Member Services and Benefit Information
Landmark Healthplan of California is a Knox-Keene licensed specialized health services plan. We provide insured chiropractic, acupuncture and combined chiropractic/acupuncture benefit plans throughout California.
We are pleased that you and your employer have chosen Landmark and are committed to providing you with a comprehensive network of high quality providers for an affordable premium.
Locate a Provider in Your Area
Click the Provider Directory link below to locate a participating California chiropractor or acupuncturist in your area.
About Our Plans
We offer chiropractic, acupuncture and combination benefit plans with a range of premiums, co-payments and visit limits. Our Standard Plan covers medically necessary treatment for acute disorders of the neuromusculoskeletal system. Our Expanded Plan offers broader coverage. Wellness and preventative care is covered in addition to care for acute conditions and prior authorization is never required. None of our plans requires the satisfaction of deductibles or applies co-insurance. The member's responsibility at the point of service is just the office visit co-payment.
Using Your Benefit
Accessing care under our plans is easy: simply contact an in-network provider and provide your group name and number to schedule an initial exam. To locate an in-network provider click on Provider Directory or call (800) 298-4875 for assistance.
Your chiropractor or acupuncturist may tell you that he or she must seek prior authorization from us before treating you to insure that the care is medically necessary. As a general rule, treatment is “medically necessary” when performed to treat an acute condition resulting from disease or injury, as opposed to treatment given to maintain your current health status or to address chronic illnesses or conditions that further treatment will not materially improve. We recognize that when making medical necessity determinations, reasonable clinicians can differ which is why we maintain a robust appeal process that you or your provider (with your consent) can access to have treatment decisions reviewed.
Schedules of Benefits
To see a more detailed description of benefits, click on a plan below:
The information on this website is a summary of plan benefits. Please see Landmark’s Schedule of Benefits and Evidence of Coverage and Disclosure form for a complete plan description.
Health Advocate Health and Wellness Referrals and Coaching
A unique partnership between Landmark and Health Advocate provides personalized telephone access to health education, counseling and referral services. Administered by Health Advocate, participants have nationwide toll-free access to a wide array of counseling, education and referral services for:
- Gym membership discounts
- Massage therapy
- Yoga, Tai Chi, and relaxation
- Fitness and exercise programs
- Smoking cessation
- Prenatal and postnatal care, health self-help and parenting resources
Experienced Health Advocate counselors develop a personalized plan for program enrollees and provide referrals to qualified practitioners or instructors, wellness programs or other related health resources.
Member Educational Materials