PPO and EPO 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.

 

PPO stands for preferred provider organization. If you have a PPO, you are free to see any physician contracted with the insurance plan’s network of providers. Typically, you do not need to select a primary care physician or get a referral before seeing a specialty care physician.

EPO stands for exclusive provider organization. It functions like a PPO but has a limited network. EPOs may or may not provide "out-of-network" benefits.

UC San Diego Medical Group and UC San Diego Medical Center accept PPO  and EPO health insurance plans offered by the companies below.

  1. Aetna (For any plan not listed below, please contact Aetna to verify network participation.)
    • Aetna Open Choice PPO
  2. Anthem Blue Cross (For any plan not listed below, please contact Anthem Blue Cross to verify network participation.)
    • Anthem Blue Cross Prudent Buyer PPO
    • Anthem Blue Cross through employer groups (contact Anthem Blue Cross to verify network participation)
    • UC plans administered by Anthem: UC Care; Core PPO; UC Medicare PPO
  3. AXA Assistance USA PPO
  4. BCE Emergis (Multiplan) PPO
  5. Beech Street/CAPP Care PPO
  6. Benefits Panel Service (BPS) (BCE Emergis/Multiplan) PPO
  7. Blue Cross/Blue Shield Associations (Verify that your plan participates in the “Blue Card” program and that there are no restrictions.)
  8. Blue Shield of California  
    • Blue Shield through employer groups (contact Blue Shield to verify network participation.)
    • Blue Shield individual and family groups, in-network for Exclusive Provider Network
    • Blue Shield is not contracted for behavioral health.  
    Note: On the Blue Shield website, please select "Individual and Family PPO plan" when searching for UC San Diego Health providers.
  9. Cigna (Contact Cigna to verify network participation.)
    Coventry/First Health PPO/EPO
  10. CMN Global PPO (aka Europe Assistance-Global Corp. Solutions)
  11. First Health/Coventry PPO/EPO
  12. Foundation for Medical Care PPO
  13. Global Excel PPO
  14. Great-West Healthcare (aka One Health Plan) (See Cigna).
  15. Health Management Network (HMN) PPO
  16. Health Net (For any plan not listed below, contact Health Net to verify network participation.)
    • Health Net PPO not through Covered California ("Off the Exchange")
    • Health Net PPO through employer groups (Contact Health Net to verify network participation.)
  17. Health Smart Preferred (Interplan) PPO
  18. Humana
    • ChoiceCare PPO
  19. Interplan (Health Smart) PPO
  20. MGM PPO
  21. MultiPlan PPO
  22. National Health Solutions PPO
  23. National Provider Network
  24. Olympus Managed Healthcare PPO
  25. Pacific Foundation for Medical Care (SD Foundation) PPO
  26. Prime Health Tennessee PPO
  27. Private Healthcare System (PHCS) (Multiplan) PPO
  28. Quality Health Management PPO
  29. TRICARE/TriWest Extra (CHAMPUS) PPO
  30. UC Care PPO
  31. UCSD Student Health Insurance Plan (SHIP thru Anthem Blue Cross) PPO
  32. UnitedHealthcare (Contact UnitedHealthCare to verify network participation.)

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.