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. |