Provider FAQs - Community Health Plan

Frequently Asked Questions

For Providers

What is Community Care Health’s service area?

Community Care Health is Fresno’s only locally based, commercial health plan. We serve members based in Fresno and neighboring counties. See a list of CCH’s service area included in Community Care Health’s service area.

Which services are covered under Community Care Health?

Community Care Health is a comprehensive health care service plan that offers a full range of medical care. Covered services always include coverage for doctor office visits, hospital stays, surgery, outpatient procedures, preventive services (periodic immunizations, physical exams, and routine screenings) and much more. These services are provided at varying levels of copayments and/or coinsurance. Coverage varies depending on the benefit plan you’re enrolled in. Contact member services if you have questions about which services are covered under your plan and your cost share.

How do HMO enrollees of Community Care Health select a primary care physician?

HMO Enrollees will have the opportunity to choose a primary care physician (PCP). If a participant does not choose a PCP at the time of enrollment, Community Care Health will assign one. If at any time the enrollee would like to change their PCP, they may call Community Care Health for assistance at (855) 343-2247.

How does my office verify eligibility, benefit & copays?

Please contact Community Care Health at (855) 343-2247 to verify eligibility, benefits and copayment information.

How do I become a participating provider?

Please send an email to providerrelations@communitycarehealth.org and a representative will contact you within two (2) business days.