Health Insurance

Published April 2023

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.

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.

If 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.)

Please 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.

HEALTH PLAN	TYPE	NOTE
A
Aetna (Except Aexcel Network, EPO Plans, Medicare Advantage Plans and Medicaid Plans)	HMO, POS, PPO	Neither UCSF Medical Center nor UCSF Medical Group are contracted with Aetna's Aexcel Network, EPO plans, Medicare Advantage Plans and Medicaid Plans.
Alameda Alliance for Health (referrals only)	Medi-Cal HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Anthem Blue Cross CaliforniaCare	HMO	Anthem has terminated its agreement with UC Health, including UCSF Health and UCSF Benioff Children's Hospitals, effective December 31, 2023. If a new agreement is not in place by December 31, 2023, Anthem will consider UCSF Health out of network beginning January 1, 2024. To learn more, visit here.
Anthem/BC - Covered California Exchange, IFP & SHOP (Small Business)	EPO (Tier 1) & PPO	For 2023, UCSF is not an in-network provider but is contracted for tertiary care (i.e., highly specialized care) if in-network services are not available. Anthem has terminated its agreement with UC Health, including UCSF Health and UCSF Benioff Children's Hospitals, effective December 31, 2023. If a new agreement is not in place by December 31, 2023, Anthem will consider UCSF Health out of network beginning January 1, 2024. To learn more, visit here.
Anthem Blue Cross Medi-Cal Managed Care	Medi-Cal HMO	For 2023, UCSF is not an in-network provider but is contracted for tertiary care (i.e., highly specialized care) if in-network services are not available. Anthem has terminated its agreement with UC Health, including UCSF Health and UCSF Benioff Children's Hospitals, effective December 31, 2023. If a new agreement is not in place by December 31, 2023, Anthem will consider UCSF Health out of network beginning January 1, 2024. To learn more, visit here.
Anthem Blue Cross Plus	POS	Anthem has terminated its agreement with UC Health, including UCSF Health and UCSF Benioff Children's Hospitals, effective December 31, 2023. If a new agreement is not in place by December 31, 2023, Anthem will consider UCSF Health out of network beginning January 1, 2024. To learn more, visit here.
Anthem Blue Cross Prudent Buyer	PPO	Anthem has terminated its agreement with UC Health, including UCSF Health and UCSF Benioff Children's Hospitals, effective December 31, 2023. If a new agreement is not in place by December 31, 2023, Anthem will consider UCSF Health out of network beginning January 1, 2024. To learn more, visit here.
Anthem Medicare Advantage	Not Contracted
Anthem/UC Care	PPO & POS	This plan is only available to University of California Employees.
Anthem Blue Connection	HMO & EPO	Anthem has terminated its agreement with UC Health, including UCSF Health and UCSF Benioff Children's Hospitals, effective December 31, 2023. If a new agreement is not in place by December 31, 2023, Anthem will consider UCSF Health out of network beginning January 1, 2024. To learn more, visit here.
ASMED Health Partnership	PPO
B
Beech Street (via Multiplan)	PPO
Blue Cross (See Anthem Blue Cross)
Blue Shield 65 +	Medicare HMO, PPO
Blue Shield Access +	HMO
Blue Shield Covered California, IFP and SHOP (Small Business) – HMO, PPO	HMO, PPO
Blue Shield HMO Plus	POS
Blue Shield Preferred	PPO
Blue Shield Preferred Plus	PPO
Blue Shield SELECT	PPO
Blue Shield TRIO - HMO ACO	HMO
Blue Shield TRIO - Covered CA	HMO
Brand New Day Medicare Advantage Plans	Medicare HMO
Bright Health	HMO, PPO
C
Canopy Health/Health Net Blue & Gold	HMO
Canopy Health/Health Net Smart Care	HMO
Canopy Health/Health Net Canopy Care San Francisco Health Service System	HMO
Canopy Health/United Signature Value	HMO
Canopy Health/United Signature Value Harmony	HMO
Canopy Health/United Medicare Advantage	Medicare HMO
Central California Alliance for Health (referrals only)	Medi-Cal HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Central Health Plan Medicare Advantage Plans	Medicare HMO
Chinese Community Health Plan	HMO, Medicare HMO
Choice Care/Humana	PPO
CIGNA HMO	HMO
CIGNA POS	POS
CIGNA PPO	PPO	UCSF is not in-network for Pathwell.
CorVel Corp.	PPO
Coventry (First Health)	EPO, PPO
D
Definity Health	PPO
F
First Health (Coventry)	EPO, PPO, W/C
Foundation for Medical Care (multiple counties)	PPO
G
Great West Healthcare (Cigna)	All plans
Great West Healthcare (Cigna)	HMO
H
Health Net Blue & Gold	HMO
Health Net Covered CA Small Business (SHOP)	PPO only
Health Net ELECT	POS
Health Net HMO	HMO
Health Net PPO	PPO
Health Net Seniority Plus	Medicare HMO
Health Net Smart Care/Canopy Health	HMO
Health Net Smart Care/Canopy Health CanopyCare SFHSS	HMO
