Covered California

Learn more about Western Health Advantage Individual & Family Plans

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

Go to Covered California

Built-in health and wellness support: Here are just a few of the value-added benefits you get when renewing your health coverage with WHA.

Offers members and their partners pregnancy and postpartum support with access to coaching and virtual appointments with providers across 30 specialties, including OB-GYNs, mental health specialists, and lactation consultants. Maven’s coaches are available 24/7 to answer pregnancy and postpartum care questions, along with offering resources such as virtual classes, educational articles, and community forums.

Available to eligible members at risk for diabetes who meet the program requirements, this program combines virtual group sessions with personalized coaching and digital tools to help promote healthy habits that help members improve nutrition, increase activity, and reduce the risk of developing type 2 diabetes. The Real Appeal program has expanded to offer all members a science-based Real Appeal: Weight Loss to include a customized weight loss plan, personalized coaching with online group sessions, a digital library of health-related content, and an online dashboard to track their progress.

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Compare 2024 Plan Summaries & Value-add Benefits

WHA Platinum 90 HMO: 2025 | 2024
WHA Gold 80 HMO: 2025 | 2024
WHA Silver 70 HMO: 2025 | 2024
WHA Bronze 60 HMO: 2025 | 2024
WHA Minimum Coverage HMO: 2025 | 2024
WHA Silver 73 HMO: 2025 | 2024
WHA Silver 87 HMO: 2025 | 2024
WHA Silver 94 HMO: 2025 | 2024
WHA $0 Cost Share HMO AI/AN: 2025 | 2024

Pediatric Dental: 2024-2025
Pediatric Dental Minimum Coverage: 2025 | 2024
Pediatric Dental AI/AN: 2024-2025
Pediatric Vision: 2024-2025
Pediatric Vision: Minimum Coverage: 2025 | 2024
Acupuncture Benefit
Smoking Cessation
Pregnancy & Postpartum Support
Diabetes Prevention
Weight Management
Diabetes Reversal
Hypertension Management
Virtual Physical Therapy

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:

With an HMO, you use in-network providers to get your care. Find a list of providers here.
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.
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.

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Covered California

Learn more about Western Health Advantage Individual & Family Plans

All Covered California plans feature ten essential benefits, plus:

Built-in health and wellness support: Here are just a few of the value-added benefits you get when renewing your health coverage with WHA.

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Compare 2024 Plan Summaries & Value-add Benefits

Special Enrollment Period

Enroll in a Plan

Access to Care

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Address:

Contact:

Built-in health and wellness support: Here are just a few of the value-added benefits you get when renewing your health coverage with WHA.

Compare 2024 Plan Summaries & Value-add Benefits

Special Enrollment Period

Enroll in a Plan

Access to Care

Address:

Contact:

Covered California

Learn more about Western Health Advantage Individual & Family Plans

All Covered California plans feature ten essential benefits, plus:

Built-in health and wellness support: Here are just a few of the value-added benefits you get when renewing your health coverage with WHA.

Quit for Life

Maven

Real Appeal: Diabetes Prevention

Type 2 Diabetes Reversal

Hypertension management program

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Compare 2024 Plan Summaries & Value-add Benefits

Special Enrollment Period

Enroll in a Plan

Access to Care

Loading component...

Built-in health and wellness support: Here are just a few of the value-added benefits you get when renewing your health coverage with WHA.

Quit for Life

Maven

Real Appeal: Diabetes Prevention

Type 2 Diabetes Reversal

Hypertension management program

Compare 2024 Plan Summaries & Value-add Benefits

Special Enrollment Period

Enroll in a Plan

Access to Care

Address:

Contact: