Medicare Plans Accepted at UC San Diego Health

 

Original Medicare

UC San Diego Medical Group (our physicians) and UC San Diego Medical Center (our hospitals and clinics) accept Original Medicare (Medicare Parts A and B) "assignment" or payment. This means that we agree to not bill you for more than the Medicare deductible and coinsurance for Medicare Part A and B.

Note: If you have original Medicare, your doctor may be participating in the UC San Diego Health Accountable Care Network, a Medicare Shared Savings Program ACO.

Supplemental or Medigap Plans

UC San Diego Medical Group and UC San Diego Medical Center also accept Medicare Parts A and B used in conjunction with Medigap or Medicare supplemental plans. You can see a UC San Diego doctor and we will bill your supplemental plan. Please verify with your supplemental plan that your benefit coverage applies to any Medicare provider that accepts Medicare assignment. There are rare instances when a supplemental or Medi-Gap plan restricts your benefit coverage to a limited provider network.

Medicare Advantage Plans

Medicare Advantage Plans (Medicare Part C) are another option for Medicare-eligible patients. Under Medicare Advantage Plans, private insurance companies that are approved by Medicare provide health insurance coverage. Medicare Advantage Plans can be health maintenance organizations (HMO), preferred provider organizations (PPO) and point of service (POS). If you are enrolled in a Medicare Advantage Plan as an individual, the plans below will give you in-network access to UC San Diego Health doctors.

Switching Medicare Advantage Plans After the Annual Open Enrollment Period

New in 2019: Medicare is allowing patients enrolled with a Medicare Advantage plan to make one switch to their plan between January 1 and March 31, 2019. During this period patients may choose to switch to another Medicare Advantage plan (Part C) or to disenroll from their Medicare Advantage plan and keep Original Medicare along with a Part D plan. If you would like to access primary care services at UC San Diego Health under a Medicare Advantage plan, see the Blue Shield 65 Plus and Humana Gold Plus plans linked above.

2019 Individual Medicare Advantage Plans (Non-Employer Based) Accepted at UC San Diego Health

Senior manPrimary and specialty care:
  • Blue Shield: Blue Shield 65 Plus HMO
    Call Blue Shield at 800-709-1333 for more information.
  • Humana: Humana Gold Plus Medicare Advantage HMO
    Call Humana at 800-421-7856 for more information. TTY: 711. Español: 800-833-6580.
Specialty care only:
  • Anthem Blue Cross: Anthem MediBlue Plus (HMO) and Coordination Plus (HMO) plans
    Call Anthem Blue Cross at 855-306-4537 for more information.
    Note: Specialty referral only; primary care at UC San Diego Health is not available under Anthem Blue Cross.

Patients who receive medical benefits through an employer group retirement plan should contact their employer group to determine what plans are being offered.

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.

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.

Resources

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.

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 Medical Center [tax ID 23-7064656] to verify their participation as in-network providers for your specific insurance plan.

UC San Diego Medical Group and UC San Diego Medical Center 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.