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Valley Health Plan (VHP) has announced it will withdraw its Covered California and Individual and Family Health Plan services from Monterey and San Benito counties for the 2025 plan year. As a result, affected members will see their coverage end on December 31, 2024.
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- Member Update - February 2021
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Access to care report
One of the ways we make sure members get the care they need is to conduct an annual CAHPS and QHP survey. The survey is where our members can tell us about their experiences with getting health services. This report looks at the different demographics of the members who responded to the surveys. VHP was interested to see if different people from various race/ethnicity backgrounds experienced access to health care services differently. Click here for Access to Care Report
AAAHC survey notice
Valley Health Plan (VHP) will be undergoing a re-accreditation survey by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) on July 11-13th, 2023 for all Commercial Lines of Business. This survey is conducted on a three-year cycle to ensure the health plan continues to provide quality services to its members in alignment with AAAHC's national standards of care. All interested individuals holding pertinent and valid information about the organization’s compliance with AAAHC...
New VHP office in Salinas
We’re pleased to share the news that Valley Health Plan (VHP) opened an office in Salinas, expanding services to help support the overall health and well-being of Monterey County and San Benito County residents. VHP now offers affordable health plan options to individuals and families living in Monterey County, San Benito County, and Santa Clara County. Over 200,000 regional residents have selected VHP as their health plan, and we’re committed to serving more of our neighbors with quality ser...
CAHPS/QHP progress
Valley Health Plan contracted with SPH Analytics NCQA certified vendor to ask members about their experiences with VHP with a survey. The Surveys are called Consumer Assessment of Healthcare Providers and Systems (CAHPS) for commercial members and Qualified Health Plan (QHP) survey for Covered California members. Click here CAHPS / QHP information
Refill your prescriptions early in February 2023!
VHP will be launching a company-wide system update on 3/1/2023. In order to avoid any prescription medication delays, we will allow you to pick up one early refill for ongoing prescriptions between 2/1/23 – 2/28/23. If you have prescriptions that you would expect to refill in March, you can refill them early at your local pharmacy anytime during the month of February. One early refill per prescription will be allowed. Controlled substances are excluded. Early refill restrictions will resume o...
Diabetes blood glucose meter change to OneTouch brand
Effective 10/1/2022, Valley Health Plan (VHP) is covering OneTouch brand meters and test strips for members with diabetes. OneTouch meters are free to VHP members with a prescription.
How to get your OneTouch meter and test strips
If you are currently using the Freestyle/Precision meters and test strips, please bring your new prescription for the OneTouch meter and test strips, along with your VHP insurance card to any plan pharmacy to get your new meter and test strips.
When to get your new prescription
You have anytime between 10/1/2022 until 3/31/2023 to get a new prescription for the OneTouch meter and test strips. If you already have a prescription for the Freestyle/Precision meter and test strips, you can still get it at current coverage until 3/31/2023.
What you need to know about Monkeypox
cdc.gov/poxvirus
Vaccine eligibility and coverage
VHP is monitoring updates related to the monkeypox (MPX) virus. Due to a limited supply, you must meet criteria set by local health officials or your healthcare provider to receive the vaccine. If you qualify for a MPX vaccine in your county, then you will be asked to provide your insurance ID information. VHP will cover MPX vaccine costs, and you will not be billed.
How can you get vaccinated?
1. Santa Clara County Residents Visit: https://vax.sccgov.org/ 2. San Benito County Residents Call: 1-831-637-5367 3. Monterey County Residents Call: 1-831-755-4521 4. Residents in other counties, contact your local public health department: https://www.cdph.ca.gov/pages/localhealthservicesandoffices.aspx# Additional Resources 1. MPX Signs and Symptoms https://www.cdc.gov/poxvirus/monkeypox/index.html 2. MPX News and FAQs Monkeypox - Public Health - County of Santa Clara (sccgov.org)
CAHPS/QHP PROGRESS
Valley Health plan contracted with SPH Analytics NCQA certified vendor to field the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey for Commercial and Qualified Health Plan (QHP) survey for Exchange plans. Click Here for CAHPS / QHP Information
AAAHC accreditation survey
Valley Health Plan (VHP) will be undergoing a re-accreditation survey by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) on October 26-28th, 2021 for all Commercial Lines of Business. This survey is conducted on a three-year cycle to ensure the health plan continues to provide quality services to its members in alignment with AAAHC's national standards of care. All interested individuals holding pertinent and valid information about the organization’s compliance with AA...
How the Quality Management (QM) team is working for You
The Quality Management program is centered on Valley Health Plan’s (VHP) vision and mission. The scope and content of the quality program represent the entire VHP delivery system. The team’s monitoring and evaluation activities involve a planned, systematic, and ongoing process to improve the quality of care and service members receive. Click here for quality management information
I purchased VHP insurance through Covered California and later moved to VHP directly to lower costs. But they have been sending me double invoice since the beginning of my plan, and are not responding to my multiple requests to fix my invoice. I only pay one month balance every month.
Health plan - Transparency and coverage. In November 2020, the Departments of Labor (DOL), Health and Human Services (HHS), and Treasury issued final regulations to implement an Affordable Care Act (ACA) requirement intended to provide greater price transparency for group health plan participants and beneficiaries.
You and your family's health are important. VHP Network provides quality service and health care through our partners to residents of Santa Clara County, with eligibility based on income and household size.
Owned and operated by the County of Santa Clara, Valley Health Plan (VHP) is the only locally-based HMO health plan serving the community for nearly 35 years. VHP offers health coverage choices for Employer Groups and Individuals & Families with a coverage area within Santa Clara County.
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Nov 14, 2019 · The County of Santa Clara has appointed Ms. Laura Rosas as Chief Executive Officer of Valley Health Plan effective Nov. 18, 2019. In her new position, Rosas will play a critical role in the County’s mission to provide accessible, affordable and high-quality health coverage.
