Data on Appeals
-
Appeals in 2018
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 718
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 400
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 15
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 8
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 10,516
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 3,955
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 214
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 96
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 146 Individual, 1 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 95 Individual, 1 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 8 Individual, 0 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 1 Individual, 0 Small Business
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 2,406 Individual, 626 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 1,379 Individual, 314 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 19 Individual, 0 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 10 Individual, 0 Small Business
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 1,214
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 1,105
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 13
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 2
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: N/A
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: N/A
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: N/A
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: N/A
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 160 Appeals (Clinical) 339 Appeals (Non-Clinical)
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 62 Appeals Overturned (Clinical) 43 Appeals Overturned (Non-Clinical)
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 12 Independent Medical Reviews (Clinical)
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 9 Independent Medical Reviews overturned (Clinical)
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 218
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 79
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 6
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 2
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 169
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 37
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 24
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 7
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 157
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 31
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 29
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 12
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2018: 80
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2018 Appeals: 24
- Number of Issuer Level External Appeals Filed in Calendar Year 2018: 22
- Number of Issuer Level External Appeals Overturned from Calendar Year 2018 Appeals: 3
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Appeals in 2019
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 423
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 338
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 4
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 1
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 12,241 Individual, 219 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 4,472 Individual, 7 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 193 Individual, 7 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 112 Individual, 3 Small Business
- Note: Blue Shield does not currently include the Date of Service in appeal reporting data
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 171 Individual, 5 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 114 Individual, 1 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 6 Individual, 1 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 2 Individual, 0 Small Business
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019 Health Net Life: 2,132 Individual, 652
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019 Health Net CA: 1,736 Individual
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019 Health Net Small Business: 652
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals, Health Net Life: 997 Individual
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals, Health Net CA: 990 Individual
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals, Health Net Small Business: 305
- Number of Issuer Level External Appeals Filed in Calendar Year 2019, Health Net Life: 399 Individual
- Number of Issuer Level External Appeals Filed in Calendar Year 2019, Health Net CA: 363 Individual
- Number of Issuer Level External Appeals Filed in Calendar Year 2019, Health Net Small Business: 10
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals, Health Net Life: 2 Individual
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals, Health Net CA: 3 Individual
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals, Health Net Small Business: 0
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 553
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 469
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 29
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 7
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 6,632
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 2,375
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 4
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 3
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 135 Appeals (Clinical), 327 Appeals (Non-Clinical)
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 54 Appeals Overturned (Clinical), 37 Appeals Overturned (Non-Clinical)
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 9 Independent Medical Reviews (Clinical)
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 6 Independent Medical Reviews overturned (Clinical)
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 1,195
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 401
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 10
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 5
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 108
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 32
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 22
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 1
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 106
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 52
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 32
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 15
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2019: 73
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2019 Appeals: 24
- Number of Issuer Level External Appeals Filed in Calendar Year 2019: 4
- Number of Issuer Level External Appeals Overturned from Calendar Year 2019 Appeals: 1
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Appeals in 2020
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 862
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020 : 505
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 18
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 13
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 219
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 105
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 0
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 0
