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Patient Guide

Health Insurance

Dealing with health insurance and other benefits can be very confusing. If you have questions, please call your insurance representative to better understand how your policy works and what it covers.

Please bring your Medicare, Medi-Cal or insurance identification card to your visit at UCSF Medical Center. Your insurance may require prior authorization before seeing a UCSF doctor. If so, please ask your primary care doctor or insurance company to fax your authorization to the UCSF doctor's office and bring a copy to your appointment to ensure you aren't billed for services covered by your insurance. You may be called for insurance or authorization information before your appointment.

Your insurance may require an office co-payment. If so, you will be asked to make your co-payment in full at your visit. If your visit is not covered by a health plan or insurance, you will be asked to pay for your visit on arrival. For your convenience, we accept cash, checks and credit cards.

UCSF Medical Center contracts with many major health insurance companies. A list of health insurance companies that provide coverage for our services is available below.

Our hospitals and doctors do not contract with or participate in any health insurance discount card programs. They do, however, accept payments made through health savings account programs. We also can make financial arrangements for your coverage with other health insurance companies, if the companies are willing to do so. Please ask your insurance company or your UCSF doctor to contact our Health Plan Strategy and Contracting office.

Health Plan Strategy and Contracting
Phone(415) 353-4536
Fax(415) 353-4397

For background information, a glossary of health insurance terms and an explanation of private and public health coverage are available.

If you need help finding a doctor, please contact our Physician Referral Service. We can provide information about the more than 900 doctors at UCSF Medical Center and UCSF Children's Hospital.

Physician Referral Service

Phone(888) 689-UCSF or (888) 689-8273
Fax(415) 353-4395
Emailreferral.center@ucsfmedctr.org

We also have an online directory of our doctors. Our doctors are members of the UCSF Medical Group and are full-time faculty members of the University of California, San Francisco.

The following is a list of the companies that currently have contracts with us.

HEALTH PLAN TYPE OF PLAN
Aetna (Except Aexcel Network) All Plans
Aetna Citizen HMO
Aetna Elect Choice (EC) EPO
Aetna Managed Choice (MC) POS
Aetna Open Choice PPO
Aetna QPOS POS
Aetna Select Choice HMO
Aetna Traditional Choice Indemnity
ASMED Health Partnership PPO
 
Beech Street PPO
Blue Cross CaliforniaCare HMO
Blue Cross CalilforniaCare Medi-Cal Healthy Families EPO
Blue Cross CalilforniaCare Medi-Cal Healthy Families HMO
Blue Cross Prudent Buyer PPO
Blue Cross Medi-Cal/Healthy Families HMO
Blue Cross Plus POS
Blue Cross Smart Value (Senior) Fee for Service
Blue Cross Smart Value Classive (Senior) Fee for Service
Blue Shield 65 + HMO/ Medicare
Blue Shield Access + HMO
Blue Shield HMO Plus POS
Blue Shield Preferred PPO
Blue Shield Preferred Plus PPO
Blue Shield SELECT PPO
 
Choice Care/Humana PPO
CIGNA HMO HMO
CIGNA POS POS
CIGNA PPO PPO
CorVel Corp. PPO
 
Definity Health PPO
 
First Health EPO
First Health PPO PPO
Foster Farms (Employer Group using Stanislaus Network) PPO
 
Great West Healthcare All Plans
Great West Healthcare HMO
 
Health Net ELECT/Health Net SELECT EPO POS
Health Net HMO HMO
Health Net PPO PPO
Health Net Seniority Plus HMO/MediCare
Humana/Choice Care PPO
 
Interplan Corp. EPO EPO
Interplan Corp. PPO PPO
 
Kaiser Permanente Dual Choice/PHCS Network PPO
Kaiser Permanente Added Choice/PHCS Network POS
 
Merced Foundation for Medical Care PPO
Multiplan (includes Admar, BPS, Formost, PHCS) PPO
 
Pacific Health Alliance PPO
PacifiCare Choice POS
PacifiCare HMO HMO
PacifiCare PPO PPO
PacifiCare Secure Horizons Direct (Senior Plan) Fee for Service
PacifiCare Secure Horizons Direct Premier (Senior Plan) Fee for Service
PacifiCare Secure Horizons HMO (Senior Plan) HMO
PPO NEXT PPO
 
San Francisco Health Plan Healthy Families HMO Medi-Cal
San Francisco Health Plan (Medi-Cal) HMO
San Francisco Health Plan/SF Cares for Kids HMO Medi-Cal
San Joaquin Foundation for Health Care PPO/EPO
Stanislaus Foundation for Medical Care PPO/EPO
 
TriCare Extra / TriWest (CHAMPUS) PPO
TriCare Prime / TriWest (CHAMPUS) HMO/POS
 
UCSF Student Health Services
United HealthCare CHOICE Plus POS POS
United HealthCare CHOICE PPO PPO
United HealthCare EPO EPO
United HealthCare Options PPO PPO
United HealthCare Select HMO HMO
United HealthCare Select Plus POS POS
USAccess/Aetna POS
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