Health Insurance | Billing & Records

<!DOCTYPE html>     <html class="no-js" lang="en">  <head> <link rel="stylesheet" type="text/css" href=/assets/ucsf/main.css?v=40182074ecb56dad04debd94fedfc468 />  <script type="text/javascript" src="https://cdn.cookielaw.org/consent/15542477-8150-45a3-9953-e94fa799e80a/OtAutoBlock.js" ></script> <script src="https://cdn.cookielaw.org/scripttemplates/otSDKStub.js" type="text/javascript" charset="UTF-8" data-domain-script="15542477-8150-45a3-9953-e94fa799e80a" ></script> <script type="text/javascript"> function OptanonWrapper() { // Check if banner div is available if (document.getElementById('onetrust-banner-sdk')) { // Get the buttons and container var acceptBtn = document.getElementById("onetrust-accept-btn-handler"); var declineBtn = document.getElementById("onetrust-reject-all-handler"); var cookieSettingsBtn = document.getElementById("onetrust-pc-btn-handler"); var btnContainer = document.getElementById("onetrust-button-group"); // Set the order you want below... btnContainer.append(acceptBtn, cookieSettingsBtn, declineBtn) } } </script>   <script src="https://datalayer.ucsfhealth.org/ucsf-data-layer.js" defer></script>  <script src="https://datalayer.ucsfhealth.org/ucsfhealth-marketing-data-layer.js" defer></script>  <script type="text/plain" class="optanon-category-C0007" src="https://assets.adobedtm.com/db5f13cb240b/b1130ce1ceae/launch-db8f55f3e131.min.js" defer></script> <title>Health Insurance | Billing & Records | UCSF Health</title> <link href="/-/media/project/ucsf/ucsf-health/header/favicon-32x32.png?rev=e809a21b00b748a3abf7a90f0667e530" rel="shortcut icon" /> <link rel="canonical" href="https://www.ucsfhealth.org/billing-and-insurance/health-insurance" /> <meta content="Patients & Visitors" name="mainNavName" /> <meta property="fb:app_id" content="1162986667203299" /><meta property="og:description" content="Dealing with health insurance and other benefits can be very confusing. 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If you have questions, please call your insurance representative. Find more info here.","image":"https://www.ucsfhealth.org/-/media/project/ucsf/ucsf-health/article/hero/health-insurance-2x.jpg?rev=cfb4a6e5a82f48e1bfc237f767b9cb57","url":"https://www.ucsfhealth.org/billing-and-insurance/health-insurance","author":{"@type":"Organization","name":"UCSF Health"},"dateCreated":"2024-07-08T23:05:30+00:00","dateModified":"2024-07-08T23:06:54+00:00","datePublished":"2024-11-07T00:00:00+00:00","headline":"Health Insurance","publisher":{"@type":"Organization","name":"UCSF Health","logo":{"@type":"ImageObject","url":"https://www.ucsfhealth.org/-/media/project/ucsf/ucsf-health/ezgifcom-gif-maker.png?rev=b49aee14cf934fb086632358c341cf97"}},"articleBody":"UCSF Health has contracts with many health insurance companies – ranging from preferred provider organizations (PPOs) to health maintenance organizations (HMOs) – to provide specialized inpatient and outpatient care. \nThe following list includes the insurance companies that have contracts with UCSF as well as Medicare Advantage and Medi-Cal programs that are accepted here. If you have one of the plans listed below, you and your referring physician must follow the authorization procedure required by your plan when seeking care at UCSF Health.\nIf you're choosing or changing insurance: Even if your insurance plan appears on the list below, it doesn't guarantee full access to UCSF's services. To find out whether your plan allows unrestricted, restricted, or no access to care at UCSF Health, please ask your health insurance company or your employer's benefit manager. (Only they can answer this question for you; UCSF doesn't have this information.)\nPlease know that we do not contract with or participate in health insurance discount card programs. We do, however, accept payments made through health savings account (HSA) programs.","articleSection":"Article"} </script> </head> <body class="default-device bodyclass"> <a href="#content" class="skip-to-content">Skip to Main Content</a> <div id="wrapper">  <header> <div id="header" class="container-fluid"> <div class="component rich-text paragraph1 ie-warning-banner"> <div class="component-content"> <p> Looks like you’re visiting UCSF Health on Internet Explorer. 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class="article-content left-col"> <div class="article-info-top"> <div class="article-published"> <div class="eyebrow">Published November 2024</div> </div> </div> <div class="font-larger article-text rich-text"> <p>UCSF Health has contracts with many health insurance companies – ranging from preferred provider organizations (PPOs) to health maintenance organizations (HMOs) – to provide specialized inpatient and outpatient care. </p> <p>The following list includes the insurance companies that have contracts with UCSF as well as Medicare Advantage and Medi-Cal programs that are accepted here. If you have one of the plans listed below, you and your referring physician must follow the authorization procedure required by your plan when seeking care at UCSF Health.