-0" autocomplete="off">
  <!-- Calculator API Error Message -->
  <div id="subsidy-calculator__calculate-error-message" class="row mr-0 d-none">
    <div class="col">
      <div class="alert alert-danger text-center"> We are experiencing technical difficulties. Please try again later. </div>
    </div>
  </div>
  <!-- Household Income, Zip and County -->
  <div class="row mr-0 align-items-end">
    <!-- Household Income -->
    <div class="col-md-4 py-3">
      <div id="household-income-component-01">
        <div class="household-income-component">
          <!-- HouseholdIncome Label -->
          <div class="mb-2">
            <label class="household-income-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__household-income"> Household Income </label>
            <span id="calculator-tooltip--household-income" data-toggle="tooltip" title="" class="font-18px text-primary cursor-pointer d-inline material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
              data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
              data-original-title="Household income refers to the estimated combined income of all family members for the year you plan to have coverage."> info </span>
          </div>
          <!-- HouseholdIncome Input -->
          <div class="d-flex">
            <input id="subsidy-calculator__household-income" class="household-income-component__input subsidy-calculator__input subsidy-calculator__input-income order-2" placeholder="28,000" type="text">
            <div class="input-group-prepend order-1">
              <span class="subsidy-calculator__dollar-sign">$</span>
            </div>
          </div>
          <!-- HouseholdIncome Invalid Feedback -->
          <div id="subsidy-calculator__household-income-invalid-feedback" class="household-income-component__invalid-feedback invalid-feedback"> Please enter a number </div>
        </div>
      </div>
    </div>
    <!-- ZIP -->
    <div class="col-6 col-md-4 py-3">
      <div id="zip-component-01">
        <!-- ZIP Code Component -->
        <div class="zip-code-component">
          <!-- Label -->
          <label class="font-weight-bold zip-code-component__label" for="subsidy-calculator__zip-code">ZIP Code</label> <br>
          <!-- Input Group -->
          <div class="d-flex">
            <!-- Input -->
            <input id="subsidy-calculator__zip-code" class="zip-code-component__input subsidy-calculator__input" placeholder="95834" type="text">
            <!-- Location Button -->
            <div class="input-group-append">
              <span class="input-group-text icon-styles subsidy-calculator__form-control">
                <button class="subsidy-calculator__flat-button gtm-calculator-geolocation zip-code-component__location-button" type="button">
                  <span class="sr-only">location</span>
                  <svg class="subsidy-calculator__icon-primary" focusable="false" viewBox="0 0 24 24" aria-hidden="true">
                    <path
                      d="M12 8c-2.21 0-4 1.79-4 4s1.79 4 4 4 4-1.79 4-4-1.79-4-4-4zm8.94 3c-.46-4.17-3.77-7.48-7.94-7.94V1h-2v2.06C6.83 3.52 3.52 6.83 3.06 11H1v2h2.06c.46 4.17 3.77 7.48 7.94 7.94V23h2v-2.06c4.17-.46 7.48-3.77 7.94-7.94H23v-2h-2.06zM12 19c-3.87 0-7-3.13-7-7s3.13-7 7-7 7 3.13 7 7-3.13 7-7 7z">
                    </path>
                  </svg>
                </button>
              </span>
            </div>
          </div>
          <!-- Invalid Feedback -->
          <div class="zip-code-component__invalid-feedback invalid-feedback"> Please enter a valid ZIP code </div>
        </div>
      </div>
    </div>
    <!-- County -->
    <div class="col-6 col-md-4 py-3">
      <div id="county-01" class="d-none">
        <div class="county-component">
          <label class="county-component__label font-weight-bold" for="subsidy-calculator__county">County</label> <br>
          <select id="subsidy-calculator__county" class="county-component__input subsidy-calculator__select">
            <option value="Sacramento">Sacramento</option>
          </select>
        </div>
      </div>
    </div>
  </div>
  <!-- Household Size, How many need coverage, coverage year-->
  <div class="row mr-0 align-items-end">
    <div id="household-size" class="col-6 col-md-4 py-3">
      <div class="household-size-component subsidy-calculator__household-size">
        <div class="mb-2">
          <label class="household-size-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__household-size"> Household Size </label>
          <span id="calculator-tooltip--household-size" data-toggle="tooltip" data-placement="right" title="" class="font-18px text-primary cursor-pointer material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
            data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
            data-original-title="Include only the tax filer and any spouse or dependents (even if they aren’t applying for insurance)."> info </span>
        </div>
        <select id="subsidy-calculator__household-size" class="subsidy-calculator__select household-size-component__input">
          <option value="1">1</option>
          <option value="2">2</option>
          <option value="3">3</option>
          <option value="4">4</option>
          <option value="5">5</option>
          <option value="6">6</option>
          <option value="7">7</option>
          <option value="8">8</option>
        </select>
        <div role="alert">
          <div id="subsidy-calculator__household-size-invalid-feedback" class="invalid-feedback household-size-component__invalid-feedback"> Household size must be the same or more than how many need coverage. </div>