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 12,579 Individual, 294 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 4,213 Individual, 94 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 220 Individual, 9 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 151 Individual, 8 Small Business
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 73
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 0
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 0
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 0
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: Information to Come
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: Information to Come
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: Information to Come
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: Information to Come
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 166 Individual, 4 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020 Appeals: 65 Individual, 0 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 20 Individual, 0 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020 Appeals: 13 Individual, 0 Small Business
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 0
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 0
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 0
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 0
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020, Health Net Life: 2,576 Individual
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020, Health Net CA: 2,250 Individual
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020, Health Net Small Business: 46
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020 Health Net Life: 1,206 Individual
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020, Health Net CA: 1,291 Individual
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020, Health Net Small Business: 24
- Number of Issuer Level External Appeals Filed in Calendar Year 2020, Health Net Life: 323 Individual
- Number of Issuer Level External Appeals Filed in Calendar Year 2020, Health Net CA: 504 Individual
- Number of Issuer Level External Appeals Filed in Calendar Year 2020, Health Net Small Business: 0
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020,Health Net Life: 6 Individual
- Number of Issuer Level External Appeals Overturned from Calendar Year 22020, Health Net CA: 5 Individual
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020, Health Net Small Business: 0
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 185
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 61
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 1
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020 : 1
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 665
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 402
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 9,051
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 3,505
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 15 Individual, 0 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 5 Individual, 0 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 0 Individual, 0 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 0 Individual, Small Business
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 540
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 95
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 1
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 1
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 82
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 79
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 10
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 10
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 109 Individual and Small Group; Pharmacy Individual; 75, Pharmacy Small Group 15
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 30 Individual and Small Group; Pharmacy Individual; 42, Pharmacy Small Group 10
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 29 Individual and Small Group; Pharmacy Individual 0, Pharmacy Small Group 0
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 12 Individual and Small Group; Pharmacy Individual 0, Pharmacy Small Group 0
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 138
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 58
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 12
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 4
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2020: 99
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2020: 39
- Number of Issuer Level External Appeals Filed in Calendar Year 2020: 7
- Number of Issuer Level External Appeals Overturned from Calendar Year 2020: 1
Anthem Blue Cross:
Blue Shield of California*:
*Blue Shield does not currently include the Date of Service in appeal reporting data
CCHP Health Plan:
Health Net:
Kaiser Permanente:
LA Care Health Plan:
Molina Healthcare:
Oscar:
Sharp Health Plan:
Valley Health Plan:
Western Health Advantage:
Appeals in 2019
Anthem Blue Cross:
Individual Market:
Blue Shield of California*:
CCHP Health Plan:
Health Net:
Kaiser Permanente:
LA Care Health Plan:
Molina Healthcare:
Oscar:
Sharp Health Plan:
Valley Health Plan:
Western Health Advantage:
Data on Appeals
Appeals in 2020
Anthem Blue Cross:
Individual Market:
Qualified Dental Plan:
Blue Shield of California*:
CCHP Health Plan:
California Dental Network:
Delta Dental:
Dental Health Services:
Health Net:
Kaiser Permanente:
LA Care Health Plan:
Liberty Dental Plan:
Molina Healthcare:
Oscar:
Sharp Health Plan:
Valley Health Plan:
Western Health Advantage:
Appeals in 2021
Aetna CVSHealth:
2023 is this Issuer’s first year on Covered California, no data is available to report yet.
Anthem Blue Cross:
Individual Market:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 875
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 550
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 34
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 27
Qualified Dental Plan:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 174
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 79
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 0
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 0
Blue Shield of California:
Individual Market:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 11,481 Individual, 361 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 3,980 Individual, 125 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 189 Individual, 12 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 120 Individual, 9 Small Business
Qualified Dental Plan:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 549
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 174
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 0
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 0
CCHP Health Plan:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 354
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 326
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 0
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 0
California Dental Network:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 0
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 0
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 0
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 0
Delta Dental:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 1,769 Individual, 14 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 612 Individual, 5 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 0 Individual, 0 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 0 Individual, 0 Small Business