</p> <p><strong>If you're choosing or changing insurance:</strong> Even if your insurance plan appears on the list below, it doesn't guarantee full access to UCSF's services. To find out whether your plan allows unrestricted, restricted, or no access to care at UCSF Health, please ask your health insurance company or your employer's benefit manager. (Only they can answer this question for you; UCSF doesn't have this information.)</p> <p>Please know that we do not contract with or participate in <a href="/billing-and-insurance/health-insurance-terms-and-definitions#discount">health insurance discount card programs</a>. We do, however, accept payments made through <a href="/billing-and-insurance/health-insurance-terms-and-definitions#savings">health savings account (HSA)</a> programs.</p> </div> </div> <div class="article-info right-col"> </div> </div> </div> <div class="component content container"> <div class="component-content"> <div class="component column-layout col-2-66-33 col-xs-12 col-2-80-20"> <div class="component-content"> <div class="left-col"> <div class="component rich-text paragraph1 col-xs-12"> <div class="component-content"> <table> <tbody style="width:100%;"> <tr> <td style="width:30%;"><strong>HEALTH PLAN</strong></td> <td style="width:10%;"><strong>TYPE</strong></td> <td style="width:60%;"><strong>NOTE</strong></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>A</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.aetna.com" target="_blank">Aetna (Only Commercial Plans)</a></td> <td style="width:10%;">HMO, POS, PPO, EPO</td> <td style="width:60%;">UCSF is only included in some Aetna EPO plans, therefore check with Aetna to confirm our participation in your specific EPO plan.</td> </tr> <tr> <td style="width:30%;">Aetna Medicare Advantage Plans & Medicaid</td> <td style="width:10%;">HMO, POS, PPO, EPO</td> <td style="width:60%;">Not contracted</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://alamedaalliance.org/" target="_blank">Alameda Alliance for Health</a> (referrals only)</td> <td style="width:10%;">Medi-Cal HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.anthem.com/ca" target="_blank">Anthem Blue Connection </a></td> <td style="width:10%;">HMO & EPO</td> <td style="width:60%;">UCSF may only be included in some Anthem EPO plans, therefore check with Anthem to confirm our participation in your specific EPO plan.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.anthem.com/ca" target="_blank">Anthem Blue Cross CaliforniaCare</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.anthem.com/ca" target="_blank">Anthem Blue Cross Covered California Exchange, IFP & SHOP (Small Business)</a></td> <td style="width:10%;">EPO (Tier 1) & PPO </td> <td style="width:60%;">UCSF is not an in-network provider but is contracted for tertiary care (i.e., highly specialized care) if Anthem has prior authorized the care.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.anthem.com/ca" target="_blank">Anthem Blue Cross Medi-Cal Managed Care</a></td> <td style="width:10%;">Medi-Cal HMO</td> <td style="width:60%;">UCSF is not an in-network provider but is contracted for tertiary care (i.e., highly specialized care) if Anthem has prior authorized the care.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.anthem.com/ca" target="_blank">Anthem Blue Cross Plus</a></td> <td style="width:10%;">POS</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.anthem.com/ca" target="_blank">Anthem Blue Cross Prudent Buyer</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;">Anthem Medicare Advantage</td> <td style="width:10%;"></td> <td style="width:60%;">Not contracted</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.asfin.com/ASMEDHealth.php" target="_blank">ASMED Health Partnership</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.aspirehealthplan.org/" target="_blank">Aspire Health Plan</a></td> <td style="width:10%;">Medicare Advantage HMO, HMO (Commercial)</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>B</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.beechstreet.com/index.html" target="_blank">Beech Street</a> (via Multiplan)</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;">Blue Cross (See Anthem Blue Cross)</td> <td style="width:10%;"></td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.bcbs.com" target="_blank">Blue Shield 65 +</a></td> <td style="width:10%;">Medicare Advantage HMO, PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.bcbs.com" target="_blank">Blue Shield Access +</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.bcbs.com" target="_blank">Blue Shield Covered California, IFP and SHOP (Small Business)</a></td> <td style="width:10%;">HMO, PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.bcbs.com" target="_blank">Blue Shield HMO Plus</a></td> <td style="width:10%;">POS</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.bcbs.com" target="_blank">Blue Shield Narrow Network EPO</a></td> <td style="width:10%;">EPO</td> <td style="width:60%;">UCSF may only be included in some Blue Shield EPO plans, therefore check with Blue Shield to confirm our participation in your specific EPO plan.