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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