This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).

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.

Tulare County

The information on this chart was provided by each plan.	Health Net HMO	Anthem Blue Cross EPO	Blue Shield HMO
Are members required to have a Primary Care Physician (PCP)?	Yes	Yes	Yes
Are members required to get a referral from a PCP before going to a specialist?	Yes	Yes	Yes
How many times in a benefit year does the plan allow a member to change his/her PCP?	Unlimited	12	12
On average, how soon can a member be seen for a routine visit after requesting an appointment? (in weeks)	1 week	2 weeks	1 week
On average, how soon does it take to be seen if follow up care is necessary? (in weeks)	1 week	1 week	1 week
Does the plan offer a prescription drug mail-in program?	Yes	Yes	Yes
What types of physicians are offered as PCPs in this plan?
General Practice	Yes	Yes	Yes
Family Practice	Yes	Yes	Yes
Pediatrician	Yes	Yes	Yes
Obstetrics/Gynecologist (OB/GYN)	Yes	Yes	Yes
Internal Medicine	Yes	Yes	Yes
Does the plan provide the following optional benefits:
Biofeedback	No	No	No
Acupuncture	No	No	No
Chiropractic	Yes	No	No
Health Plan Statistics:
Total number of HFP members *	134,825	76,701	32,759
Other:
Does the plan require its members to use Binding Arbitration to resolve disputes? **	Yes	Yes	No
If yes, does Binding Arbitration include Medical Malpractice?	Yes	Yes	N/A

* 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.