Healthy Families Program - A healthier tomorrow starts today!

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.

Ventura County

The information on this chart was provided by each plan.Ventura County Health Care PlanAnthem Blue Cross HMOKaiser Permanente
Are members required to have a Primary Care Physician (PCP)?NoYesYes
Are members required to get a referral from a PCP before going to a specialist?NoYesYes
How many times in a benefit year does the plan allow a member to change his/her PCP?Unlimited12Unlimited
On average, how soon can a member be seen for a routine visit after requesting an appointment? (in weeks)2 weeks2 weeks2 weeks
On average, how soon does it take to be seen if follow up care is necessary? (in weeks)1 week1 week2 weeks
Does the plan offer a prescription drug mail-in program?YesYesYes
What types of physicians are offered as PCPs in this plan?
General PracticeYesYesYes
Family PracticeYesYesYes
PediatricianYesYesYes
Obstetrics/Gynecologist (OB/GYN)YesYesYes
Internal MedicineYesYesYes
Does the plan provide the following optional benefits:
BiofeedbackNoNoNo
AcupunctureNoNoNo
ChiropracticNoNoYes
Health Plan Statistics:
Total number of HFP members *10,985120,890188,574
Other:
Does the plan require its members to use Binding Arbitration to resolve disputes? **YesYesYes
If yes, does Binding Arbitration include Medical Malpractice?YesYesYes

* 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.