Identification Card Request
Your ID card will come printed on paper. You will need to tear off the card out from the sheet of paper.
Contra Costa Health Plan
595 Center Avenue, Suite 100
Martinez, CA 94553
To request a new I.D. Card, please use the Online Form below then Submit.
Form must be fully completed before request can be processed.
Card should be received within 2 weeks of request.
If this form was not completed by member or member's legal guardian, we will be unable to process request without member's explicit agreement.