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California Health Agencies

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UNDERSTAND
AGENCIES THAT OVERSEE PLANS
 
INDIVIDUAL FAMILY

Specific information for individual family coverage

 
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SMALL BUSINESS

Specific information Small Group coverage for 2-50 employees
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SENIOR

Specific information for Seniors eligible for Medicare Supplement


Guide provided by
http://www.dmhc.ca.gov/  Link here

Agencies that Oversee California Health Plans

Different kinds of California health plans are regulated by different state and federal agencies.

A regulatory agency oversees a health plan. This means it develops regulations that the health plan must follow. It also makes sure that the health plan follows these regulations.

You can view a list of all the health plans regulated by the DMHC.

Health Plan Regulatory Agency
All California HMOs California Department of Managed Health Care (www.dmhc.ca.gov)
Blue Shield of California PPO
Anthem Blue Cross PPO
Delta Dental PPO
Vision Service Plan PPO
 
California Department of Managed Health Care (www.dmhc.ca.gov)
Most other PPOs in California California Department of Insurance (www.insurance.ca.gov)
Medicare Advantage Plans
Traditional (fee-for-service) Medicare
Federal Center for Medicare Services (www.medicare.gov)
Medicare Supplement Plans (Medigap Plans) California Department of Insurance (www.insurance.ca.gov)
Federal Center for Medicare Services (
www.medicare.gov)
California Department of Managed Health Care (
www.dmhc.ca.gov)
Medi-Cal Fee for Service California Department of Health Services (www.dhs.ca.gov)
Medi-Cal Managed Care Plans California Department of Managed Health Care (www.dmhc.ca.gov)
Department of Health Services (
www.dhs.ca.gov)
MRMIP, Healthy Families, and AIM Managed Risk Medical Insurance Board (www.mrmib.ca.gov)
California Department of Managed Health Care (
www.dmhc.ca.gov)
California Department of Insurance (
www.insurance.ca.gov)
Self-Funded Plans (non-government entities) U.S. Department of Labor (www.dol.gov)
Self-Funded Plans (government, church or school-sponsored entities) The government agency or church or school entity that issued the health plan

 


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