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.bcbs.com" target="_blank">Blue Shield Preferred</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.bcbs.com" target="_blank">Blue Shield Preferred Plus</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.bcbs.com" target="_blank">Blue Shield SELECT</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.blueshieldca.com/shop/plans" target="_blank">Blue Shield TRIO - HMO</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.blueshieldca.com/shop/covered-california" target="_blank">Blue Shield TRIO - Covered California</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.bndhmo.com/" target="_blank">Brand New Day Medicare Advantage Plans</a></td> <td style="width:10%;">Medicare Advantage HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>C</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://thealliance.health/" target="_blank">Central California Alliance for Health</a> (referrals only)</td> <td style="width:10%;">Medi-Cal HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;">Central Health Plan Medicare Advantage Plans</td> <td style="width:10%;">Medicare Advantage HMO</td> <td style="width:60%;"> </td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.cchphealthplan.com/" target="_blank">Chinese Community Health Plan</a></td> <td style="width:10%;">HMO, Medicare Advantage HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.humana.com" target="_blank">Choice Care/Humana</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.cigna.com/customer_care/" target="_blank">CIGNA HMO</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;">UCSF is not in-network for Pathwell.</td> </tr> <tr> <td style="width:30%;">CIGNA Medicare Advantage</td> <td style="width:10%;">HMO and PPO</td> <td style="width:60%;">Not Contracted</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.cigna.com/customer_care/" target="_blank">CIGNA POS</a></td> <td style="width:10%;">POS</td> <td style="width:60%;">UCSF is not in-network for Pathwell.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.cigna.com/customer_care/" target="_blank">CIGNA PPO</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;">UCSF is not in-network for Pathwell.</td> </tr> <tr> <td style="width:30%;">CorVel Corp.</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.firsthealth.com/" target="_blank">Coventry (First Health)</a></td> <td style="width:10%;">EPO, PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>D</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;">Definity Health</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>F</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.firsthealth.com/" target="_blank">First Health (Coventry)</a></td> <td style="width:10%;">EPO, PPO, W/C</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;">Foundation for Medical Care (multiple counties)</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>G</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.greatwesthealthcare.com/GreatWestHealthCare/default.aspx" target="_blank">Great West Healthcare (Cigna)</a></td> <td style="width:10%;">All plans</td> <td style="width:60%;">UCSF is not in-network for Pathwell.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.greatwesthealthcare.com/GreatWestHealthCare/default.aspx" target="_blank">Great West Healthcare (Cigna)</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;">UCSF is not in-network for Pathwell.</td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>H</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.healthnet.com/portal/member/custom/content.do?companyName=uc&companyPage=home.html" target="_blank">Health Net Behavioral Health (formerly MHN)</a></td> <td style="width:10%;">Commercial & Medicare</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.healthnet.com/portal/member/custom/content.do?companyName=uc&companyPage=home.html" target="_blank">Health Net Blue & Gold</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.canopyhealth.com/" target="_blank">Health Net Blue & Gold/Canopy Health</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://sfhss.healthnetcalifornia.com/" target="_blank"> Health Net Canopy Care San Francisco Health Service System/Canopy Health</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.healthnet.com/portal/member/custom/content.do?companyName=uc&companyPage=home.html" target="_blank">Health Net Covered California Small