Individual Sales Brochure - Western Health Advantage

Providing access to a network of more than 3,200 doctors
CHOOSE A HEALTH PLAN THAT WORKS FOR YOU >
FOR INDIVIDUAL S & FAMILIES
Experience the WHA Advantage.
Check our references. Doctors know best.
You trust your doctor to give you the best care possible, and your
doctor trusts WHA. More than 95 percent* of our providers would
recommend WHA to other physicians.
Choose from 14 conveniently
located hospitals and more than
3,200 primary and specialty care
providers in Northern California.
Healdsburg District Hospital
Marin General Hospital
We’re easy to work with.
NorthBay Medical Center
Actions speak louder than words. And at WHA, you’ll be greeted
with fast, accurate and personal service. You’ll appreciate how easy
we’ve made managing your health plan.
NorthBay VacaValley Hospital
You choose your specialist.
Why settle for one medical group when you can have access to six?
Our partnership with our medical groups expands your choices of
specialty physicians. With Advantage Referral you have access to
any participating specialist in our extensive network, not just from
your particular medical group.
The doctor you want is with WHA.
WHA is affiliated with the leading hospitals and doctors throughout
Northern California. Our network of more than 3,200 doctors and
14 hospitals has no limits—regardless of your plan.
*95.4% of providers would recommend Western Health Advantage to other
physicians’ practices according to the 2013 Provider Satisfaction Survey.
In 1997, UC Davis Health System, Dignity Health and
NorthBay Healthcare System came together to create
a health plan to offer clear value in quality care for
the people who live and work in Northern California.
And this care starts with the exceptional range and
reputation of our health care providers.
Sonoma Valley Hospital
UC Davis Medical Center
and these Dignity Health facilities
Mercy General Hospital
Mercy Hospital of Folsom
Mercy San Juan Medical Center
Methodist Hospital of Sacramento
Woodland Memorial Hospital
and these St. Joseph Health facilities
Petaluma Valley Hospital
Queen of the Valley Medical Center
Santa Rosa Memorial Hospital
Western Health Advantage has
made affordable health coverage
easy for individuals and families.
While most of our new Advantage plans are available direct
from WHA, some can also be purchased from the state’s
health exchange, Covered California, where premium
assistance is available to those who qualify.
No matter where you purchase your individual or family
coverage, all of our plans comply with the metal tiers
established by the Affordable Care Act, allowing consumers
to compare plans with similar coverage, and include these
10 categories of "essential health benefits":
1.Ambulatory patient services
2.Emergency services
3.Hospitalization
4.Maternity and newborn care
5.Mental health and substance abuse disorder treatment
We’re here to get you covered.
Whether purchasing your health coverage
through Covered California or direct from
WHA, you can count on local, personal
service to help you find the health plan that
is right for you.
6.Prescription drugs
7.Services and devices: help with recovery from an injury,
disability or chronic condition
8.Laboratory services
9.Preventive services and chronic disease support
10. Pediatric services: dental and vision care for kids
Covered California is a registered trademark of the State of California.
Improving the quality of health care.
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TOOLS FOR HEALTHY LIVING You can find balance and
live healthier with Healthyroads™ online tools, such as a
personal health assessment, customized meal and exercise
plans, health trackers, self-guided online coaching modules
and much more.
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TRAVEL ASSISTANCE SERVICE All HMOs cover urgent
care and emergency care services wherever you are in the
world. With WHA, anytime you travel over 100 miles from
home, even in a foreign country, you are eligible for Assist
America’s services, such as medical consultation and referrals,
care of a minor child, document assistance, and other vital
services that may arise while traveling.
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24/7 NURSE ADVICE In addition to receiving standard
advice for medical issues, Nurse24 provides access to
registered nurses, who are ready to answer your specific
questions on general health and wellness, 24 hours a day,
including direct referrals to disease management nurses.
Bilingual services are available upon request.
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TAX-FREE SAVINGS & INVESTMENT
> An HSA-compatible
high-deductible health plan with Western Health Advantage
can be paired with a health savings account. Discover the
best way to save for health care services—and get a break on
your taxes along the way.
We're a healthy choice.
Western Health Advantage is here to help
you take charge of your health. You have
access to gym discounts, health education
classes, materials and services to help you
find balance and live healthier.
If quality choices and flexibility sounds
like something you’d like in a health plan,
ask your certified insurance agent how to
become a member or call us directly.
888.563.2250 toll-free | 888.877.5378 tty
MAIN OFFICE
2349 Gateway Oaks Drive, Suite 100
Sacramento, California 95833
PUBLISHED JANUARY 2014
WHA 986 5.14
NORTH BAY SALES OFFICE
4 Hamilton Landing, Suite 100
Novato, California 94949