For Members

Personalized health care when you need it

Central Valley Health Plan (CVHP) offers its members Medicare Advantage plans through select, trusted insurance partners and provides an enhanced level of personalized health care with an emphasis on prevention, access and quality of life. We believe in preventive care. That's why we're committed to continuously assessing our members' health care needs—not just when you need specialized care or hospitalization.

We work with each member to ensure that individual health goals are met and provide resources to meet those goals.

How selecting CVHP works

• Members select Central Valley Health Plan during the Medicare Annual Enrollment Period.
• Members choose a health plan that includes CVHP from one of our select insurance companies, currently Humana Medicare Advantage Gold Plus.
• Members then select a primary care physician (PCP) from either Central Valley Medical Providers or Santé Physicians.
• Members then select Central Valley Medical Providers or Santé Physicians, as their specialty network.

Care Management

We offer comprehensive medical management services to our members through Complex Case Management, Disease Management and Case Management programs. Enrollment in these programs is initiated by a member’s care team including the Primary Care Physician, an attending specialist, or a hospitalist for members receiving inpatient care.

For more information about enrollment criteria or program details, contact CVHP at (833) 882-2847.

Grievance and Appeals

If you are dissatisfied with any aspect of your health care plan, you can submit a grievance at any time through Humana Customer Support services. Grievances do not include claims or service denials, as those are classified as appeals.

For more information about filing a grievance or an appeal for a claim or service denial, visit the Humana website, here.

Customer Support

If you have any questions for any of our partners, please click on their name below for more information about their Member Support Services.