Business (SHOP)</a></td> <td style="width:10%;">PPO only</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.healthnet.com/home.asp" target="_blank">Health Net ELECT</a></td> <td style="width:10%;">POS</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.healthnet.com/home.asp" target="_blank">Health Net HMO</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.healthnet.com/home.asp" target="_blank">Health Net PPO</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.healthnet.com/home.asp" target="_blank">Health Net Seniority Plus</a></td> <td style="width:10%;">Medicare HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.healthnet.com/home.asp" target="_blank">Health Net Smart Care/Canopy Health</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.hpsj.com" target="_blank">Health Plan of San Joaquin</a> (referrals only)</td> <td style="width:10%;">Medi-Cal HMO and San Joaquin County employees</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.hpsm.org/" target="_blank">Health Plan of San Mateo Medi-Cal Managed Care</a> </td> <td style="width:10%;">Medi-Cal HMO (pediatrics only)</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.hpsm.org/default.aspx" target="_blank">Health Plan of San Mateo Medicare Advantage</a></td> <td style="width:10%;">Medicare - federal program</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.healthsmart.com/" target="_blank">Health Smart/Interplan Corp.</a></td> <td style="width:10%;">HMO, PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.hometownhealth.com/" target="_blank">Hometown Health</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;">Humana Medicare Advantage</td> <td style="width:10%;">Medicare HMO & PPO</td> <td style="width:60%;">Not contracted</td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>I</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.imperialhealthplan.com/" target="_blank">Imperial Health Plan - Medicare Advantage HMO</a> (specialty referrals only)</td> <td style="width:10%;">HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://interlinkhealth.com/transplant-and-specialty-networks/" target="_blank">Interlink Transplant Network</a></td> <td style="width:10%;"></td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.healthsmart.com/" target="_blank">Interplan Corp/Health Smart</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>K</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.kaiserpermanente.org" target="_blank">Kaiser Permanente ASO</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.kaiserpermanente.org" target="_blank">Kaiser Permanente HMO</a> (referrals only)</td> <td style="width:10%;">HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://thrive.kaiserpermanente.org/medicaid/medi-cal-california/why-kp" target="_blank">Kaiser Permanente Medi-Cal HMO</a> (referrals only)</td> <td style="width:10%;">Medi-Cal HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://healthy.kaiserpermanente.org/northern-california/front-door" target="_blank">Kaiser Permanente Medicare HMO</a> (referrals only)</td> <td style="width:10%;">Medicare Advantage HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>L</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://cignalifesource.com/transplant-network/index.html" target="_blank">Lifesource Transplant Network</a></td> <td style="width:10%;"></td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>M</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.dhcs.ca.gov/Pages/default.aspx" target="_blank">Medi-Cal</a></td> <td style="width:10%;">California program</td> <td style="width:60%;">No contracted with other state's Medicaid programs.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.medicare.gov/" target="_blank">Medicare</a></td> <td style="width:10%;">Federal program</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;">Merced Foundation for Medical Care</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.aetna.com/index.htm" target="_blank">Meritain/Aetna</a></td> <td style="width:10%;">PPO, EPO</td> <td style="width:60%;">UCSF may only be included in some Meritain/Aetna EPO plans, therefore check with Meritain/Aetna to confirm our participation in your specific EPO plan.</td> </tr> <tr> <td style="width:30%;">MHN Behavioral Health-See Health Net Behavioral Health</td> <td style="width:10%;">Commercial & Medicare</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.multiplan.com/" target="_blank">Multiplan (includes Beech Street and PHCS)</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;">UCSF is not contracted with Multiplan’s HST product.