Western Health Advantage has a passion for health care. The organization is committed to delivering quality
care to employers and employees, while supporting medical innovation and promoting improved health to suit
the diverse needs of Northern California. For more than 25 years, Western Health Advantage has been a reliable
partner to businesses and employees – helping thousands of Californians stay healthy and establish a long-term
relationship of trust with their physicians.
Consistently recognized for delivering member value, Western Health Advantage has a provider network that
includes major hospitals and medical centers and thousands of doctors and specialists in its 14 county
service area: Alameda, Colusa, Contra Costa, El Dorado, Marin, Napa, Placer, Sacramento, San Francisco, San Mateo, Santa Clara, Solano, Sonoma, and Yolo counties.
Quick Plan Highlights
Below are some of our most popular Western Health Advantage health plans along with a snapshot of plan
coverage and out-of-pocket costs. For a complete list of coverage options, click Download All
Plans below to see the most current plan information.
These plans are effective beginning:
7/1/22
Bronze HMO B
Network
Full
Calendar Year Deductible
$6,300 / $12,600 (applies to Max OOP)
Out-of-Pocket Max Ind/Fam:
$8,200 / $16,400
Dr. Office Visit (PCP):
$65 Copay
Urgent Care:
$65 Copay
Emergency Room
60%
Silver HMO A
Network
Full
Calendar Year Deductible
$2,300 / $4,600 (applies to Max OOP)
Out-of-Pocket Max Ind/Fam:
$8,000 / $16,000
Dr. Office Visit (PCP):
$50 Copay (ded waived)
Urgent Care:
$100 Copay
Emergency Room
70%
Gold HMO A
Network
Full
Calendar Year Deductible
None
Out-of-Pocket Max Ind/Fam:
$6,750 / $13,500
Dr. Office Visit (PCP):
$40 Copay
Urgent Care:
$100 Copay
Emergency Room
$300 Copay
Platinum HMO A
Network
Full
Calendar Year Deductible
None
Out-of-Pocket Max Ind/Fam:
$4,000 / $8,000
Dr. Office Visit (PCP):
$25 Copay
Urgent Care:
$50 Copay
Emergency Room
$150 Copay
Bronze HMO B
Network
Full
Calendar Year Deductible
$6,300 / $12,600 (applies to Max OOP)
Out-of-Pocket Max Ind/Fam:
$8,200 / $16,400
Dr. Office Visit (PCP):
$65 Copay
Urgent Care:
$65 Copay
Emergency Room
60%
Silver HMO A
Network
Full
Calendar Year Deductible
$2,300 / $4,600 (applies to Max OOP)
Out-of-Pocket Max Ind/Fam:
$8,000 / $16,000
Dr. Office Visit (PCP):
$50 Copay (ded waived)
Urgent Care:
$100 Copay
Emergency Room
70%
Gold HMO A
Network
Full
Calendar Year Deductible
None
Out-of-Pocket Max Ind/Fam:
$6,750 / $13,500
Dr. Office Visit (PCP):
$40 Copay
Urgent Care:
$100 Copay
Emergency Room
$300 Copay
Platinum HMO A
Network
Full
Calendar Year Deductible
None
Out-of-Pocket Max Ind/Fam:
$4,000 / $8,000
Dr. Office Visit (PCP):
$25 Copay
Urgent Care:
$50 Copay
Emergency Room
$150 Copay
Swipe to see more plans
Footnotes
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