        </div>
      </div>
    </div>
    <div id="need-coverage" class="col-6 col-md-4 py-3">
      <div class="need-coverage-component">
        <label class="need-coverage-component__label font-weight-bold" for="subsidy-calculator__need-coverage">How many need coverage?</label> <br>
        <select id="subsidy-calculator__need-coverage" class="need-coverage-component__input subsidy-calculator__select">
          <option value="1">1</option>
          <option value="2">2</option>
          <option value="3">3</option>
          <option value="4">4</option>
          <option value="5">5</option>
          <option value="6">6</option>
          <option value="7">7</option>
          <option value="8">8</option>
        </select>
        <div role="alert">
          <div id="subsidy-calculator__need-coverage-invalid-feedback" class="need-coverage-component__invalid-feedback invalid-feedback"> Cannot be more than the household size </div>
        </div>
      </div>
    </div>
    <div id="coverage-year" class="col-12 col-md-4 py-3" style="display: none;">
      <div class="coverage-year-component">
        <div class="mb-2">
          <label class="coverage-year-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__coverage-year"> When do you want to start coverage? </label>
        </div>
        <select disabled="" id="subsidy-calculator__coverage-year" class="coverage-year-component__input subsidy-calculator__select">
          <option value="2022">Next year (2022)</option>
          <option value="2021">This year (2021)</option>
        </select>
        <div class="coverage-year-component__invalid-feedback invalid-feedback" role="alert"> Please enter a coverage year </div>
      </div>
      <script>
        const now = new Date();
        if (now.getFullYear() > 2021) document.getElementById('coverage-year').style.display = 'none';
      </script>
    </div>
  </div>
  <!-- Age of members needing coverage -->
  <div class="row">
    <div id="ages" class="col-12">
      <div class="ages-component pt-4">
        <div class="mb-2">
          <span class="ages-component__label d-inline-block font-weight-bold pr-2"> Age of People Needing Coverage <span id="calculator-tooltip--member-ages" data-toggle="tooltip" data-placement="right" title=""
              class="font-18px text-primary cursor-pointer material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
              data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
              data-original-title="If under one year old, enter &quot;1&quot;. Enter the age you and your household members will be on Jan. 1, 2022."> info </span>
          </span>
          <span id="member-age-label" class="d-none">Age of People Needing Coverage</span>
        </div>
        <!-- Household Member Ages Input Container -->
        <div id="household-members" class="ages-component__ages-container d-flex flex-wrap m-0 w-100">
          <div class="household-member-age mr-2"><label for="dynamic-age-input-1" class="font-weight-bold sr-only"><br> Age of People Needing Coverage<br> <br> info<br> <br> </label><input type="number" id="dynamic-age-input-1"
              class="subsidy-calculator__household-member-age subsidy-calculator__input ages-component__age-input mr-2" placeholder="45"></div>
        </div>
        <div role="alert">
          <div id="household-members-invalid-feedback" class="ages-component__invalid-feedback invalid-feedback"> Please enter a valid age for each person. </div>
        </div>
      </div>
    </div>
  </div>
  <!-- UIB -->
  <div class="row mr-0 align-items-end pt-4">
    <div id="received-unemployment-benefits" class="col-md-8">
      <div class="uib-component d-none">
        <div class="font-weight-bold mb-2"> Received unemployment benefits in 2021? <span id="calculator-tooltip--uib" data-toggle="tooltip" data-placement="right" title=""
            class="font-18px text-primary cursor-pointer ml-2 material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
            data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
            data-original-title="If yes, your household likely qualifies for Silver 94 plans with lower deductibles, copays, and coinsurance — all for as low as $1 per person."> info </span>
        </div>
        <div class="d-inline-block pr-5 radio-container">
          <label for="yes-unemployment">Yes <input class="uib-component__yes-radio" type="radio" id="yes-unemployment" name="unemployment-benefits" value="yes">
            <span class="custom-radio"></span>
          </label><br>
        </div>
        <div class="d-inline-block radio-container">
          <label for="no-unemployment">No <input class="uib-component__no-radio" type="radio" id="no-unemployment" name="unemployment-benefits" value="no" checked="">
            <span class="custom-radio"></span>
          </label><br>
        </div>
        <div id="received-unemployment-benefits--info" class="subsidy-calculator__uib-info d-none">
        </div>
      </div>
    </div>
  </div>
  <!-- Calculate Button -->
  <div class="row mr-0 mt-auto pt-4">
    <div class="col-12 d-md-flex justify-content-md-end pr-md-5 py-3">
      <div id="calculate">
        <a href="#results-container" id="calculate-desktop" class="subsidy-calculator__calculate-button btn btn-primary px-0 px-lg-5 d-none d-sm-block gtm-calculator-calculate disabled">Calculate</a>
        <a href="#results-container" id="calculate-mobile" class="subsidy-calculator__calculate-btn-mobile btn btn-primary px-5 d-block d-sm-none w-75 mx-auto gtm-calculator-calculate disabled">Calculate</a>
      </div>
    </div>
  </div>
</form>

