Plans and Providers
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Health Plans
This chart lists the health plans in your county. The chart answers common questions about the plans. Information about each plan was provided by the plan. Click on each plan name for a description of the plan.
Napa County
| The information on this chart was provided by each plan. | Partnership HealthPlan of California (PHC) | Anthem Blue Cross EPO | Health Net HMO | Kaiser Permanente |
|---|---|---|---|---|
| Are members required to have a Primary Care Physician (PCP)? | Yes | Yes | Yes | Yes |
| Are members required to get a referral from a PCP before going to a specialist? | Yes | Yes | Yes | Yes |
| How many times in a benefit year does the plan allow a member to change his/her PCP? | Unlimited | 12 | Unlimited | Unlimited |
| On average, how soon can a member be seen for a routine visit after requesting an appointment? (in weeks) | 2 weeks | 2 weeks | 1 week | 2 weeks |
| On average, how soon does it take to be seen if follow up care is necessary? (in weeks) | 2 weeks | 1 week | 1 week | 2 weeks |
| Does the plan offer a prescription drug mail-in program? | Yes | Yes | Yes | Yes |
| What types of physicians are offered as PCPs in this plan? | ||||
| General Practice | Yes | Yes | Yes | Yes |
| Family Practice | Yes | Yes | Yes | Yes |
| Pediatrician | Yes | Yes | Yes | Yes |
| Obstetrics/Gynecologist (OB/GYN) | Yes | Yes | Yes | Yes |
| Internal Medicine | Yes | Yes | Yes | Yes |
| Does the plan provide the following optional benefits: | ||||
| Biofeedback | No | No | No | No |
| Acupuncture | No | No | No | No |
| Chiropractic | No | No | Yes | Yes |
| Health Plan Statistics: | ||||
| Total number of HFP members * | 675 | 76,701 | 134,825 | 176,099 |
| Other: | ||||
| Does the plan require its members to use Binding Arbitration to resolve disputes? ** | No | Yes | Yes | Yes |
| If yes, does Binding Arbitration include Medical Malpractice? | N/A | Yes | Yes | Yes |
* This number represents the insurance plan's membership as of January 1, 2008.
** To get additional information about each insurance plan's dispute resolution provisions, call the plan or refer to the plan's Disclosure Form and Evidence of Coverage booklet, which is available upon request from each health plan.
NOTE: These summaries are for information only. This is not a contract. For a detailed and precise statement of benefits and exclusions, please refer to you Evidence of Coverage/Certificate of Insurance.