2024 L.A. Care Covered Member Documents

Whether you're leaving your parents' insurance plan, starting your own family or moving into a new phase of life, L.A. Care Covered™ offers a plan to meet your needs. Take advantage of no-cost preventive and wellness care as well as other benefits available through your plan. 

2024 Evidence of Coverage

2024 Evidence of Coverage (Member Handbook)

This publication is called a Subscriber Agreement & Combined Evidence of Coverage and Disclosure Form (also called the Subscriber Agreement & Member Handbook).
It is a legal document that explains your health care plan and should answer many important questions about your benefits.
 
You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711).
 

L.A. Care Covered Platinum 90 HMO Evidence of Coverage - English
L.A. Care Covered Platinum 90 HMO Evidence of Coverage - Spanish
L.A. Care Covered Platinum 90 HMO Evidence of Coverage - Chinese

L.A. Care Covered Gold 80 HMO Evidence of Coverage - English
L.A. Care Covered Gold 80 HMO Evidence of Coverage - Spanish
L.A. Care Covered Gold 80 HMO Evidence of Coverage - Chinese

L.A. Care Covered Silver 70 HMO Evidence of Coverage - English
L.A. Care Covered Silver 70 HMO Evidence of Coverage - Spanish
L.A. Care Covered Silver 70 HMO Evidence of Coverage - Chinese

L.A. Care Covered Silver 94 HMO Evidence of Coverage - English
L.A. Care Covered Silver 94 HMO Evidence of Coverage - Spanish
L.A. Care Covered Silver 94 HMO Evidence of Coverage - Chinese

L.A. Care Covered Silver 87 HMO Evidence of Coverage - English
L.A. Care Covered Silver 87 HMO Evidence of Coverage - Spanish
L.A. Care Covered Silver 87 HMO Evidence of Coverage - Chinese

L.A. Care Covered Silver 73 HMO Evidence of Coverage - English
L.A. Care Covered Silver 73 HMO Evidence of Coverage - Spanish
L.A. Care Covered Silver 73 HMO Evidence of Coverage - Chinese

L.A. Care Covered Bronze 60 HMO Evidence of Coverage - English
L.A. Care Covered Bronze 60 HMO Evidence of Coverage - Spanish
L.A. Care Covered Bronze 60 HMO Evidence of Coverage - Chinese

L.A. Care Covered Minimum Coverage HMO Evidence of Coverage - English
L.A. Care Covered Minimum Coverage HMO Evidence of Coverage - Spanish
L.A. Care Covered Minimum Coverage HMO Evidence of Coverage - Chinese

L.A. Care Covered $0 Cost Share HMO AI-AN Evidence of Coverage - English
L.A. Care Covered $0 Cost Share HMO AI-AN Evidence of Coverage - Spanish
L.A. Care Covered $0 Cost Share HMO AI-AN Evidence of Coverage - Chinese

L.A. Care Covered Platinum 90 HMO AI-AN Evidence of Coverage - English
L.A. Care Covered Platinum 90 HMO AI-AN Evidence of Coverage - Spanish
L.A. Care Covered Platinum 90 HMO AI-AN Evidence of Coverage - Chinese

L.A. Care Covered Gold 80 HMO AI-AN Evidence of Coverage - English
L.A. Care Covered Gold 80 HMO AI-AN Evidence of Coverage - Spanish
L.A. Care Covered Gold 80 HMO AI-AN Evidence of Coverage - Chinese

L.A. Care Covered Silver 70 HMO AI-AN Evidence of Coverage - English
L.A. Care Covered Silver 70 HMO AI-AN Evidence of Coverage - Spanish
L.A. Care Covered Silver 70 HMO AI-AN Evidence of Coverage - Chinese

L.A. Care Covered Bronze 60 HMO AI-AN Evidence of Coverage - English
L.A. Care Covered Bronze 60 HMO AI-AN Evidence of Coverage - Spanish
L.A. Care Covered Bronze 60 HMO AI-AN Evidence of Coverage - Chinese

2024 Summary of Benefits and Coverage

A Summary of Benefits and Coverage tells you what a plan covers and what it costs. This is only a summary. If you want more detail about our L.A. Care Covered plans, call us at 1-855-270-2327 to speak with a health plan expert.

L.A. Care Covered Platinum 90 HMO Summary of Benefits and Coverage
L.A. Care Covered Platinum 90 HMO Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Platinum 90 HMO Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Gold 80 HMO Summary of Benefits and Coverage
L.A. Care Covered Gold 80 HMO Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Gold 80 HMO Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Silver 70 HMO Summary of Benefits and Coverage
L.A. Care Covered Silver 70 HMO Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Silver 70 HMO Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Silver 94 HMO Summary of Benefits and Coverage
L.A. Care Covered Silver 94 HMO Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Silver 94 HMO Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Silver 87 HMO Summary of Benefits and Coverage
L.A. Care Covered Silver 87 HMO Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Silver 87 HMO Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Silver 73 HMO Summary of Benefits and Coverage
L.A. Care Covered Silver 73 HMO Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Silver 73 HMO Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Bronze 60 HMO Summary of Benefits and Coverage
L.A. Care Covered Bronze 60 HMO Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Bronze 60 HMO Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Minimum Coverage HMO Summary of Benefits and Coverage
L.A. Care Covered Minimum Coverage HMO Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Minimum Coverage HMO Summary of Benefits Coverage - (Chinese)

L.A. Care Covered $0 Cost Share HMO AI-AN Summary of Benefits and Coverage
L.A. Care Covered $0 Cost Share HMO AI-AN Summary of Benefits Coverage - (Spanish)
L.A. Care Covered $0 Cost Share HMO AI-AN Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Platinum 90 HMO AI-AN Summary of Benefits and Coverage
L.A. Care Covered Platinum 90 HMO AI-AN Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Platinum 90 HMO AI-AN Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Gold 80 HMO AI-AN Summary of Benefits and Coverage
L.A. Care Covered Gold 80 HMO AI-AN Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Gold 80 HMO AI-AN Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Silver 70 HMO AI-AN Summary of Benefits and Coverage
L.A. Care Covered Silver 70 HMO AI-AN Summary of Benefits Coverage - (Spanish)
L.A. Care Covered Silver 70 HMO AI-AN Summary of Benefits Coverage - (Chinese)

L.A. Care Covered Bronze 60 HMO AI-AN Summary of Benefits and Coverage
L.A. Care Covered Bronze 60 HMO AI-AN Summary of Benefits and Coverage - (Spanish)
L.A. Care Covered Bronze 60 HMO AI-AN Summary of Benefits and Coverage - (Chinese)

Provider Directory

A Provider Directory is a list of doctors, specialists, medical groups, clinics, and hospitals contracted with L.A. Care to provide covered health care services for Members. Some network providers may have been added or removed from our network after this directory was published. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about L.A. Care Covered™ network providers in your area, please visit our Find a Doctor or Hospital page or call our Member Services Department at 1-855-270-2327  (TTY/TDD 711), 24 hours a day, 7 days a week, including holidays.