HMO Authorization and Coverage

The UC San Diego Health Managed Care team oversees eligibility, pre-authorization, referrals and claims about HMO coverage and can answer questions such as:

• What your insurance covers
• Status of your authorization
• Billing and reimbursement

We serve patients of these HMOs who receive primary care at UC San Diego Health:

Commercial HMO Plans

• Aetna
• Anthem Blue Cross
• Blue Shield of California
• Cigna
• Health Net Blue & Gold
• United HealthCare Commercial
• United HealthCare Alliance Commercial

Medicare Advantage HMO Plans 

• Anthem Blue Cross (UCSD FULL RISK)
• Blue Shield of California
• HealthNet Seniority Plus
• Humana (UCSD FULL RISK)

View our decision-making process and confidentiality statements.