State of California notices required posting at designated location(s)

State of An Emergency or Declaration of a Health Emergency (California SB 979)(45)

In the event you are impacted by a California State of Emergency or Declaration of a Health Emergency, OptumHealth Physical Health of California (OHPHC) will work with you to minimize disruptions and obtain needed care.

Get updates on the current State of Emergencies from the California Governor’s Office of Emergency Services.

Your Right to Receive Confidential Communications Related to Receipt of Sensitive Services (California AB 1184)

California law gives members certain rights regarding communications received from health insurance companies and health plans regarding the receipt of sensitive services. The law recognizes the importance of maintaining the privacy of this information for members, including minors, who might be vulnerable if it were shared.

This law ensures that these communications are sent to the person who received the treatment or care instead of the plan subscriber.

The law also gives members the right to request that we send communications in a different format or to a different address.

Sensitive services subject to this law

“Sensitive services” refers to all health care services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender affirming care and intimate partner violence.

How we will send communications related to your receipt of sensitive services:

If you have designated an alternative mailing address, email address or telephone number pursuant to the confidential communication process below, we are required to send or make all communications related to your receipt of sensitive services to the alternative mailing address, email address or telephone number designated.

If you have not designated an alternative mailing address, email address or telephone number, we are required to send or make all communications related to your receipt of sensitive services at the address or telephone number on file.

Types of communications subject to this law:

The communications subject to this law include the following written, verbal or electronic communications related to the receipt of sensitive services:

• Bills and attempts to collect payment
• Notices of Adverse Benefit Determinations
• Explanation of benefits (EOB) notices
• Requests for additional information regarding a claim
• Notices of contested claims 
• The name and address of a provider, description of services provided, and other information related to a visit
• Any written, oral or electronic communication that contains protected health information 

How to submit a confidential communications request:

Submit your request for confidential communications by completing the form.

If you have questions about submitting a request, call customer service at the telephone number located on your health plan ID card.

Your request will be valid until you submit a revocation of the request or a new confidential communication request is submitted.

Explanation of Benefits – Accrual Information for Deductibles and Out-of-Pocket Maximums (California SB 368)

California Senate Bill 368 (CA SB 368) requires OptumHealth Physical Health of California (OHPHC) — and any other health plans — to notify health plan members of their rights to receive accumulator information. Below is important information you should know.

What is an EOB?

An Explanation of Benefits (EOB) is a statement summarizing the costs we cover for medical care or products and includes an individual’s deductible (if applicable) and out-of-pocket maximum balances. All members who accessed care, regardless of what type of plan they’re enrolled in, will receive an EOB for the month during which they accessed care. For more information regarding your EOB, please contact Customer Service at the telephone number listed on the back of your health ID card. Your EOB is not a bill and no action is required.

What if I have a question about how to read my EOB?

You can contact Customer Service at the telephone number listed on the back of your health ID card with any questions on how to read your EOB.