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 and accepts several Medicare and Medi-Cal plans. A list of health insurance companies and Medicare and Medi-Cal programs that provide coverage for our services is available below.

Our hospitals and doctors do not contract with or participate in health insurance discount card programs. We do, however, accept payments made through health savings account (HSA) programs.

UCSF also can make financial arrangements for your coverage with health insurance companies that don't have contracts with UCSF, if the companies are willing to do so. If your health insurance company is not listed below, please ask your insurance company or your UCSF doctor to contact our Health Plan Strategy and Contracting office at (415) 353-9020 to discuss possible arrangements.

The following list includes the insurance companies that have contracts with UCSF as well as Medicare and Medi-Cal programs that are accepted here.

NOTE:

Effective Jan. 1, 2018, Anthem Covered California will only be available in the counties listed below. UCSF Medical Center and UCSF Medical Group will remain a contracted tertiary provider for Anthem Covered California patients if their health care provider refers them to UCSF for authorized specialty care.

  • Alpine
  • Amador
  • Butte
  • Calaveras
  • Colusa
  • Del Norte
  • Glenn
  • Humboldt
  • Lake
  • Lassen
  • Mariposa
  • Mendocino
  • Merced
  • Modoc
  • Nevada
  • Plumas
  • San Joaquin
  • Santa Clara
  • Shasta
  • Sierra
  • Siskiyou
  • Stanislaus
  • Sutter
  • Tehama
  • Trinity
  • Tulare
  • Tuolumne
  • Yuba
 
HEALTH PLANTYPE OF PLAN
 
Aetna (Except Aexcel Network)All Plans
Aetna CitizenHMO
Aetna Elect Choice (EC)EPO
Aetna Managed Choice (MC)POS
Aetna Open ChoicePPO
Aetna QPOSPOS
Aetna Select Choice (Referral Only) Medi-Cal HMO
Alameda Alliance for Health (Referral Only)Medi-Cal HMO
Medi-Cal HMO
Anthem Blue Cross CaliforniaCareHMO
HMO
Anthem Blue Cross -- Covered California Exchange, IFP & SHOP (Small Business) EPO (Tier 1) & PPO
Anthem Blue Cross Medi-Cal Managed Care Medi-Cal HMO
Anthem Blue Cross Plus POS
Anthem Blue Cross Prudent Buyer PPO
Anthem Blue Cross / Blue Shield Rare & Complex
    Cancer Network
ASMED Health PartnershipPPO
 
Beech Street (via Multiplan)PPO
Blue Cross (See Anthem Blue Cross)
Blue Shield 65 + Medicare HMO
Blue Shield Access + HMO
Blue Shield Covered California, IFP and SHOP (Small Business) - PPO 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
 
Canopy Health/Health Net Blue & GoldHMO
Canopy Health/Health Net Smart CareHMO
Canopy Health/United Signature ValueHMO
Canopy Health/Western Health AdvantageHMO
Canopy Health/Western Health Advantage Covered California - referralHMO
Central California Alliance for Health Referral Only Medi-Cal HMO
Chinese Community Health Plan Referral Only HMO
Choice Care/Humana PPO
CIGNA HMO HMO
CIGNA POS POS
CIGNA PPO PPO
CorVel Corp. PPO
Coventry (First Health) EPO, PPO
 
Definity Health PPO
 
First Health (Coventry) EPO, PPO
Foundation for Medical Care (multiple counties) PPO
 
Great West Healthcare (Cigna) All Plans
Great West Healthcare (Cigna) HMO
 
Health Net Blue & GoldHMO
Health Net Covered CA IFP PPO (off-exchange) ONLY
Health Net Covered CA Small Business (SHOP) PPO ONLY
Health Net ELECT POS
Health Net HMO HMO
Health Net PPOPPO
Health Net Seniority Plus Medicare HMO
Health Net Smart Care/Canopy Health HMO
Health Plan of San Joaquin Referral Only Medi-Cal HMO
Health Smart/ Interplan Corp. PPO
Health Plan of San Mateo Medicare Advantage Medicare - Federal Program
Humana/Choice Care PPO
 
Imperial Health Plan - Medicare Advantage HMO (Referral Only) HMO
Interlink Transplant Network
Interplan Corp./Health Smart PPO
Lifesource Transplant Network
 
Kaiser Permanente Added Choice/PHCS Network POS
Kaiser Permanente ASOPPO
Kaiser Permanente Dual Choice/PHCS Network PPO
Kaiser Permanente HMO Referral Only HMO
 
Medi-CalCalifornia Program
MedicareFederal Program
Merced Foundation for Medical Care PPO
Multiplan (includes Beech Street and PHCS) PPO
 
Networks by Design PPO PPO
 
On Lok Senior Health Services/PACE Referral Only HMO
Oscar Health Covered CA EPO IFP and Small Business EPO
Oscar EPO EPO
Optum Transplant Network
 
Pacific Health Alliance PPO
PacifiCare Choice/United Health Care POS
PacifiCare HMO/United Health Care HMO
PacifiCare PPO/United Health Care PPO
PacifiCare Secure Horizons HMO (Senior Plan)/United Health Care Medicare HMO
Partnership Health Plan, Medi-Cal, Medicare
    Referral Only
Medi-Cal HMO, Medicare Special Needs
PPO NEXT PPO
Private Health Care Systems (PHCS) (via Multiplan)PPO
 
San Francisco Foundation for Medical CarePPO / EPO
San Francisco Health Plan Healthy Kids
    Referral Only
HMO
San Francisco Health Plan, Referral Only From SF     Medical Groups Medi-Cal HMO
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
 
TriCare Extra / TriWest (CHAMPUS) PPO
TriCare Prime / TriWest (CHAMPUS) HMO / POS
 
UCSF Student Health Services (administered by Anthem Blue Cross)
United HealthCare Medicare Advantage/Secure Horizons HMO
United HealthCare/OPTUM CHOICE Plus POS
United HealthCare/OPTUM CHOICE PPO
United HealthCare/OPTUM EPO
United HealthCare/OPTUM Options PPO
United HealthCare/OPTUM Select Plus POS
United HealthCare/OPTUM/PacifiCare Secure Horizons     (Senior Plan) Medicare HMO
United Health Care/Signature Value (Canopy only) HMO
United Resource Network/Optum — Transplant and     Oncology Networks
UC Care (administered by Anthem Blue Cross) PPO
USAccess/Aetna POS
 
Western Health Advantage/Canopy only HMO
Western Health Advantage Covered California/Canopy only – referral only HMO
 

Last updated December 7, 2017

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Physician Referral Service
Phone: (888) 689-UCSF or
(888) 689-8273
Fax: (415) 353-4395
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