Medicare Plans Accepted at UC San Diego Health

Medicare Updates for 2025

As part of UC San Diego Health’s commitment to providing you with the highest quality care and experience, we have a helpful update for our patients who receive health insurance coverage through Medicare or a Medicare Advantage plan.

Here are some resources to help you understand the changes to Medicare and Medicare prescription coverage for 2025:

  • Centers for Medicare and Medicaid Services (CMS): This official video from CMS highlights Medicare prescription coverage updates for 2025, including:
    • A yearly cap ($2,000 in 2025) on out-of-pocket prescription drug costs
    • The option to pay out-of-pocket prescription drug costs in monthly payments
  • CMS.gov – Learn more about changes to Medicare’s prescription drug plan
  • Free Medicare counseling – You can contact the San Diego office for Health Insurance Counseling and Advocacy Program (HICAP) by calling 858-565-8772.

If you have questions about the upcoming changes for 2025 to Medicare or Medicare prescription coverage, please contact your Medicare Part D plan or Medicare Advantage plan that provides prescription coverage. 

Medicare Plans Accepted

To access care at UC San Diego Health, select one of the plans below. If you are eligible for both Medicare and Medi-Cal, please see Medi-Cal and Dual-Eligible Plans Accepted.

Original Medicare (Parts A and B)

All Medicare Supplemental (Medigap) Plans *

* Please verify with your supplemental plan that your coverage applies to any Medicare provider. There are rare instances when a supplemental plan restricts your benefit coverage to a limited provider network.

Medicare Advantage (Part C) Plans (non-employer-based)

UC San Diego Health has been recognized as a 4.5-star provider of care to Medicare Advantage patients by the Integrated Healthcare Association, a statewide nonprofit group.

If you have any questions on which Medicare Advantage HMO plans are accepted at UC San Diego Health, please call 619-471-9123.

  • Blue Shield Select Medicare Advantage PPO
    Primary and specialty care
    Call (844) 713-8274 for more information.
  • AARP United Healthcare Medicare Advantage PPO
    Primary and specialty care
    Call (844) 459-2348 for more information.
  • SCAN Medicare Advantage HMO
    Specialty services only with a referral and authorization from their provider or SCAN. No new primary care access.
    Call SCAN at 800-559-3500 for more information
  • Blue Shield 65 Plus HMO
    Specialty services only with a referral and authorization from their provider or Blue Shield. No primary care access.
    Call Blue Shield at 800-709-1333 for more information.
  • Anthem Blue Cross: Anthem MediBlue Plus (HMO) and Coordination Plus (HMO)
    Specialty referrals only, no primary care access
    Call Anthem Blue Cross at 855-306-4537 for more information.
  • Humana Gold Plus Medicare Advantage HMO
    The contract between UC San Diego Health and Humana is scheduled to terminate on Dec. 31, 2025. UC San Diego Health will no longer be contracted with Humana after that date. 
    Call Humana at 800-421-7856 for more information. TTY: 711. Español: 800-833-6580.
  • Humana UC San Diego Medicare Advantage HMO
    The contract between UC San Diego Health and Humana is scheduled to terminate on Dec. 31, 2025. UC San Diego Health will no longer be contracted with Humana after that date. 
    Call Humana at 800-421-7856 for more information. TTY: 711. Español: 800-833-6580.
  • Humana USAA Honor with Rx PPO
    The contract between UC San Diego Health and Humana is scheduled to terminate on Dec. 31, 2025. UC San Diego Health will no longer be contracted with Humana after that date. 
    Call Humana at 800-421-7856 for more information. TTY: 711. Español: 800-833-6580.
  • Other Medicare Advantage PPO plans: Please call your plan to verify UC San Diego Health’s participation in your network and to verify benefits. Some Medicare Advantage PPO plans offer competitive out-of-network coverage.

UC Retiree Group Plans

UC San Diego Health accepts the following plans available to UC retirees enrolled in Medicare:

  • UC Medicare Choice (administered by UnitedHealthcare): For benefits or coverage questions regarding this plan, call (866) 887-9533.
  • UC Medicare PPO (administered by Anthem Blue Cross): For benefits or coverage questions regarding this plan, call (844) 437-0486.
  • UC Medicare PPO without prescription drugs (administered by Anthem Blue Cross): For benefits or coverage questions regarding this plan, call (844) 437-0486.
  • UC High Option Supplement to Medicare (administered by Anthem Blue Cross): For benefits or coverage questions regarding this plan, call (844) 437-0486.

If you need more information after reviewing the list above, call 858-249-3560. Patients who receive medical benefits through another employer group retirement plan should contact their employer group to determine what plans are being offered.

Open Enrollment for Medicare Advantage Plans

For coverage starting on January 1, the annual open enrollment period is October 15 – December 7 of the previous year. During Open Enrollment you can sign up or change your Medicare Advantage plan. You can also sign up for a Medicare Advantage plan when you turn 65, or if you become disabled (under age 65). Learn more about when you can enroll in Medicare at Medicare.gov.

Medicare also offers a special enrollment period for those who already have a Medicare Advantage plan. From January 1 – March 31, there is a one-time option to switch to Original Medicare (plus a supplemental or Medigap plan) or to a different Medicare Advantage plan.

Resources

We recommend the following resources for help with finding information about Medicare:

This is not a comprehensive listing of private or public insurance we accept. 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 Health / UCSD Medical Center (tax ID 33-0599494) to verify their participation as in-network providers for your specific insurance plan.

Medicare Annual Wellness Visit

If you've been a Medicare beneficiary for at least 12 months, you are eligible for an Annual Wellness Visit at no cost to you.