Text Content

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 1. Home
    
    
    
    
    
    
    
    
    
    
 2. Support
    
    
    
    
    
    
 3. Contact Your Insurance Company


CONTACT YOUR INSURANCE COMPANY

Questions about premium bills, payment due dates and costs associated with
doctor visits or other services should be directed to your health insurance plan
or dental plan.

 * Edit Tab
   Health
 * Edit Tab
   Dental
 * Edit Tab
   Vision

Edit

Anthem Blue Cross of California expand_less
General Information
phone (877) 702-3074 home https://www.anthem.com/ca/
Prescription Drugs
phone (833) 201-9552

Formulary

Billing and Payment Options
phone
(855) 634-3381
location_on Anthem Blue Cross
P.O. Box 51011
Los Angeles, CA 90051-5311

 

NO INVOICE RECEIVED?

Call (855) 634-3381

Associated Dental Insurance

Anthem Blue Cross DPPO
Edit

Balance by CCHP expand_less
General Information
phone (888) 775-7888 home www.cchphealthplan.com
Prescription Drugs
phone (888) 775-7888

Formulary

Billing and Payment Options
phone
N/A
location_on 445 Grant Avenue, #700
San Francisco, CA 94108
Include your invoice stub.


 

NO INVOICE RECEIVED?

(888) 775-7888

Associated Dental Insurance

Delta Dental of California DHMO
Edit

Blue Shield expand_less
General Information
phone (855) 836-9705 home https://www.blueshieldca.com/
Prescription Drugs
phone (855) 836-9705

Formulary

Billing and Payment Options
phone
(855) 836-9705
location_on Blue Shield of California
P.O. Box 54530
Los Angeles, CA 90054-0530


PAY ONLINE

For your first premium payment only, go to www.blueshieldca.com/PaymentBSC. 
Have your invoice ready. Your application ID is required.

If you are a current member, go to www.blueshieldca.com and log in as a member,
and select “Pay my bill” under the Billing & Payments section.

NO INVOICE RECEIVED?

Contact Customer Care at (855) 836-9705 for assistance with making your first
premium payment.

Associated Dental Insurance

Dental Benefit Providers DHMO, DPPO
Edit

Bright HealthCare expand_less
General Information
phone (844) 926-4524 home Website
Prescription Drugs
phone (833) 726-0670

Formulary

Billing and Payment Options
phone
(844) 926-4524
location_on P.O. Box 953728
St. Louis, MO 63195-3728


Pay by Mail

P.O. Box 953728
St. Louis, MO 63195-3728

Make checks payable to Universal Care.

No invoice received?
(844) 926-4524

Associated Dental Insurance

Liberty Dental
Edit

HealthNet expand_less
General Information
phone (888) 926-4988 home www.myhealthnetca.com
Prescription Drugs
phone (888) 926-5133

Formulary

Billing and Payment Options
phone
(800) 539-4193 (TTY/TDD 711)
location_on Health Net CA Individual
P.O Box 748705
Los Angeles, CA 90074-8705

 

Pay Online

Go to https://ifp.healthnetcalifornia.com/resources/paying-my-bill.html.

Click the “For Members” button on the top of the page. Then click “Pay My Bill.”

PAY WITH MONEYGRAM®

Find a MoneyGram location near you on its website or call (800) 926-9400.
Remember to bring:

 * Cash for your premium payment. Health Net will pay your MoneyGram transaction
   fee.
 * Your Health Net member ID number.
 * The Receive Code: 16375.

Fill out the blue MoneyGram ExpressPayment® form and use the MoneyGram phone or
kiosk to complete your payment.

NO INVOICE RECEIVED?

View your invoice on the Health Net website. Register, then log in to view your
invoice or call (888) 926-4988 (TTY 711) between 8 a.m. and 5 p.m. Pacific Time.

Associated Dental Insurance

Dental Benefit Providers
Edit

Kaiser Permanente expand_less
General Information
phone (800) 464-4000 home www.kp.org
Prescription Drugs
phone (800) 464-4000

Formulary

Billing and Payment Options
phone
(844) 524-7370
location_on Kaiser Foundation Health Plan, Inc.
P.O. Box 60508
City of Industry, CA 91716-0508
Follow the directions on your invoice.


No invoice received?
(844) 524-7370

Associated Dental Insurance

Delta Dental of California DHMO
Edit

L.A. Care Health Plan expand_less
General Information
phone (855) 270-2327 home www.lacare.org
Prescription Drugs
phone (855) 270-2327

Formulary

Billing and Payment Options
phone
(855) 270-2327 TTY: 711
location_on L.A. Care Health Plan
L.A. Care Covered
P.O. Box 512546
Los Angeles, CA 90051-9865
Add your member ID or the subscriber’s member ID or case number to payment.
Payments should be made payable to L.A. Care Health Plan.