Health Plan of San Joaquin (referrals only)	Medi-Cal HMO and San Joaquin County employees	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Health Plan of San Mateo Medi-Cal Managed Care	Medi-Cal HMO– pediatrics only
Health Plan of San Mateo Medicare Advantage	Medicare - federal program
Health Smart/Interplan Corp.	HMO, PPO
Hometown Health	PPO
Humana/Choice Care	PPO
I
Imperial Health Plan - Medicare Advantage HMO (referrals only)	HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Interlink Transplant Network
Interplan Corp./Health Smart	PPO
K
Kaiser Permanente ASO	PPO
Kaiser Permanente HMO (referrals only)	HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Kaiser Permanente Medi-Cal HMO (referrals only)	Medi-Cal HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Kaiser Permanente Medicare HMO (referrals only)	Medicare HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
L
Lifesource Transplant Network
M
Medi-Cal	California program
Medicare	Federal program
Merced Foundation for Medical Care	PPO
Meritain/Aetna	PPO, EPO
Multiplan (includes Beech Street and PHCS)	PPO	UCSF is not contracted with Multiplan’s HST product.
N
Networks by Design PPO	PPO
O
On Lok Senior Health Services/PACE (referrals only)	Medicare HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Optum Behavioral Health	HMO
Optum Transplant Network	HMO, PPO
Oscar EPO	EPO (hospital only)
Oscar Health Covered CA EPO IFP and Small Business	EPO (hospital only)
P
Pacific Health Alliance	PPO
Partnership Health Plan, Medi-Cal (referrals only)	Medi-Cal HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
PPO NEXT	PPO
Progeney (Reproductive/Fertility)	PPO
Private Health Care Systems (PHCS) (via Multiplan)	PPO
S
San Francisco Foundation for Medical Care	PPO / EPO
San Francisco Health Plan Healthy Kids (referrals only)	HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
San Francisco Health Plan (pre-authorization required for specialty or hospital care)	Medi-Cal HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
San Francisco Health Plan UCSF Primary Care	Medi-Cal HMO
San Francisco Health Plan/SF Cares for Kids	Medi-Cal HMO
San Francisco Health Plan IHSS
San Joaquin Foundation for Health Care	PPO / EPO
Stanislaus Foundation for Medical Care	PPO / EPO
T
TriCare Prime	HMO
TriCare Select	PPO
TriWest/VA	Federal program
U
UC Care (administered by Anthem Blue Cross)	PPO	This plan is only available to University of California Employees.
UC Core Plan (administered by Anthem Blue Cross)	PPO	This plan is only available to University of California Employees.
UC Medicare Choice (administered by United HealthCare)	Medicare Advantage PPO (hospital only)	This plan is only available to University of California Retirees.
UC Medicare PPO (administered by Anthem Blue Cross)	Medicare Advantage PPO	This plan is only available to University of California Retirees.
UC Medicare PPO without prescription drugs (administered by Anthem Blue Cross)	Medicare Advantage PPO	This plan is only available to University of California Retirees.
UC High Option Supplement to Medicare (administered by Anthem Blue Cross)	Medicare Advantage PPO	This plan is only available to University of California Retirees.
UC Health Savings Plan (administered by Anthem Blue Cross)	PPO	This plan is only available to University of California Employees.
UCSF Residents & Fellows (administered by Anthem Blue Cross)	HMO, PPO	This plan is only available to University of California Residents & Fellows.
UCSF Student Health Services (administered by Anthem Blue Cross)	PPO	This plan is only available to University of California Students.
United HealthCare Medicare Advantage/Secure Horizons	Medicare Advantage HMO (hospital only)	UCSF Medical Center only. UCSF Medical Group is not contracted.
United HealthCare/OPTUM	EPO
United HealthCare/OPTUM CHOICE Plus	POS
United HealthCare/OPTUM CHOICE	PPO
United HealthCare/OPTUM Options	PPO
United HealthCare/OPTUM Select Plus	POS
United HealthCare	HMO
United HealthCare Doctor's Plan	EPO
United HealthCare/Medicare Advantage (Canopy Health only)	HMO
United HealthCare/Signature Value Harmony (Canopy Health only)	HMO
V
Veterans Association/TriWest	Federal program
W
Western Health Advantage (referrals only)	HMO (hospital only)	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Western Health Advantage Covered California (referrals only)	HMO (hospital only)	To get care from UCSF covered by insurance, your health plan must first authorize a referral.

Not on the list?

If your health insurance company doesn't appear on the list above, UCSF may nonetheless be able to make financial arrangements for your care to be covered, if the insurance company agrees to it. Ask your insurance company or your UCSF provider to contact the Health Plan Services office at (415) 353-4536 to discuss this possibility.

Health Plan Services is also available to discuss arrangements for new contracts.

Health Insurance

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