CalChoice HMO Comparison CA OE

Presented By: Miranda Cruz License# 0J22743

Medical Benefit Comparison

CaliforniaChoice

CaliforniaChoice

CaliforniaChoice

CaliforniaChoice

Medical

Silver HMO A Kaiser Permanente - Full

Silver HMO A Health Net - WholeCare Bronze HMO A Kaiser Permanente - Full

Platinum HMO A Kaiser Permanente - Full

Effective Date: 1/1/2026

Effective Date: 1/1/2026

Effective Date: 1/1/2026

Effective Date: 1/1/2026

Mail Order

HMO: See Formulary Guide

HMO: See Formulary Guide

HMO: See Formulary Guide

HMO: See Formulary Guide

HOSPITAL FACILITY SERVICES HMO: 45% after ded Inpatient Hospital Services

HMO: $900/day, 5 days max

HMO: 40% after ded HMO: 40% after ded

HMO: $500/admit

Outpatient Surgery in a Hospital

HMO: 45% after ded

HMO: 50%

HMO: $300/procedure

HMO: 45% after ded Ambulatory Surgical Center

HMO: 40%

HMO: 40% after ded

HMO: $300/procedure

EMERGENCY SERVICES

Emergency Room

HMO: 45% after ded (coinsurance waived if admitted)

HMO: 50%

HMO: 40% after ded

HMO: $200 (copay waived if admitted)

Emergency Transport/Ambulance

HMO: 45% after ded

HMO: 50%

HMO: 40% after ded

HMO: $150

Urgent Care

HMO: $65 (ded waived)

HMO: $55

HMO: $60 (ded waived)

HMO: $10

MENTAL HEALTH/SUBSTANCE USE DISORDER HMO: 0% (ded waived) Outpatient Services

HMO: $55

HMO: 0% (ded waived) HMO: 40% after ded

HMO: $10

Inpatient Services

HMO: 45% after ded

HMO: $900/day, 5 days max

HMO: $500/admit

MATERNITY HMO: 0% (ded waived) Prenatal and Postnatal Care

HMO: Prenatal: $55; Postnatal: $55

HMO: 0% (ded waived) HMO: 40% after ded

HMO: 0%

Delivery and All Inpatient Services

HMO: 45% after ded

HMO: $900/day, 5 days max

HMO: $500/admit

Final rates are determined by the Carrier. This quote is not valid without the separate general disclaimer. # Dependent children 21-25 years old are rated as adults. Dependent children may become ineligible for coverage on their 26th birthday; effective date of change may vary by carrier.

Create Date: 10/31/2025

Presented By: Miranda Cruz License# 0J22743

Sorted By: Carrier,PlanType,Premium(Ascending)

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