PAY ONLINE

Go to L.A. Care Connect.
Create an account. Have your member ID or the subscriber’s member ID available.

PAY IN PERSON

L.A. Care Health Plan
L.A. Care Covered
1055 West 7th St.
Los Angeles, CA 90017

Accepted forms of payment: money order, cashier’s check, business checks, credit
card or personal check.

Important Note: Add your member ID or the subscriber’s member ID or case number
to payment.

NO INVOICE RECEIVED?

(855) 270-2327
TTY: 711

Have your member ID or subscriber’s member ID or case number available.

Associated Dental Insurance

Liberty Dental Plan DHMO
Edit

Molina Healthcare expand_less
General Information
phone (800) 772-5327 home www.molinahealthcare.com
Prescription Drugs
phone (888) 858-2150

Formulary

Billing and Payment Options
phone
(888) 858-2150
location_on P.O. Box 75159
Chicago, IL 60675-5159



For overnight delivery:
Molina Healthcare Dept. #75159
350 N. Orleans St., Ste 800
Chicago, IL 60654-1529

Please write your subscriber/account number on your check or money order.

Click here for a payment form.

PAY ONLINE

For first-time payment: sign in to your CoveredCA.com account and follow the
payment instructions.

To make your monthly payment online, visit  http://MolinaPayment.com.

NO INVOICE RECEIVED?

(800) 772-5327
Have your Covered California ID or Social Security number available.

Associated Dental Insurance

California Dental Network DHMO
Edit

Oscar Health Plan of California expand_less
General Information
phone (855) 672-2755 home www.hioscar.com
Prescription Drugs
phone (855) OSCAR-55 Ext. 2

Formulary

Billing and Payment Options
phone
(855) 672-2755
location_on Please refer to the information found on your payment letter.


PAY ONLINE

For first-time payment: log into your CoveredCA.com account and follow the
payment instructions.

If you are a current member, go to  https://www.hioscar.com/. Log in as a member
and click "Pay My Bill."

NO INVOICE RECEIVED?

(855) 672-2755

Associated Dental Insurance

Liberty Dental Plan DHMO
Edit

Sharp Health Plan expand_less
General Information
phone (800) 359-2002 home www.sharphealthplan.com
Prescription Drugs
phone (855) 298-4252

Formulary

Billing and Payment Options
phone
(800) 359-2002
location_on P.O. Box 57248
Los Angeles, CA 90074-7248
Add your case number to payment.


PAY ONLINE

https://www.sharphealthplanpayment.com/PP

NO INVOICE RECEIVED?

(800) 359-2002

Associated Dental Insurance

Delta Dental DHMO
Edit

Valley Health Plan expand_less
General Information
phone (888) 421-8444 home www.valleyhealthplan.org
Prescription Drugs
phone (888) 421-8444

Formulary

Billing and Payment Options
phone
(888) 421-8444
location_on County of Santa Clara Valley Health Plan
PO Box 888435
Los Angeles, CA 90088-8435
Valley Health Plan only accepts money orders and checks. Follow the directions
on your invoice.

 

PAY ONLINE

For first-time payment: sign in to your CoveredCA.com account and follow the
payment instructions.

If you are a current member,
visit http://www.valleyhealthplan.org/Pages/paybill.aspx.

NO INVOICE RECEIVED?

(888) 421-8444

Associated Dental Insurance

Liberty Dental Plan DHMO
Edit

Western Health Advantage expand_less
General Information
phone (888) 563-2250 home www.westernhealth.com
Prescription Drugs
phone (888) 563-2250

Formulary

Billing and Payment Options
phone
(888) 442-2206
location_on WHA, DEPT 34668
P.O. Box 39000
San Francisco, CA 94139


PAY ONLINE

For first-time payment: log into your CoveredCA.com account and follow the
payment instructions.

NO INVOICE RECEIVED?

(888) 442-2206

Have your WHA ID number or Social Security number available.

Associated Dental Insurance

Delta Dental of California DHMO
Edit

Access Dental expand_less
General Information
phone
(844) 561-5600
home dentalexchange.guardiandirect.com
Billing and Payment Options
phone
(844) 561-5600
location_on Access Dental Plan
PO BOX 412825
Boston, MA
02241-2825


Please note your Member ID number on your check.

Invoices are available.

NO INVOICE RECEIVED?

(844) 561-5600

Edit

Anthem Blue Cross expand_less
General Information
phone
(877) 702-3074
home
https://www.anthem.com/ca/individual-and-family/dental-insurance/california/
Billing and Payment Options
phone
(855) 634-3381
location_on Anthem Blue Cross
P.O. Box 51011
Los Angeles, CA
90051-5311

PAY ONLINE

Go to www.anthem.com/ca and create a user ID and password in order to log in as
a member. Then you can follow the prompts for “pay my bill.”

NO INVOICE RECEIVED?

Call (855) 634-3381.

Edit

Blue Shield of California expand_less
General Information
(855) 836-9705
home website
Billing and Payment Options
(855) 836-9705
location_on Blue Shield of California
P.O. Box 54530
Los Angeles, CA 90054-0530

 

PAY ONLINE

For your first premium payment only, go to www.blueshieldca.com/PaymentBSC. 
Have your invoice ready. Your application ID is required.

If you are a current member, go to www.blueshieldca.com and log in as a member,
and select “Pay my bill” under the Billing & Payments section.

NO INVOICE RECEIVED?

Contact Customer Care at (855) 836-9705 for assistance with making your first
premium payment.

Edit

California Dental Network expand_less
General Information
phone
(855) 425-4164
home https://www.caldental.net/covered-california/
Billing and Payment Options
phone
(855) 425-4164
location_on California Dental Network
23291 Mill Creek Dr. Ste 100
Laguna Hills, CA
92653


NO INVOICE RECEIVED?

(855) 425-4164

Edit

Delta Dental expand_less
General Information
phone
DHMO: (888) 282-8528
DPPO: (888) 282-8978
home deltadentalins.com
Billing and Payment Options
phone
DHMO: (888) 282-8528
DPPO: (888) 282-8978
location_on Delta Dental of California
c/o Delta Dental Insurance Company
P.O. Box 660138
Dallas, TX
75266-0138

 

PAY ONLINE

https://deltadentalins.com

NO INVOICE RECEIVED?

https://deltadentalins.com or
DHMO (888) 282-8528
DPPO (888) 282-8978
 

Edit

Dental Health Services expand_less
General Information
phone
(855) 495-0905
home dentalhealthservices.com/CA
Billing and Payment Options
phone
(855) 495-0905
location_on Dental Health Services — Exchange Department
3780 Kilroy Airport Way, Suite 750
Long Beach, CA
90806


PAY ONLINE

www.dentalhealthservices.com/CA

NO INVOICE RECEIVED?

(855) 495-0905

Edit

Guardian expand_less
General Information
(844) 561-5600
home website
Billing and Payment Options
(844) 561-5600
877-367-4811 (IVR)
location_on Guardian Life Insurance Co. of America
PO BOX 412825
Boston, MA 02241-2825


Please note your Member ID number on your check.

Invoices are available.

No invoice received?
(844) 561-5600

Edit

Liberty Dental Plan expand_less
General Information
phone
(888) 844-3344
home www.libertydentalplan.com/coveredca
Billing and Payment Options
phone
(888) 844-3344
location_on LIBERTY Dental Plan
PO Box 840401
Los Angeles, CA 90084-0401


Checks should be made payable to LIBERTY Dental Plan. Submit money orders or
checks.

PAY ONLINE

www.libertydentalplan.com/

NO INVOICE RECEIVED?

Call (888) 844-3344 or log on to the Member Portal at www.libertydentalplan.com

Edit

Premier Access expand_less
General Information
phone
(844) 561-5600
home dentalexchange.guardiandirect.com
Billing and Payment Options
phone
(844) 561-5600
location_on Premier Access
P.O. Box 603222
Charlotte, NC
28260- 3222


Please note your Member ID number on your check.

PAY ONLINE

Go to https://dentalexchange.guardianlife.com and click on “Pay Now.”

NO INVOICE RECEIVED?

(844) 561-5600

Have your WHA ID number or Social Security number available.

Edit

EyeMed expand_less
General Information
phone (844) 225-3107 home https://coveredca.eyemed.com/

The hours for benefits and provider questions are:
4:30 a.m. to 8 p.m. Monday through Saturday. 8 a.m. to 5 p.m. Sunday

The hours for billing and policy change questions are:
5 a.m. to 6 p.m. Monday through Friday.

Edit

VSP expand_less
General Information
phone (800) 410-1857 home https://www.vspdirect.com/4ca

Help is available by phone during the following hours:
Monday through Friday: 5 a.m. to 8 p.m.
Saturday: 7 a.m. to 8 p.m.
Sunday: 7 a.m. to 7 p.m.

Edit

Superior Vision expand_less
General Information
phone (833) 393-5433 home https://superiorvisionplans.com

Help is available by phone during the following hours:
Monday through Friday: 5 a.m. to 6 p.m.
Saturday: 5 a.m. to 1:30 p.m.

Health
expand_less
Edit

Anthem Blue Cross of California expand_less
General Information
phone (877) 702-3074 home https://www.anthem.com/ca/
Prescription Drugs
phone (833) 201-9552

Formulary

Billing and Payment Options
phone
(855) 634-3381
location_on Anthem Blue Cross
P.O. Box 51011
Los Angeles, CA 90051-5311

 

NO INVOICE RECEIVED?

