Covered California

Western Health Advantage individual plans are available to Northern California residents in the following counties within our service area: Marin, Napa, Sacramento, Solano, Sonoma, Yolo and parts of El Dorado and Placer counties. 

All Covered California plans feature ten essential benefits, plus:

• Access to care without leaving home with virtual options for primary care, urgent care, and behavioral/mental health services
• Comprehensive network of clinical providers conveniently located in the counties WHA serves
• 24/7 Nurse advice line and Teladoc® for virtual urgent care
• Assist America emergency travel assistance

Special Enrollment Period

If you have experienced a qualifying life event you may be eligible for special enrollment into a health plan – one outside of the usual open enrollment period. Examples of qualifying life events are loss of employer-sponsored coverage, a recent move, being newly married, and having a baby. This special enrollment period lasts 60 days from the date of the qualifying life event. When enrolling for coverage, you will need to provide the qualifying life event and the date of the event. Note: If 60 days pass and you do not sign up for health coverage, you will have to wait until the next open enrollment period.

Enroll Now

Enroll in a Plan 

Compare costs and plan benefits, read about coverage details, then enroll. Three primary things to know when enrolling in a health plan: 

1. With an HMO, you use in-network providers to get your care. Find a list of providers here.
2. Preventive services are covered under a metal tiered plan (gold, silver, bronze), yet not always covered 100%. Some services you get from your doctor are subject to copay, coinsurance, and in most cases, a deductible. Learn more about health plan basics here.
3. To get personalized help by phone, call WHA’s member services: 916.563.2250 or 888.563.2250 toll-free. They are available Monday through Friday 8 a.m. to 6 p.m.

Or to enroll yourself online, visit Covered CA website.

Access to Care 

Our network – or our Partners in Care – includes six medical groups, which have about 3,200 doctors and specialists available to members. Find a Doctor >>> Search Online
 

As a health plan created by doctors, we support the doctor-patient relationship and offer access to exceptional doctors and hospitals across our region. And, what makes WHA different is Advantage Referral, allowing members the flexibility to choose from among our network’s six medical groups for your specialty care, not just the one your doctor is in.