UCSF Health has contracts with many health insurance companies – ranging from preferred provider organizations (PPOs) to health maintenance organizations (HMOs) – to provide specialized inpatient and outpatient care.
The following list includes the insurance companies that have contracts with UCSF as well as Medicare Advantage and Medi-Cal programs that are accepted here. If you have one of the plans listed below, you and your referring physician must follow the authorization procedure required by your plan when seeking care at UCSF Health.
If you’re choosing or changing insurance: Even if your insurance plan appears on the list below, it doesn’t guarantee full access to UCSF’s services. To find out whether your plan allows unrestricted, restricted, or no access to care at UCSF Health, please ask your health insurance company or your employer’s benefit manager. (Only they can answer this question for you; UCSF doesn’t have this information.)
Please know that we do not contract with or participate in health insurance discount card programs. We do, however, accept payments made through health savings account (HSA) programs.
| HEALTH PLAN | TYPE | NOTE |
| A | ||
| Aetna (Only Commercial Plans) | HMO, POS, PPO, EPO | UCSF is only included in some Aetna EPO plans, therefore check with Aetna to confirm our participation in your specific EPO plan. |
| Aetna Medicare Advantage Plans & Medicaid | HMO, POS, PPO, EPO | UCSF Medical Center and UCSF Medical Group are not contracted with Aetna’s Medicare Advantage Plans and Medicaid Plans. |
| Alameda Alliance for Health (referrals only) | Medi-Cal HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| Anthem Blue Cross CaliforniaCare | HMO | |
| Anthem/BC – Covered California Exchange, IFP & SHOP (Small Business) | EPO (Tier 1) & PPO | UCSF is not an in-network provider but is contracted for tertiary care (i.e., highly specialized care) if Anthem has prior authorized the care. |
| Anthem Blue Cross Medi-Cal Managed Care | Medi-Cal HMO | UCSF is not an in-network provider but is contracted for tertiary care (i.e., highly specialized care) if Anthem has prior authorized the care. |
| Anthem Blue Cross Plus | POS | |
| Anthem Blue Cross Prudent Buyer | PPO | |
| Anthem Medicare Advantage | UCSF Medical Center and UCSF Medical Group are not contracted with Anthem’s Medicare Advantage Plans. | |
| Anthem Blue Connection | HMO & EPO | |
| ASMED Health Partnership | PPO | |
| Aspire Health Plan | Medicare Advantage HMO, HMO (Commercial) | |
| B | ||
| Beech Street (via Multiplan) | PPO | |
| Blue Cross (See Anthem Blue Cross) | ||
| Blue Shield 65 + | Medicare Advantage HMO, PPO | |
| Blue Shield Access + | HMO | |
| Blue Shield Covered California, IFP and SHOP (Small Business) – HMO, PPO | HMO, PPO | |
| Blue Shield HMO Plus | POS | |
| Blue Shield Preferred | PPO | |
| Blue Shield Preferred Plus | PPO | |
| Blue Shield SELECT | PPO | |
| Blue Shield TRIO – HMO ACO | HMO | |
| Blue Shield TRIO – Covered CA | HMO | |
| Brand New Day Medicare Advantage Plans | Medicare Advantage HMO | |
| C | ||
| Canopy Health/Health Net Blue & Gold | HMO | |
| Canopy Health/Health Net Smart Care | HMO | |
| Canopy Health/Health Net Canopy Care San Francisco Health Service System | HMO | |
| Canopy Health/United Signature Value | HMO | |
| Canopy Health/United Signature Value Harmony | HMO | |
| Canopy Health/United Medicare Advantage | Medicare Advantage HMO | |
| Central California Alliance for Health (referrals only) | Medi-Cal HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| Central Health Plan Medicare Advantage Plans | Medicare Advantage HMO | |
| Chinese Community Health Plan | HMO, Medicare Advantage HMO | |
| Choice Care/Humana | PPO | |
| CIGNA HMO | HMO | |
| CIGNA POS | POS | |
| CIGNA Medicare Advantage | Medicare Advantage HMO and PPO | Not Contracted |
| CIGNA PPO | PPO | UCSF is not in-network for Pathwell. |
| CorVel Corp. | PPO | |
| Coventry (First Health) | EPO, PPO | |
| D | ||
| Definity Health | PPO | |
| F | ||
| First Health (Coventry) | EPO, PPO, W/C | |
| Foundation for Medical Care (multiple counties) | PPO | |
| G | ||
| Great West Healthcare (Cigna) | All plans | |
| Great West Healthcare (Cigna) | HMO | |
| H | ||
| Health Net Blue & Gold | HMO | |
| Health Net Covered CA Small Business (SHOP) | PPO only | |
| Health Net ELECT | POS | |
| Health Net HMO | HMO | |
| Health Net PPO | PPO | |
| Health Net Seniority Plus | Medicare HMO | |
| Health Net Smart Care/Canopy Health | HMO | |
| Health Net Smart Care/Canopy Health CanopyCare SFHSS | HMO | |