Call (855) 634-3381

Associated Dental Insurance

Anthem Blue Cross DPPO
Edit

Balance by CCHP expand_less
General Information
phone (888) 775-7888 home www.cchphealthplan.com
Prescription Drugs
phone (888) 775-7888

Formulary

Billing and Payment Options
phone
N/A
location_on 445 Grant Avenue, #700
San Francisco, CA 94108
Include your invoice stub.


 

NO INVOICE RECEIVED?

(888) 775-7888

Associated Dental Insurance

Delta Dental of California DHMO
Edit

Blue Shield expand_less
General Information
phone (855) 836-9705 home https://www.blueshieldca.com/
Prescription Drugs
phone (855) 836-9705

Formulary

Billing and Payment Options
phone
(855) 836-9705
location_on Blue Shield of California
P.O. Box 54530
Los Angeles, CA 90054-0530


PAY ONLINE

For your first premium payment only, go to www.blueshieldca.com/PaymentBSC. 
Have your invoice ready. Your application ID is required.

If you are a current member, go to www.blueshieldca.com and log in as a member,
and select “Pay my bill” under the Billing & Payments section.

NO INVOICE RECEIVED?

Contact Customer Care at (855) 836-9705 for assistance with making your first
premium payment.

Associated Dental Insurance

Dental Benefit Providers DHMO, DPPO
Edit

Bright HealthCare expand_less
General Information
phone (844) 926-4524 home Website
Prescription Drugs
phone (833) 726-0670

Formulary

Billing and Payment Options
phone
(844) 926-4524
location_on P.O. Box 953728
St. Louis, MO 63195-3728


Pay by Mail

P.O. Box 953728
St. Louis, MO 63195-3728

Make checks payable to Universal Care.

No invoice received?
(844) 926-4524

Associated Dental Insurance

Liberty Dental
Edit

HealthNet expand_less
General Information
phone (888) 926-4988 home www.myhealthnetca.com
Prescription Drugs
phone (888) 926-5133

Formulary

Billing and Payment Options
phone
(800) 539-4193 (TTY/TDD 711)
location_on Health Net CA Individual
P.O Box 748705
Los Angeles, CA 90074-8705

 

Pay Online

Go to https://ifp.healthnetcalifornia.com/resources/paying-my-bill.html.

Click the “For Members” button on the top of the page. Then click “Pay My Bill.”

PAY WITH MONEYGRAM®

Find a MoneyGram location near you on its website or call (800) 926-9400.
Remember to bring:

 * Cash for your premium payment. Health Net will pay your MoneyGram transaction
   fee.
 * Your Health Net member ID number.
 * The Receive Code: 16375.

Fill out the blue MoneyGram ExpressPayment® form and use the MoneyGram phone or
kiosk to complete your payment.

NO INVOICE RECEIVED?

View your invoice on the Health Net website. Register, then log in to view your
invoice or call (888) 926-4988 (TTY 711) between 8 a.m. and 5 p.m. Pacific Time.

Associated Dental Insurance

Dental Benefit Providers
Edit

Kaiser Permanente expand_less
General Information
phone (800) 464-4000 home www.kp.org
Prescription Drugs
phone (800) 464-4000

Formulary

Billing and Payment Options
phone
(844) 524-7370
location_on Kaiser Foundation Health Plan, Inc.
P.O. Box 60508
City of Industry, CA 91716-0508
Follow the directions on your invoice.


No invoice received?
(844) 524-7370

Associated Dental Insurance

Delta Dental of California DHMO
Edit

L.A. Care Health Plan expand_less
General Information
phone (855) 270-2327 home www.lacare.org
Prescription Drugs
phone (855) 270-2327

Formulary

Billing and Payment Options
phone
(855) 270-2327 TTY: 711
location_on L.A. Care Health Plan
L.A. Care Covered
P.O. Box 512546
Los Angeles, CA 90051-9865
Add your member ID or the subscriber’s member ID or case number to payment.
Payments should be made payable to L.A. Care Health Plan.


PAY ONLINE

Go to L.A. Care Connect.
Create an account. Have your member ID or the subscriber’s member ID available.

PAY IN PERSON

L.A. Care Health Plan
L.A. Care Covered
1055 West 7th St.
Los Angeles, CA 90017

Accepted forms of payment: money order, cashier’s check, business checks, credit
card or personal check.

Important Note: Add your member ID or the subscriber’s member ID or case number
to payment.

NO INVOICE RECEIVED?

(855) 270-2327
TTY: 711

Have your member ID or subscriber’s member ID or case number available.

