CCHP Individual and Family Plan

$25 Copayment Plan
Our copayment plan feature set payments (or copayment) for certain covered services, so you'll always know in advance what your out-of-pocket costs for prescriptions and doctor visits will be.

To learn more, review the following:

• $25 Copayment Plan Summary of Benefits (English and Chinese)
• $25 Copayment Plan Evidence of Coverage
• $25 Copayment Plan Rate Sheet (English and Chinese)

Active Choice Plans - Individual & Family

To learn more, review the following:

• Active Choice Plan Summary of Benefits (English and Chinese) (PDF)
• Active Choice Plan Evidence of Coverage (PDF)
• Active Choice Plan Rate Sheet (English and Chinese) (PDF)

Conversion Plan Coverage

A person who has been a Member but is no longer eligible for group coverage, including any COBRA or Cal-COBRA, and who is entitled to convert to individual conversion plan coverage, may apply without a medical evaluation for individual conversion plan coverage, and pay the first prepayment fee, within 63 days of loss of eligibility. Conversion plan coverage begins at the time group coverage ends. Conversion plan benefits may differ from the coverage provided by this group plan, and the cost of the conversion plan will be higher than the group plan.

You may not convert to our Individual-Conversion Plan if any of the following is true:

• You continue to be eligible for coverage through your Group (but not counting COBRA, Cal-COBRA, or State Continuation Coverage after COBRA or Cal-COBRA coverage)
• Your membership ends because your Group's Agreement with us terminates and it is replaced by another plan within 15 days of the termination date
• We terminated your membership under "Termination of Coverage" section
• You live outside CCHP's service area, except that the Member's or the Member's Spouse's otherwise-eligible children may be eligible to be covered Dependents even if they live in (or move to) the service area (please refer to "Who may Apply for Membership" in the "Eligibility, Enrollment and Effective Dates" section for more information)

State Continuation Coverage

New enrollments are no longer available for State Continuation Coverage under Section 1373.621 of the California Health and Safety Code. If you are already enrolled in State Continuation Coverage, your coverage terminates on the earliest of:

• The date your Group's Agreement with us terminates
• The date you obtain coverage under any other group health plan not maintained by your Group, regardless of whether that coverage is less valuable
• The date you become entitled to Medicare
• Your 65th birthday
• Five years from the date your COBRA or Cal-COBRA coverage was scheduled to end, if you are a Member's Spouse or former Spouse
• The date your membership is terminated for nonpayment of premiums as described under "Termination or Cancellation by the Plan" section