</td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>N</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://netbyd.com/" target="_blank">Networks by Design PPO</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>O</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.onlok.org/" target="_blank">On Lok Senior Health Services/PACE</a> (referrals only)</td> <td style="width:10%;">Medicare Advantage HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;">Optum Behavioral Health</td> <td style="width:10%;">HMO, PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.myoptumhealthcomplexmedical.com/gateway/public/transplants/transplantLinks.jsp" target="_blank">Optum Transplant Network</a></td> <td style="width:10%;">HMO, PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>P</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;">Pacific Health Alliance</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.partnershiphp.org/" target="_blank">Partnership Health Plan, Medi-Cal</a> (referrals only)</td> <td style="width:10%;">Medi-Cal HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;">PPO NEXT</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.multiplan.us" target="_blank">Private Health Care Systems (PHCS) (via Multiplan)</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.progenyhealth.com/" target="_blank">Progeny Health (Reproductive/Fertility)</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>S</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;">San Francisco Foundation for Medical Care</td> <td style="width:10%;">PPO/EPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.sfhp.org" target="_blank">San Francisco Health Plan</a> (pre-authorization required for specialty or hospital care)</td> <td style="width:10%;">Medi-Cal HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.sfhp.org" target="_blank">San Francisco Health Plan</a> Healthy Kids (referrals only)</td> <td style="width:10%;">HMO</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.sfhp.org" target="_blank">San Francisco Health Plan IHSS</a></td> <td style="width:10%;"></td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.sfhp.org" target="_blank">San Francisco Health Plan</a> UCSF Primary Care</td> <td style="width:10%;">Medi-Cal HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.sfhp.org" target="_blank">San Francisco Health Plan/SF Cares for Kids</a></td> <td style="width:10%;">Medi-Cal HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;">San Joaquin Foundation for Health Care</td> <td style="width:10%;">PPO/EPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;">Stanislaus Foundation for Medical Care</td> <td style="width:10%;">PPO/EPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;">Stanislaus County Partners in Health</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>T</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.tricare.mil/prime" target="_blank">TriCare Prime</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.tricare.mil/select" target="_blank">TriCare Select</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.triwest.com/" target="_blank">TriWest/VA</a></td> <td style="width:10%;">Federal program</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>U</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://ucnet.universityofcalifornia.edu/compensation-and-benefits/health-plans/medical/uc-care.html" target="_blank">UC Care</a> (administered by Anthem Blue Cross)</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://ucnet.universityofcalifornia.edu/compensation-and-benefits/health-plans/medical/core.html" target="_blank">UC Core Plan</a> (administered by Anthem Blue Cross)</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://ucnet.universityofcalifornia.edu/compensation-and-benefits/health-plans/medical/uc-health-savings-plan.html" target="_blank">UC Health Savings Plan</a> (administered by Anthem Blue Cross)</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://ucnet.universityofcalifornia.edu/compensation-and-benefits/health-plans/medical/medicare/uc-high-option.html" target="_blank">UC High Option Supplement to Medicare</a> (administered by Anthem Blue Cross)</td> <td style="width:10%;">Medicare Advantage Supplement Plan</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.unitedhealthcare.com" target="_blank">UC Medicare Choice</a> (administered by United Healthcare)</td> <td style="width:10%;">Medicare Advantage PPO</td> <td style="width:60%;"><br /> </td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://ucnet.universityofcalifornia.edu/compensation-and-benefits/health-plans/medical/medicare/uc-medicare-ppo.html" target="_blank">UC Medicare PPO</a> (administered by Anthem Blue Cross)</td> <td style="width:10%;">Medicare Advantage Supplement Plan</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://ucnet.universityofcalifornia.edu/compensation-and-benefits/health-plans/medical/medicare/uc-medicare-ppo-wpd.html" target="_blank">UC Medicare PPO without prescription drugs</a> (administered by Anthem Blue Cross)</td> <td style="width:10%;">Medicare Advantage Supplement Plan</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.ucresidentbenefits.com/" target="_blank">UC