Associated Dental Insurance

Liberty Dental Plan DHMO
Edit

Molina Healthcare expand_less
General Information
phone (800) 772-5327 home www.molinahealthcare.com
Prescription Drugs
phone (888) 858-2150

Formulary

Billing and Payment Options
phone
(888) 858-2150
location_on P.O. Box 75159
Chicago, IL 60675-5159



For overnight delivery:
Molina Healthcare Dept. #75159
350 N. Orleans St., Ste 800
Chicago, IL 60654-1529

Please write your subscriber/account number on your check or money order.

Click here for a payment form.

PAY ONLINE

For first-time payment: sign in to your CoveredCA.com account and follow the
payment instructions.

To make your monthly payment online, visit  http://MolinaPayment.com.

NO INVOICE RECEIVED?

(800) 772-5327
Have your Covered California ID or Social Security number available.

Associated Dental Insurance

California Dental Network DHMO
Edit

Oscar Health Plan of California expand_less
General Information
phone (855) 672-2755 home www.hioscar.com
Prescription Drugs
phone (855) OSCAR-55 Ext. 2

Formulary

Billing and Payment Options
phone
(855) 672-2755
location_on Please refer to the information found on your payment letter.


PAY ONLINE

For first-time payment: log into your CoveredCA.com account and follow the
payment instructions.

If you are a current member, go to  https://www.hioscar.com/. Log in as a member
and click "Pay My Bill."

NO INVOICE RECEIVED?

(855) 672-2755

Associated Dental Insurance

Liberty Dental Plan DHMO
Edit

Sharp Health Plan expand_less
General Information
phone (800) 359-2002 home www.sharphealthplan.com
Prescription Drugs
phone (855) 298-4252

Formulary

Billing and Payment Options
phone
(800) 359-2002
location_on P.O. Box 57248
Los Angeles, CA 90074-7248
Add your case number to payment.


PAY ONLINE

https://www.sharphealthplanpayment.com/PP

NO INVOICE RECEIVED?

(800) 359-2002

Associated Dental Insurance

Delta Dental DHMO
Edit

Valley Health Plan expand_less
General Information
phone (888) 421-8444 home www.valleyhealthplan.org
Prescription Drugs
phone (888) 421-8444

Formulary

Billing and Payment Options
phone
(888) 421-8444
location_on County of Santa Clara Valley Health Plan
PO Box 888435
Los Angeles, CA 90088-8435
Valley Health Plan only accepts money orders and checks. Follow the directions
on your invoice.

 

PAY ONLINE

For first-time payment: sign in to your CoveredCA.com account and follow the
payment instructions.

If you are a current member,
visit http://www.valleyhealthplan.org/Pages/paybill.aspx.

NO INVOICE RECEIVED?

(888) 421-8444

Associated Dental Insurance

Liberty Dental Plan DHMO
Edit

Western Health Advantage expand_less
General Information
phone (888) 563-2250 home www.westernhealth.com
Prescription Drugs
phone (888) 563-2250

Formulary

Billing and Payment Options
phone
(888) 442-2206
location_on WHA, DEPT 34668
P.O. Box 39000
San Francisco, CA 94139


PAY ONLINE

For first-time payment: log into your CoveredCA.com account and follow the
payment instructions.

NO INVOICE RECEIVED?

(888) 442-2206

Have your WHA ID number or Social Security number available.

Associated Dental Insurance

Delta Dental of California DHMO
Dental
expand_less
Edit

Access Dental expand_less
General Information
phone
(844) 561-5600
home dentalexchange.guardiandirect.com
Billing and Payment Options
phone
(844) 561-5600
location_on Access Dental Plan
PO BOX 412825
Boston, MA
02241-2825


Please note your Member ID number on your check.

Invoices are available.

NO INVOICE RECEIVED?

(844) 561-5600

Edit

Anthem Blue Cross expand_less
General Information
phone
(877) 702-3074
home
https://www.anthem.com/ca/individual-and-family/dental-insurance/california/
Billing and Payment Options
phone
(855) 634-3381
location_on Anthem Blue Cross
P.O. Box 51011
Los Angeles, CA
90051-5311

PAY ONLINE

Go to www.anthem.com/ca and create a user ID and password in order to log in as
a member. Then you can follow the prompts for “pay my bill.”

NO INVOICE RECEIVED?

Call (855) 634-3381.

Associated Health Insurance

Delta Dental of California DHMO
Edit

Blue Shield of California expand_less
General Information
(855) 836-9705
home website
Billing and Payment Options
(855) 836-9705
location_on Blue Shield of California
P.O. Box 54530
Los Angeles, CA 90054-0530

 

PAY ONLINE

For your first premium payment only, go to www.blueshieldca.com/PaymentBSC. 
Have your invoice ready. Your application ID is required.

If you are a current member, go to www.blueshieldca.com and log in as a member,
and select “Pay my bill” under the Billing & Payments section.

NO INVOICE RECEIVED?

Contact Customer Care at (855) 836-9705 for assistance with making your first
premium payment.

