Quality and Affordable Health Care with Alameda Alliance

Founded: 1996
Headquarters: 1240 South Loop Road, Alameda, California 94502 USA
Phone: 510-747-4500
Website: alamedaalliance.org

Alameda Alliance for Health: A Local, Public, and Not-for-Profit Health Plan

Are you looking for a health insurance company that is committed to making high-quality health care services accessible and affordable to Alameda County residents? If so, you may want to consider Alameda Alliance for Health, a local, public, and not-for-profit managed care health plan that has been serving the community for over 25 years.

Company History

Alameda Alliance for Health was established in 1996 by a group of visionary community health leaders who wanted to create a health plan that would address the needs and challenges of the diverse and underserved populations in Alameda County. Since then, the Alliance has grown to serve over 275,000 members, including Medi-Cal, Medicare, and Alliance Group Care members, through a network of over 5,000 primary care providers, specialists, and hospitals.

Services

The Alliance offers a range of services to its members, such as:

– Primary and preventive care

– Specialty care and referrals

– Hospital and emergency care

– Prescription drugs and pharmacy services

– Dental and vision care

– Behavioral health and substance use disorder services

– Care management and coordination

– Member support and education

– Transportation assistance

– Language and interpretation services

– Grievance and appeal rights

Health Care Plan

The Alliance offers different health care plans to meet the needs and eligibility of its members, such as:

Medi-Cal: A public health insurance program for low-income individuals and families, seniors, persons with disabilities, children in foster care, pregnant women, and low-income people with specific diseases.

Medicare: A federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with end-stage renal disease.

Alliance Group Care: A health plan for individuals who are eligible for both Medi-Cal and Medicare, also known as dual eligible. This plan provides comprehensive and coordinated care for members who need long-term services and supports.

Alliance CompleteCare: A health plan for individuals who are eligible for both Medi-Cal and Medicare, also known as dual eligible. This plan provides all-in-one care for members who have complex medical needs and chronic conditions.

Benefits

The Alliance provides many benefits to its members, such as:

– No monthly premiums, deductibles, or copayments for most services

– Access to a large network of quality providers and facilities

– Choice of a primary care provider who oversees your care

– Coverage for preventive care, screenings, and immunizations

– Coverage for family planning, maternity, and newborn care

– Coverage for mental health and substance use disorder services

– Coverage for home health, hospice, and skilled nursing facility care

– Coverage for durable medical equipment, prosthetics, and supplies

– Coverage for over-the-counter medications and supplements

– Extra benefits such as gym memberships, weight management programs, and acupuncture

Funding

The Alliance is a public entity that is funded by federal, state, and local sources, such as:

– Medi-Cal Managed Care rates from the California Department of Health Care Services

– Medicare Advantage rates from the Centers for Medicare and Medicaid Services

– Local Health Plan Option funds from the Alameda County Health Care Services Agency

– Grants and donations from various organizations and foundations

Partnership

The Alliance works in partnership with many stakeholders in the community, such as:

– Alameda County Board of Supervisors

– Alameda County Health Care Services Agency

– Alameda Health System

– Alameda Health Consortium

– Community Health Center Network

– Health Care Services Oriented Architecture

– Health Plan of San Joaquin

– Local Initiative Health Authority of Los Angeles County

– Partnership HealthPlan of California

– San Francisco Health Plan

Award and Recognition

The Alliance has received many awards and recognition for its excellence and innovation in health care, such as:

– Accreditation by the National Committee for Quality Assurance

– Recognition by the California Department of Health Care Services as a high-performing Medi-Cal plan

– Recognition by the Centers for Medicare and Medicaid Services as a four-star Medicare Advantage plan

– Recognition by the Integrated Healthcare Association as a top performer in quality and patient experience

– Recognition by the California Association of Public Hospitals and Health Systems as a leader in care coordination and integration

– Recognition by the California Health Care Foundation as a leader in health information technology and data analytics

Disclaimer: Please note that the names and positions of employees mentioned may be subject to change, as individuals may move to different roles or organizations. While we make every effort to keep our information accurate and up-to-date, we cannot guarantee that all employee details are current or complete. We encourage you to verify the identity and positions of any individual mentioned and check their Linkedin Profile before taking any action based on their role.