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Valley Health Plan

Valley Health.png

Valley Health Plan is a health maintenance organization owned and operated by the County of Santa Clara. It has been serving the community for more than 30 years and is the only locally based commercial health plan in Santa Clara County. Valley Health Plan serves Covered California enrollees in pricing region 7.

Consumer tools

Partnership with Consumer Reports Choosing Wisely, an initiative of the American Board of Internal Medicine Foundation, provides tools and resources to help members prepare for discussions with their doctor. Patients sometimes ask for tests and treatments that are not necessarily in their best interest. Choosing Wisely helps members speak with their doctor about their choices.

Wellness program

Valley Health Plan offers a wide range of health education wellness offerings to members, free of charge. Fitness classes include yoga, Pilates and Zumba at locations across the county. The chronic disease prevention and management program includes offerings such as a pediatric asthma camp and a 16-week diabetes prevention and management program. Members can also enroll in the Complex Case Management Program or Disease Management Program and get one-on-one support and advice from a nurse to help them manage their health conditions.

Pharmacy tools

The Navitus pharmacy member portal allows members to access pharmacy benefit information online. The tools and resources available help members make decisions and take control of their health care. The portal offers general pharmacy benefit information, including: • Formulary information. • A pharmacy search. • “What’s My Copay?” • Medication history. • Drug search. • Mail order support. • The ability to initiate a request for non-formulary drugs.

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