Residents & Fellows HMO plan</a> (administered by Anthem Blue Cross)</td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.ucresidentbenefits.com/" target="_blank">UCSF Residents & Fellows</a> (administered by Anthem Blue Cross)</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://studenthealth.ucsf.edu/medical-plan-benefits" target="_blank">UCSF Student Health Insurance Plan</a> (administered by Anthem Blue Cross)</td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.unitedhealthcare.com" target="_blank">United Healthcare</a></td> <td style="width:10%;">EPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.uhc.com/" target="_blank">United Healthcare</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.unitedhealthcare.com" target="_blank">United Healthcare CHOICE</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.unitedhealthcare.com" target="_blank">United Healthcare CHOICE Plus</a></td> <td style="width:10%;">POS</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.canopyhealth.com/en/resources/uch-doctors-plan-epo.html" target="_blank">United Healthcare Doctor's Plan</a> </td> <td style="width:10%;">EPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.unitedhealthcare.com" target="_blank">United HealthCare Group PPO Plans</a></td> <td style="width:10%;">Medicare Advantage PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.canopyhealth.com/" target="_blank">United Healthcare Medicare Advantage</a></td> <td style="width:10%;">Medicare Advantage HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.canopyhealth.com/" target="_blank">United Healthcare Medicare Advantage (Canopy Health only)</a></td> <td style="width:10%;">Medicare Advantage HMO</td> <td style="width:60%;">Plan is ending on 12/31/24.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.unitedhealthcare.com" target="_blank">United Healthcare Options</a></td> <td style="width:10%;">PPO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.unitedhealthcare.com" target="_blank">United Healthcare Select Plus</a></td> <td style="width:10%;">POS</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.canopyhealth.com/" target="_blank"> United Healthcare SignatureValue Harmony/Canopy Health</a></td> <td style="width:10%;">HMO</td> <td style="width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="http://www.unitedhealthcare.com" target="_blank">United Healthcare/AARP Medicare Advantage Choice Plan Individuals</a></td> <td style="width:10%;">Medicare Advantage PPO (hospital only)</td> <td style="width:60%;">UCSF Medical Group physicians are not contracted. UCSF Medical Center hospital and clinic facilities are contracted.</td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>V</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.triwest.com/" target="_blank">Veterans Association/TriWest</a> </td> <td style="width:10%;">Federal program</td> <td style="width:60%;"></td> </tr> <tr> <td style="background-color: #c6d9f0; width:30%;"><strong>W</strong></td> <td style="background-color: #c6d9f0; width:10%;"></td> <td style="background-color: #c6d9f0; width:60%;"></td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.westernhealth.com" target="_blank">Western Health Advantage</a> (referrals only)</td> <td style="width:10%;">HMO (hospital only)</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> <tr> <td style="width:30%;"><a rel="noopener noreferrer" href="https://www.westernhealth.com" target="_blank">Western Health Advantage Covered California</a> (referrals only)</td> <td style="width:10%;">HMO (hospital only)</td> <td style="width:60%;">To get care from UCSF covered by insurance, your health plan must first authorize a referral.</td> </tr> </tbody> </table> </div> </div> </div> <div class="right-col"> </div> </div> </div> <div class="component article-cards cards-component col-xs-12"> <div class="component-content"> <div> <h2 class="heading1 title-anchor"> Recommended Reading </h2> <div class="view-all"> </div> </div> <div class="cards"> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance" class="phantom-link" title="Billing and Insurance"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/article/hero/billing-and-records-2x.jpg?h=376&w=974&rev=69209857c25641ad8d3f511ecd8ff407&hash=51C56BEF50CCA38605B84D95221A12DF" alt="" width="2880" height="1112" /> <p class="font-larger"> Billing and Insurance </p> <p> If you’re a patient at UCSF Health, we will submit a claim to your health insurance. Find out more. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/help-paying-your-bill" class="phantom-link" title="Help Paying Your Bill"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/service/hero/help-paying-your-bill-2x.jpg?h=376&w=974&rev=64dcd857fb484ea088a9e83a0db5cd83&hash=2513062AAA044194785FC92100DD2344" alt="" width="2880" height="1112" /> <p class="font-larger"> Help Paying Your Bill </p> <p> Financial assistance is available to eligible patients for emergency and medically necessary care. Read the requirements and find out how to apply. