Are you seeking a health plan that genuinely prioritizes your well-being, offering comprehensive coverage and a wealth of supportive resources? Western Health Advantage (WHA) could be the solution you've been searching for, providing preventive care, online tools, and a network of trusted providers.
Western Health Advantage (WHA) distinguishes itself as a health plan dedicated to your holistic health. With a focus on preventive care, WHA equips its members with the resources needed to maintain optimal health and navigate the complexities of healthcare. Accessing your plan, finding a primary care physician (PCP), and managing prescriptions are made streamlined through their user-friendly online portal and a dedicated support system.
MyWHA, the secure online portal, serves as a central hub for members, providers, brokers, and employers alike, streamlining access to essential information. Whether you're looking to sign up, log in, or reset your password, the portal provides a seamless experience to access your personal benefit information and a range of additional features. Furthermore, WHA offers access to a vast network of nearly 3,000 providers and 15 local hospitals, ensuring convenient access to quality healthcare services.
| Feature | Details |
|---|---|
| Health Plan Type | Health Maintenance Organization (HMO) |
| Service Area | Marin, Napa, Sacramento, Solano, Sonoma, Yolo, and parts of El Dorado and Placer Counties in Northern California |
| Medicare Advantage Plans | MyCare, MyCare Plus, MyCare Compass |
| Key Benefits | Preventive Care, Online Tools, 24/7 Nurse Hotline, Pharmacy Benefits, Prescription Drug Coverage (for Medicare Advantage plans) |
| Provider Network | Extensive network of doctors, specialists, and hospitals |
| Online Portal | MyWHA (Secure access for members, providers, brokers, and employers) |
| Mental Health Services | Optum Behavioral Health (Contact at 800.765.6820) |
| Emergency Care | Services should be obtained from a Western Health Advantage network provider, except in case of emergency |
| Additional Services | Virtual Urgent Care, Travel Assistance Services |
| Additional Resources | Preventive health information and resources from 24/7 nurse advice to travel assistance services |
| Additional Benefits | Diabetes Prevention Program, Disease Management, Wellness Portal, and discounts |
| Contact | FEHB Team for Federal Employees |
| Medicare Contract | Western Health Advantage has a Medicare contract |
| Deductible Information | The amount you pay each year for covered medical and prescription services and supplies before WHA |
| Discrimination | Western Health Advantage complies with federal and California civil rights laws, does not discriminate |
| Participating Provider | Partners in care hospitals medical groups |
| Equal Opportunity | Western Health Advantage is committed to providing equal employment opportunities |
| Crisis Hotlines | Call/Text 988 for crisis and suicide help |
For those seeking health insurance, Western Health Advantage presents a compelling option. Offering three Medicare Advantage plans MyCare, MyCare Plus, and MyCare Compass WHA provides choices with low or even no monthly premiums, incorporating prescription drug coverage and access to a local network of doctors and hospitals. By comparing the benefits, costs, and service areas of each plan, individuals can make informed decisions tailored to their specific healthcare needs.
Western Health Advantage, operating as a Medicare Advantage HMO plan, functions under a Medicare contract. It is important to note that enrollment in WHA is contingent upon the renewal of this contract. Additionally, the information provided does not encompass a complete description of all benefits.
Beyond individual plans, WHA caters to specific populations, including CalPERS members. For this group, WHA offers a health plan encompassing preventive care, an online wellness portal, diabetes prevention programs, disease management initiatives, and more. CalPERS members can learn about accessing WHA services, programs, and discounts designed to support their overall health and well-being.
Quality and affordability are core tenets of Western Health Advantage's approach. By providing quality and affordable health coverage with access to multiple medical groups and hospitals, WHA strives to make healthcare accessible to a wide range of individuals. Open enrollment periods are a prime opportunity to explore plan benefits, eligibility requirements, provider networks, facility access, and the available online tools.
Western Health Advantage is committed to upholding federal and California civil rights laws, ensuring that it does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability, as applicable. This commitment extends to all aspects of the plan, fostering an inclusive and equitable healthcare environment.
The plan's service area is concentrated in Northern California, with individual plans available to residents in Marin, Napa, Sacramento, Solano, Sonoma, and Yolo counties, as well as parts of El Dorado and Placer counties. The provider network and high-option service areas are limited to these counties and specific zip codes, ensuring a focused approach to care delivery.
When emergencies arise, medical services must be obtained from a Western Health Advantage network provider. Access to care is streamlined, and members are encouraged to utilize the extensive network to ensure that services are covered and paid for under their health plan benefits.
For those seeking to become participating providers within the Western Health Advantage network, opportunities exist through partnerships with care hospitals and medical groups. Additionally, members can access their eligibility information through convenient online tools.
Understanding the details of your health plan is essential. That's why Western Health Advantage emphasizes the availability of comprehensive information. By registering with WHA, individuals can access the details of their personal benefit information online 24 hours a day, 7 days a week. All it takes is providing some basic information along with a valid email address.
For those seeking mental health support, Optum Behavioral Health is available at 800.765.6820. This resource provides assistance in coping with feelings of fear, sadness, anger, and hopelessness, ensuring that individuals have access to the mental healthcare they need. Virtual urgent care options are also available, offering convenient access to care when a visit to the doctor's office or urgent care location is not feasible.
Western Health Advantage offers a wealth of resources, including preventive health information and access to services such as 24/7 nurse advice and travel assistance. However, it's important to be aware that not all hospitals and providers may offer every covered service. For example, contraceptive services, including emergency contraception, and sterilization procedures might have limitations depending on the plan and provider.
WHA is a health plan that's focused on advantages. They are a health plan committed to working with premier service providers to offer quality benefits to members.
In times of mental health crisis, immediate support is available. Call or text 988 to connect with the Suicide and Crisis Lifeline, accessible 24/7. Additionally, individuals can chat with a counselor online at 988lifeline.org.
Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, or genetic information.
The Marinhealth Medical Center (formerly Marin General Hospital) at 250 Bon Air Road, Greenbrae, CA 94904, with a phone number of 415.925.7000, stands as a crucial partner in the WHA network. This partnership exemplifies the plan's commitment to local healthcare, reinforcing the importance of having a healthcare plan with a personal touch.
