Health Insurance

Published November 2024

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 (Only Commercial Plans)	HMO, POS, PPO, EPO	UCSF is only included in some Aetna EPO plans, therefore check with Aetna to confirm our participation in your specific EPO plan.
Aetna Medicare Advantage Plans & Medicaid	HMO, POS, PPO, EPO	Not contracted
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 Connection	HMO & EPO	UCSF may only be included in some Anthem EPO plans, therefore check with Anthem to confirm our participation in your specific EPO plan.
Anthem Blue Cross CaliforniaCare	HMO
Anthem Blue Cross Covered California Exchange, IFP & SHOP (Small Business)	EPO (Tier 1) & PPO	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.
Anthem Blue Cross Medi-Cal Managed Care	Medi-Cal HMO	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.
Anthem Blue Cross Plus	POS
Anthem Blue Cross Prudent Buyer	PPO
Anthem Medicare Advantage		Not contracted
ASMED Health Partnership	PPO
Aspire Health Plan	Medicare Advantage HMO, HMO (Commercial)
B
Beech Street (via Multiplan)	PPO
Blue Cross (See Anthem Blue Cross)
Blue Shield 65 +	Medicare Advantage HMO, PPO
Blue Shield Access +	HMO
Blue Shield Covered California, IFP and SHOP (Small Business)	HMO, PPO
Blue Shield HMO Plus	POS
Blue Shield Narrow Network EPO	EPO	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.
Blue Shield Preferred	PPO
Blue Shield Preferred Plus	PPO
Blue Shield SELECT	PPO
Blue Shield TRIO - HMO	HMO
Blue Shield TRIO - Covered California	HMO
Brand New Day Medicare Advantage Plans	Medicare Advantage HMO	Not contracted effective 1/1/2025
C
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 Advantage HMO	Not contracted effective 1/1/2025
Chinese Community Health Plan	HMO, Medicare Advantage HMO
Choice Care/Humana	PPO
CIGNA HMO	HMO	UCSF is not in-network for Pathwell.
CIGNA Medicare Advantage	HMO and PPO	Not Contracted
CIGNA POS	POS	UCSF is not in-network for Pathwell.
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	UCSF is not in-network for Pathwell.
Great West Healthcare (Cigna)	HMO	UCSF is not in-network for Pathwell.
H
Health Net Behavioral Health (formerly MHN)	Commercial & Medicare
Health Net Blue & Gold	HMO
Health Net Blue & Gold/Canopy Health	HMO
Health Net Canopy Care San Francisco Health Service System/Canopy Health	HMO
Health Net Covered California Small Business (SHOP)	PPO only
Health Net ELECT	POS
Health Net HMO	HMO
Health Net PPO	PPO
Health Net Seniority Plus	Medicare Advantage HMO	Not contracted effective 1/1/2025
Health Net Smart Care/Canopy Health	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 Medicare Advantage	Medicare HMO & PPO	Not contracted
I
Imperial Health Plan - Medicare Advantage HMO (specialty 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 Advantage 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	No contracted with other state's Medicaid programs.
Medicare	Federal program
Merced Foundation for Medical Care	PPO
Meritain/Aetna	PPO, EPO	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.
MHN Behavioral Health-See Health Net Behavioral Health	Commercial & Medicare
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 Advantage HMO	To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Optum Behavioral Health	HMO, PPO
Optum Transplant Network	HMO, PPO
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
Private Health Care Systems (PHCS) (via Multiplan)	PPO
Progeny Health (Reproductive/Fertility)	PPO
S
San Francisco Foundation for Medical Care	PPO/EPO
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 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 IHSS
San Francisco Health Plan UCSF Primary Care	Medi-Cal HMO
San Francisco Health Plan/SF Cares for Kids	Medi-Cal HMO
San Joaquin Foundation for Health Care	PPO/EPO
Stanislaus Foundation for Medical Care	PPO/EPO
Stanislaus County Partners in Health	PPO
T
TriCare Prime	HMO
TriCare Select	PPO
TriWest/VA	Federal program
U
UC Care (administered by Anthem Blue Cross)	PPO
UC Core Plan (administered by Anthem Blue Cross)	PPO
UC Health Savings Plan (administered by Anthem Blue Cross)	PPO
UC High Option Supplement to Medicare (administered by Anthem Blue Cross)	Medicare Advantage Supplement Plan
UC Medicare Choice (administered by United Healthcare)	Medicare Advantage PPO
UC Medicare PPO (administered by Anthem Blue Cross)	Medicare Advantage Supplement Plan
UC Medicare PPO without prescription drugs (administered by Anthem Blue Cross)	Medicare Advantage Supplement Plan
UC Residents & Fellows HMO plan (administered by Anthem Blue Cross)	HMO
UCSF Residents & Fellows (administered by Anthem Blue Cross)	PPO
UCSF Student Health Insurance Plan (administered by Anthem Blue Cross)	PPO
United Healthcare	EPO
United Healthcare	HMO
United Healthcare CHOICE	PPO
United Healthcare CHOICE Plus	POS
United Healthcare Doctor's Plan	EPO
United HealthCare Group PPO Plans	Medicare Advantage PPO
United Healthcare Medicare Advantage	Medicare Advantage HMO
United Healthcare Medicare Advantage (Canopy Health only)	Medicare Advantage HMO	Plan is ending on 12/31/24.
United Healthcare Options	PPO
United Healthcare Select Plus	POS
United Healthcare SignatureValue Harmony/Canopy Health	HMO
United Healthcare/AARP Medicare Advantage Choice Plan Individuals	Medicare Advantage PPO (hospital only)	UCSF Medical Group physicians are not contracted. UCSF Medical Center hospital and clinic facilities are contracted.
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.

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