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/health-insurance-terms-and-definitions" class="phantom-link" title="Health Insurance Terms & Definitions"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/article/hero/health-insurance-terms-and-definitions-2x.jpg?h=376&w=974&rev=170ff0c0c3534d919151586fa32aa558&hash=F603B7CB0649F2DACD5E2BD350A6B560" alt="Glossary-2x" width="2880" height="1112" /> <p class="font-larger"> Health Insurance Terms & Definitions </p> <p> See patient-friendly definitions for words that refer to health insurance, from “co-payment” and “deductible” to “HMO,” “high-deductible,” “Medi-Cal” and more. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/health-insurance-benefits" class="phantom-link" title="Health Insurance Benefits: Private & Public Plans"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/article/hero/health-insurance-benefits-2x.jpg?h=376&w=974&rev=fec9c338c7e944e585f827d8580717e3&hash=774807D140CBC29946BF211F6A8C52ED" alt="Health-Coverage-Background-2x" width="2880" height="1112" /> <p class="font-larger"> Health Insurance Benefits: Private & Public Plans </p> <p> Find detailed info about private plans, group plans, public health care plans, plans for people with pre-existing conditions, and public health coverage. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/no-surprises-billing-act" class="phantom-link" title="Patient Protections Against Surprise Medical Bills"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/article/hero/no-surprises-billing-act-1440x556-2x.jpg?h=376&w=974&rev=606dd95d68964fb8a954e606cabb864d&hash=3B7C6F65EE888F9A7C5D698EA70298ED" alt="" width="2880" height="1112" /> <p class="font-larger"> Patient Protections Against Surprise Medical Bills </p> <p> If you see health care providers outside your plan network, find out how the federal No Surprises Act protects you against balance billing and surprise billing. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> </div> </div> </div> <div class="component twoup-promo col-xs-12"> <div class="component-content"> <div class="component twoup-promo-contact col-xs-12"> <div class="component-content"> <h2 class="heading1 field-headline">Financial Counseling</h2><p class="font-larger field-promo-text"><p>M-F, 9 a.m. - 5 p.m.</p></p><div class="field-phone"><span class='icon-ui-phone'></span> (415) 353-1966</div> </div> </div> <div class="component twoup-promo-contact col-xs-12"> <div class="component-content"> <h2 class="heading1 field-headline">Patient Estimate Program </h2><p class="font-larger field-promo-text"><p><a rel="noopener noreferrer" rel="noopener noreferrer" href="https://ucsfmychart.ucsfmedicalcenter.org/UCSFMychart/guestestimates" target="_blank"><button type="button" class="btn btn-primary">Get a price estimate online</button></a></p></p><div class="field-phone"><span class='icon-ui-phone'></span> Toll-free: (844) 678-6831</div> <div class="field-email"> <span class='icon-ui-mail'></span><a href="/cdn-cgi/l/email-protection#6111001508040f15041215080c00150421140212074f040514"><span class="__cf_email__" data-cfemail="4f3f2e3b262a213b2a3c3b26222e3b2a0f3a2c3c29612a2b3a">[email protected]</span></a> </div> </div> </div> </div> </div> </div> </div> </div> </main>   <footer> <div id="footer" class="container"> <div class="component footer-values col-xs-12"> <div class="component-content"> <div> <div class="component ucsf-values col-xs-12"> <div class="component-content"> <div class="container"><div class="title eyebrow field-eyebrow-text">Did you know?</div><h2 class="heading1 field-quote-text">In 1981, UCSF's Gail Martin co-discovered embryonic stem cells in mice and coined the term "embryonic stem cell." Today, our stem cell center is one of the largest in the U.S., and our researchers there are developing new treatment strategies for a broad range of disorders, including heart disease, diabetes, neurological conditions and cancer.</h2><a href="https://stemcell.ucsf.edu/" rel="noopener noreferrer" data-variantitemid="{523D4E22-5538-4AA6-B288-D66A4CA9FECA}" data-variantfieldname="Link" target="_blank">Learn more</a></div> </div> </div> </div> </div> </div> <div class="component footer-content col-xs-12"> <div class="component-content"> <div class="container"><div class="top-row"> <div class="component image file-type-icon-media-link logo"> <div class="component-content"> <img src="/-/media/project/ucsf/ucsf-health/images/logos/logowhite.png?h=26&iar=0&w=141&rev=7a07669440bb454d9c7c3ef29f025f8b&hash=F3B696610C78F98E03B340A55F44AC06" alt="UCSF Health" width="141" height="26" data-variantitemid="{43F4CA98-D35D-4B36-8558-CADA034604A7}" data-variantfieldname="Image" loading="lazy" /> </div> 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