Agencies that Oversee Health Plans
Different kinds of health plans are regulated by different state and federal agencies.
A regulatory agency oversees a health plan. This means it develops regulations that the health plan must follow. It also makes sure that the health plan follows these regulations.
You can view a list of all the health plans regulated by the DMHC.
Health Plan |
Regulatory Agency |
|---|---|
All California HMOs |
California Department of Managed Health Care (www.dmhc.ca.gov) |
Blue Shield of California PPO |
California Department of Managed Health Care (www.dmhc.ca.gov) |
| Most other PPOs in California |
California Department of Insurance (www.insurance.ca.gov) |
| Medicare Advantage Plans |
Federal Center for Medicare Services (www.medicare.gov) |
Medicare Supplement Plans (Medigap Plans) |
California Department of Insurance (www.insurance.ca.gov) |
Medi-Cal Fee for Service |
California Department of Health Services (www.dhs.ca.gov) |
Medi-Cal Managed Care Plans |
California Department of Managed Health Care (www.dmhc.ca.gov) |
MRMIP, Healthy Families, and AIM |
Managed Risk Medical Insurance Board (www.mrmib.ca.gov) |
Self-Funded Plans (non-government entities) |
U.S. Department of Labor (www.dol.gov) |
Self-Funded Plans (government, church or school-sponsored entities) |
The government agency or church or school entity that issued the health plan |