Health Insurance Coverage Information

Important Dates You Need to Know About Open Enrollment
  • Medicare open enrollment is Oct. 15 to Dec. 7.
  • Covered California open enrollment is Nov. 1, 2015, to Jan. 31, 2016.
  • Employer open enrollment dates vary – check with your employer for the exact dates.
  • California Medi-Cal open enrollment is year-round.
  • California MediConnect is a program for Medicare and California Medi-Cal dual eligibles – enroll during Medicare open enrollment (Oct. 15 to Dec. 7) to choose the plan that best meets your needs.

Make sure nothing’s missing from your health care

You’ve come to rely on Providence as your partner in health. From specialty care to hospital stays, we’ve been there. So it makes sense to keep your relationship going with Providence. Great care doesn’t come from just anyone; if you want your favorite neurologist or your trusted cardiologist or the ease of visiting a hospital that’s close to home, make sure Providence is part of your plan.

The choices you make during open enrollment can affect your costs, the services you receive, and the doctors and hospitals you’re able to use. Providence can help simplify your decision-making – whether you’re enrolled in a Medicare plan, get insurance through your employer or need to buy individual health insurance coverage.

At Providence, we can help you understand your choices. Our strong network of six hospitals, more than 56 clinics and more than 3,600 doctors covering the South Bay, Westside and the Santa Clarita and San Fernando valleys is among the largest in the Greater Los Angeles Area. And Providence has been recognized for exceptional care time and again in national quality ratings and by accreditation organizations. We’re contracted with most major health plans, including Medicare and Medicare Advantage, and with many medical groups.

For more information, choose the option below that meets your needs:

Should I shop for a new or different health plan?

Maybe. You may need to choose a new plan if you fall into one of these categories:

  • You don’t currently have health insurance. You may be eligible for premium subsidies through Covered California.
  • You have an individual plan, but your insurance company is ending that policy. Covered California is the source for affordable individual plans.
  • You’re insured under a plan provided by your spouse’s employer, but spouses won’t be covered in the future. Covered California has many plans to choose from.
  • Your current plan doesn’t let you see Providence doctors or go to Providence facilities. To access the Providence network of hospitals, clinics and doctors, you need to choose a plan that is accepted by Providence. That way, you’ll receive high-quality care at in-network rates. In-network means less out-of-pocket costs for you. To see the accepted plans, click here or call 866-909-DOCS (3627).

What are my Medicare options?

Have questions about Medicare Coverage? Providence can help!
The Medicare Annual Election Period runs from October 15 - December 7. If you are 65 or older, this is the time you can change your Medicare plan, enroll in a new plan, and add or drop Medicare Part D prescription coverage. Visit our Medicare page to find out about your options and for information on opportunities to meet with a licensed independent insurance agent that can walk you through your choices. Or call our information line at 1-866-909-DOCS (3627).

You can also contact 1-800-MEDICARE or visit for more information and assistance.

What about buying insurance on my own?

The law requires everyone to have health insurance or pay a tax penalty. There are two ways to purchase an individual insurance policy: directly through an insurance company, or through the state’s health benefit exchange, Covered California. Covered California has been affordable for millions of Californians and it offers a range of plans. You can apply for Covered California online here, in person, or on the phone at 800-300-1056. If you purchase your insurance through Covered California, make sure the plan you choose includes Providence hospitals, clinics and doctors. Providence accepts these plans from Covered California:

  • Anthem Blue Cross HMO Covered California
  • Blue Shield Covered California Shop
  • Blue Shield HMO Covered California
  • Blue Shield PPO Covered California
  • Health Net Covered California – all products
  • LA Care Covered California

Choosing insurance through your employer

If you receive health insurance for yourself and dependents through your employer, contact your benefits department to find out when open enrollment starts. Often, enrollment is not automatic and you may be eligible to change health plans. Employers typically contract with one or more health plans for their employees, and individual contribution rates can vary by plan. Plan offerings can change from year to year, so look for the plan with the benefits, physicians and facilities that best fit the needs of your family. The Patient Protection and Affordable Care Act requires all health plans to provide some types of coverage. They include coverage for preventive care and the ability to keep children on an insurance policy until they are 26 years old. Check with your employer to see what plans are offered through work.

Providence contracts with many health insurance plans. To use the Providence network of hospitals, clinics and doctors, you must choose a health plan that is accepted by Providence. To find out if your doctor is contracted with a health insurance plan that Providence accepts, call 866-909-DOCS (3627) or visit the Providence Medical Institute.

Employer Plans Contracted With Providence

  • Anthem Blue Cross Medicare Advantage HMO
  • Blue Shield 65+
  • Brand New Day
  • Caremore Senior
  • Central Healthplan of CA – HMO and Senior
  • Health Net Medicare Advantage
  • Humana Medicare Advantage
  • SCAN Healthplan-Senior
  • United Health Care Secure Horizons
  • See a full list of health plans here

So, What’s Next?

If you need more information to make an informed choice about your health care, please call Providence Customer Service at 866-909-DOCS (3627). Specialists are available to help 7 a.m. to 8 p.m., Monday through Friday, and 9 a.m. to 2 p.m. on Saturday.

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