Associated Health Insurance

Edit

California Dental Network expand_less
General Information
phone
(855) 425-4164
home https://www.caldental.net/covered-california/
Billing and Payment Options
phone
(855) 425-4164
location_on California Dental Network
23291 Mill Creek Dr. Ste 100
Laguna Hills, CA
92653


NO INVOICE RECEIVED?

(855) 425-4164

Associated Health Insurance

Delta Dental of California DHMO
Edit

Delta Dental expand_less
General Information
phone
DHMO: (888) 282-8528
DPPO: (888) 282-8978
home deltadentalins.com
Billing and Payment Options
phone
DHMO: (888) 282-8528
DPPO: (888) 282-8978
location_on Delta Dental of California
c/o Delta Dental Insurance Company
P.O. Box 660138
Dallas, TX
75266-0138

 

PAY ONLINE

https://deltadentalins.com

NO INVOICE RECEIVED?

https://deltadentalins.com or
DHMO (888) 282-8528
DPPO (888) 282-8978
 

Edit

Dental Health Services expand_less
General Information
phone
(855) 495-0905
home dentalhealthservices.com/CA
Billing and Payment Options
phone
(855) 495-0905
location_on Dental Health Services — Exchange Department
3780 Kilroy Airport Way, Suite 750
Long Beach, CA
90806


PAY ONLINE

www.dentalhealthservices.com/CA

NO INVOICE RECEIVED?

(855) 495-0905

Associated Health Insurance

Delta Dental of California DHMO
Edit

Guardian expand_less
General Information
(844) 561-5600
home website
Billing and Payment Options
(844) 561-5600
877-367-4811 (IVR)
location_on Guardian Life Insurance Co. of America
PO BOX 412825
Boston, MA 02241-2825


Please note your Member ID number on your check.

Invoices are available.

No invoice received?
(844) 561-5600

Associated Health Insurance

Edit

Liberty Dental Plan expand_less
General Information
phone
(888) 844-3344
home www.libertydentalplan.com/coveredca
Billing and Payment Options
phone
(888) 844-3344
location_on LIBERTY Dental Plan
PO Box 840401
Los Angeles, CA 90084-0401


Checks should be made payable to LIBERTY Dental Plan. Submit money orders or
checks.

PAY ONLINE

www.libertydentalplan.com/

NO INVOICE RECEIVED?

Call (888) 844-3344 or log on to the Member Portal at www.libertydentalplan.com

Associated Health Insurance

Delta Dental of California DHMO
Edit

Premier Access expand_less
General Information
phone
(844) 561-5600
home dentalexchange.guardiandirect.com
Billing and Payment Options
phone
(844) 561-5600
location_on Premier Access
P.O. Box 603222
Charlotte, NC
28260- 3222


Please note your Member ID number on your check.

PAY ONLINE

Go to https://dentalexchange.guardianlife.com and click on “Pay Now.”

NO INVOICE RECEIVED?

(844) 561-5600

Have your WHA ID number or Social Security number available.

Associated Health Insurance

Delta Dental of California DHMO
Vision
expand_less
Edit

EyeMed expand_less
General Information
phone (844) 225-3107 home https://coveredca.eyemed.com/

The hours for benefits and provider questions are:
4:30 a.m. to 8 p.m. Monday through Saturday. 8 a.m. to 5 p.m. Sunday

The hours for billing and policy change questions are:
5 a.m. to 6 p.m. Monday through Friday.

Edit

VSP expand_less
General Information
phone (800) 410-1857 home https://www.vspdirect.com/4ca

Help is available by phone during the following hours:
Monday through Friday: 5 a.m. to 8 p.m.
Saturday: 7 a.m. to 8 p.m.
Sunday: 7 a.m. to 7 p.m.

Edit

Superior Vision expand_less
General Information
phone (833) 393-5433 home https://superiorvisionplans.com

Help is available by phone during the following hours:
Monday through Friday: 5 a.m. to 6 p.m.
Saturday: 5 a.m. to 1:30 p.m.




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confidential. Talk to someone about your options and have them guide you through
the process. You can enroll in person, by phone or online.

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CALCULATOR

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Your Estimate $63 per month for a Silver plan. Bronze as low as $0. You may
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Bronze plans as low as $0.
After financial help from: You may qualify for: You may qualify for: Covered
California both Covered California and no-cost or low-cost coverage through
Medi-Cal. no-cost or low-cost coverage
check_circle Financial Help: $507 per month
check_circle Bronze, Gold and Platinum plans also available
check_circle Coverage for children, adults and families
check_circle Free or affordable pregnancy coverage
check_circle Because of your income, you may be able to sign up now, even if you
don't have another qualifying life event.
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This isn’t an application for health coverage. info
Total Subsidy: $506.80
Members going to cca: 1
Members going to medical: 0
Fed Fairshare: $62.90
FPL%: 217.39130434782606
Percentage of income: 0.0
SLS Benchmark cost: 569.70
SLS Rate: 394.53
Household Rating Factor: 1.44

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