| Health Plan of San Joaquin (referrals only) | Medi-Cal HMO and San Joaquin County employees | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| Health Plan of San Mateo Medi-Cal Managed Care | Medi-Cal HMO (pediatrics only) | |
| Health Plan of San Mateo Medicare Advantage | Medicare – federal program | |
| Health Smart/Interplan Corp. | HMO, PPO | |
| Hometown Health | PPO | |
| I | ||
| Imperial Health Plan – Medicare Advantage HMO (specialty referrals only) | HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| Interlink Transplant Network | ||
| Interplan Corp/Health Smart | PPO | |
| K | ||
| Kaiser Permanente ASO | PPO | |
| Kaiser Permanente HMO (referrals only) | HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| Kaiser Permanente Medi-Cal HMO (referrals only) | Medi-Cal HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| Kaiser Permanente Medicare HMO (referrals only) | Medicare Advantage HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| L | ||
| Lifesource Transplant Network | ||
| M | ||
| Medi-Cal | California program | |
| Medicare | Federal program | |
| Merced Foundation for Medical Care | PPO | |
| Meritain/Aetna | PPO, EPO | |
| Multiplan (includes Beech Street and PHCS) | PPO | UCSF is not contracted with Multiplan’s HST product. |
| N | ||
| Networks by Design PPO | PPO | |
| O | ||
| On Lok Senior Health Services/PACE (referrals only) | Medicare Advantage HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| Optum Behavioral Health | HMO, PPO | |
| Optum Transplant Network | HMO, PPO | |
| P | ||
| Pacific Health Alliance | PPO | |
| Partnership Health Plan, Medi-Cal (referrals only) | Medi-Cal HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| PPO NEXT | PPO | |
| Progeny Health (Reproductive/Fertility) | PPO | |
| Private Health Care Systems (PHCS) (via Multiplan) | PPO | |
| S | ||
| San Francisco Foundation for Medical Care | PPO/EPO | |
| San Francisco Health Plan Healthy Kids (referrals only) | HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| San Francisco Health Plan (pre-authorization required for specialty or hospital care) | Medi-Cal HMO | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| San Francisco Health Plan UCSF Primary Care | Medi-Cal HMO | |
| San Francisco Health Plan/SF Cares for Kids | Medi-Cal HMO | |
| San Francisco Health Plan IHSS | ||
| San Joaquin Foundation for Health Care | PPO/EPO | |
| Stanislaus Foundation for Medical Care | PPO/EPO | |
| T | ||
| TriCare Prime | HMO | |
| TriCare Select | PPO | |
| TriWest/VA | Federal program | |
| U | ||
| UC Care (administered by Anthem Blue Cross) | PPO | |
| UC Core Plan (administered by Anthem Blue Cross) | PPO | |
| UC Medicare Choice (administered by United HealthCare) | Medicare Advantage PPO | |
| UC Medicare PPO (administered by Anthem Blue Cross) | Medicare Advantage Supplement Plan | |
| UC Medicare PPO without prescription drugs (administered by Anthem Blue Cross) | Medicare Advantage Supplement Plan | |
| UC High Option Supplement to Medicare (administered by Anthem Blue Cross) | Medicare Advantage Supplement Plan | |
| UC Health Savings Plan (administered by Anthem Blue Cross) | PPO | |
| UC Residents & Fellows HMO plan (administered by Anthem Blue Cross) | HMO | |
| UCSF Residents & Fellows (administered by Anthem Blue Cross) | PPO | |
| UCSF Student Health Insurance Plan (administered by Anthem Blue Cross) | PPO | |
| United HealthCare/AARP Medicare Advantage Choice Plan Individuals | Medicare Advantage PPO (hospital only) | UCSF Medical Group physicians are not contracted. UCSF Medical Center hospital and clinic facilities are contracted. |
| United HealthCare Group PPO Plans | Medicare Advantage PPO | |
| United HealthCare/OPTUM | EPO | |
| United HealthCare/OPTUM CHOICE Plus | POS | |
| United HealthCare/OPTUM CHOICE | PPO | |
| United HealthCare/OPTUM Options | PPO | |
| United HealthCare/OPTUM Select Plus | POS | |
| United HealthCare | HMO | |
| United HealthCare Doctor’s Plan | EPO | |
| United HealthCare/Medicare Advantage (Canopy Health only) | Medicare Advantage HMO | |
| United HealthCare/Signature Value Harmony (Canopy Health only) | HMO | |
| V | ||
| Veterans Association/TriWest | Federal program | |
| W | ||
| Western Health Advantage (referrals only) | HMO (hospital only) | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |
| Western Health Advantage Covered California (referrals only) | HMO (hospital only) | To get care from UCSF covered by insurance, your health plan must first authorize a referral. |