2016 Member Materials

Provider Directory

 

Provider Directory is a list of doctors, specialists, medical groups, clinics, and hospitals contracted with L.A. Care to provide covered health care services for Members. Some network providers may have been added or removed from our network after this directory was published. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about L.A. Care Covered Direct™ network providers in your area, please visit our Find a Doctor or Hospital page or call our Member Services Department at +1-855-222-4239  (TTY/TDD 711), 24 hours a day, 7 days a week, including holidays.
 

2016 Evidence of Coverage (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 benefits.
 
You may request a printed copy of the Member Handbook for these by calling our Member Services department at +1-855-270-2327Click to Call: 1-855-270-2327 (TTY/TDD 711).
 

L.A. Care Covered Direct Platinum 90 HMO Evidence of Coverage
L.A. Care Covered Direct Gold 80 HMO Evidence of Coverage
L.A. Care Covered Direct Silver 70 HMO Evidence of Coverage
L.A. Care Covered Direct Bronze 60 HMO Evidence of Coverage
L.A. Care Covered Direct Minimum Coverage HMO Evidence of Coverage
 

2016 Plan Summaries

 

A Summary of Benefits and Coverage tells you what a plan covers and what it costs. This is only a summary. If you want more detail about our L.A. Care Covered Direct plans, you can call us to speak with a health plan expert.
 

L.A. Care Covered Direct Platinum 90 HMO

Our Platinum HMO plan provides you with rich coverage and the lowest out of pocket expenses of all plans including no annual deductibles and a low annual out of pocket maximum.

L.A. Care Covered Direct Platinum 90 HMO SBC

 

L.A. Care Covered Direct Gold 80 HMO

Our Gold plan offers generous coverage with no annual deductibles. This plan is ideal for those who still want to receive rich benefits but don't mind having slightly higher out of pocket expenses.

L.A. Care Covered Direct Gold 80 HMO SBC

 

L.A. Care Covered Direct Silver 70 HMO

Our Silver plan provides a balance of affordability and member out of pocket expenses. This plan provides many outpatient services before having to meet your annual medical deductible.

L.A. Care Covered Direct Silver 70 HMO SBC

 

L.A. Care Covered Direct Bronze 60 HMO

Our Bronze plan provides you some of the lowest premiums while still providing primary, preventive and urgent care before you have to meet your deductible. This plan is designed for those who want affordable coverage and protection in the case of an unexpected medical event.

L.A. Care Covered Direct Bronze 60 HMO SBC

 

L.A. Care Covered Direct Minimum Coverage HMO

The Minimum Coverage plan is a low cost option for people under 30 who want protection in case of emergency but still have access to primary and preventive care before having to meet the deductible.

L.A. Care Covered Direct Minimum Coverage HMO SBC