Dental Health Services:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 7 Individual, 0 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 4 Individual, 0 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 0 Individual, 0 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 0 Individual, 0 Small Business
Health Net:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: Health Net Life: 2,244 Individual, 50 Small Business
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: Health Net CA: 2,846 Individual
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: Health Net Life: 1,049 Individual, 26 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: Health Net CA: 1.391 Individual
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: Health Net Life: 202 Individual, 0 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: Health Net CA: 473 Individual
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: Health Net Life: 1 Individual, 0 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: Health Net CA: 6 Individual
Kaiser Permanente:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 226 Individual, 7 Small Business
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 65 Individual, 2 Small Business
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 30 Individual, 0 Small Business
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 15 Individual, 0 Small Business
LA Care Health Plan:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 8,178
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 2,721
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 4
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 1
Molina Healthcare:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 631
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 113
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 2
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 0
Oscar:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 143
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 128
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 21
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 21
Sharp Health Plan:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 133 Individual and 14 Small Group;
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 75 Individual and 4 Small Group
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 0 Individual and 0 Small Group;
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 0 Individual and 0 Small Group
Valley Health Plan:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 156
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 70
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 18
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 5
Western Health Advantage:
- Number of Issuer Level Internal Appeals Filed in Calendar Year 2021: 82
- Number of Issuer Level Internal Appeals Overturned from Calendar Year 2021: 30
- Number of Issuer Level External Appeals Filed in Calendar Year 2021: 5
- Number of Issuer Level External Appeals Overturned from Calendar Year 2021: 2
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Consumer Information
- Information on Cost-Sharing and Payments With Respect To Out-of-Network Coverage
- Enrollee Rights Information Under Title I of the Affordable Care Act
Quality Ratings
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Data and Enrollment
Financial Information
Rate Booklet
- 2024 Regional Rate Sheets
- 2023 Regional Rate Sheets
- 2022 Regional Rate Sheets
- 2021 Regional Rate Sheets
- Covered California's Health Insurance Companies and Plan Rates for 2022
- 2020 Health Plan Rate Booklet
- 2019 Health Plan Rate Booklet
- 2021 Family Dental Rate Booklet
- 2020 Family Dental Rate Booklet
Contracts
- 2017-2023_QDP_Contract_8.-1-22_Clean-Final
- 2023-2025_QHP-IND_Att-1_8-1-22_Clean-Final
- 2023-2025_QHP-IND_Att-2_8-1-22_Clean-Final
- 2023-2025_QHP-IND_Att-3_8-1-22_Clean-Final
- 2023-2025_QHP-IND_Att-4_8-1-22_Clean-Final
- 2023_QHP-IND_Benefit-Design-Off-Exchange Silver_8-1-22
- 2023-2025 QHP-IND_Contract_8-1-22_Clean-Final
- 2023-2025 QHP-CCSB_Att-1_8-1-22_Clean-Final
- 2023-2025_QHP-CCSB_Att-2_8-1-22_Clean-Final
- 2023-2025_QHP-CCSB_Att-3_8-1-22_Clean-Final
- 2023-2025_QHP-CCSB_Contract_8-1-22_Clean-Final
- 2023_QHP-CCSB_Att-5_8-24-22_Clean-Final
- 2022-Amend QHP-IND Contract 8-9-21_Clean-Final
- 2022-Amend_QHP-IND Att-7_8-9-21_Clean-Final
- 2022-Amend_QHP-IND_Att-14_12-16-21_Clean-Final
- 2022-Amend_QDP Contract_8-9-21_Clean-Final
- 2022-Amend_QDP Att-3 8-9-21_Clean-Final
- 2022-Amend_QDP Att-7 8-9-21_Clean-Final
- 2022-Amend_QDP Att-14 8-9-21_Clean-Final
- 2022-Amend_QHP-CCSB Contract 8-9-21_Clean-Final
- 2022-Amend_QHP-CCSB Att-3 8-9-21_Clean-Final
- 2022-Amend_QHP-CCSB Att-7 8-9-21_Clean-Final
- 2022-Amend_QHP-CCSB Att-14 8-9-21_Clean-Final
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- QHP Model Contract for 2017-2021 – Amended for 2021
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- QDP Model Contract for 2017-2021 – Amended for 2021
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- CCSB Model Contract for 2017-2021 – Amended for 2021
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- CCSB Attachment 3 2017-2021 – Amended for 2021
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- CCSB Attachment 7 2017-2021 – Amended for 2021
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- CCSB Attachment 14 2017-2021 – Amended for 2021
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- Attachment 7 for the Individual Market 2017-2021 – Amended for 2021
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- Attachment 14 for for the Individual Market 2017-2021 – Amended for 2021
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- QHP Model Contract for 2017-2020 – Amended for 2020
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- QDP Model Contract for 2017-2020 – Amended for 2020
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- CCSB Model Contract for 2017-2020 – Amended for 2020
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- Attachment 7 for 2017-2020 – Amended for 2020
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- Attachment 14 for 2017-2020 – Amended for 2020
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- QHP Model Contract for 2017-2019 – Amended for 2019
- --><!--
- QDP Model Contract for 2017-2019 – Amended for 2019
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- CCSB Model Contract for 2017-2019 – Amended for 2019
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- Attachment 7 for 2017-2019 - Amended for 2019
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- Attachment 14 for 2017-2019 – Amended for 2019
- --><!--
- QHP Model Contract 2017-2019 – Amended for 2017 and 2018
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- QDP Model Contract 2017-2019 – Amended for 2017 and 2018
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- CCSB Model Contract 2017-2019 – Amended for 2017 and 2018
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- Attachment 7 – Amended for 2017 and 2018
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- QHP Model Contract for 2017-2019
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- QDP Model Contract for 2017-2019
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- CCSB Model Contract for 2017-2019
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