Translate
Giving
Menu
Search

HMO and POS Plans Accepted

Notice

We strongly encourage you to call your insurance company directly and provide them with tax ID numbers for UC San Diego Medical Group [tax ID 23-7064656] and UC San Diego Medical Center [tax ID 33-0599494] to verify their participation as in-network providers for your specific insurance plan.

Questions? Call 619-471-9393.

HMO
HMO stands for health maintenance organization. If you are enrolled in an HMO insurance plan, you will select a primary care physician who is responsible for managing and coordinating your health care. If you have an HMO insurance plan offered by one of the companies listed below that includes UC San Diego Medical Group and UC San Diego Medical Center as in-network providers, you can select a UC San Diego primary care physician. When medically necessary, your primary care physician will refer you to medical specialists within your network for specialty care.

POS
POS stands for point of service. POS insurance plans have both HMO and PPO-like benefits. To utilize your HMO benefits, you will select a UC San Diego primary care physician. Your primary care physician can refer you to UC San Diego specialists. If you "self-refer" to a UC San Diego specialist, or select a non-UC San Diego primary care physician, then your PPO benefits would apply and you may have higher out-of-pocket costs for the visit to a specialist.

Listed below are the plans or products for which UC San Diego Medical Group and UC San Diego Medical Center are considered in-network providers. If you do not see your specific insurance plan or product name, we strongly encourage you to contact the insurance company directly to verify which specific insurance plans offered by these companies consider UC San Diego Medical Group and UC San Diego Medical Center in-network providers.

HMO and POS Health Insurance Companies and Plans Accepted

Aetna (For any plan not listed below, please contact Aetna to verify network participation)

    • Aetna Managed Choice HMO/POS
    • Aetna QPOS
    • Aetna through employer groups (Contact Aetna to verify network participation.)

Anthem Blue Cross (For any plan not listed below, please contact Anthem Blue Cross to verify network participation.)

    • Anthem Blue Cross California Care HMO
    • Anthem Blue Cross Plus POS
    • Anthem Select HMO
    • Anthem Blue Cross through employer groups (Contact Anthem Blue Cross to verify network participation.)

Blue Cross/Blue Shield Associations (Verify that your plan participates in the “Blue Card” program and that there are no restrictions.)
Cigna (For any plan not listed below, please contact Cigna to verify network participation.)

  • Open Access Plus HMO
  • Open Access HMO

Great Western Healthcare (aka One Health Plan) (See Cigna.)
Health Net (For any plan not listed below, contact Health Net to verify network participation.)

    • Health Net Blue & Gold HMO
    • Health Net Seniority Plus (University of California employer group only)
    • Health Net Standard through employer groups (Contact Health Net to verify network participation.)

TRICARE (For any plan not listed below, please contact TriCare to verify network participation.)

    • TriWest Active HMO (CHAMPUS) 
    • TriWest Prime HMO/POS (CHAMPUS)
    • TriWest Retired HMO
    • Veterans TriCare

UnitedHealthcare (For any plan not listed below, please contact UnitedHealthCare to verify network participation.)

    • UnitedHealthcare Signature Value HMO
    • UnitedHealthcare West HMO
    • United Navigate/Navigate Select/ Navigate Select Plus HMO/POS
    • UnitedHealthcare through employer groups (Contact UnitedHealthcare to verify network participation)
    • UnitedHealthcare Military

UC San Diego Medical Center and UC San Diego Medical Group are contracted with most major insurance plans. If you do not see the name of your insurance plan listed above, and you require specialty care, see your primary care physician and request an authorization to UC San Diego for specialty services.