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Health Insurance

Dealing with health insurance and other benefits can be very confusing. If you have questions, please call your insurance representative to better understand how your policy works and what it covers.

Please bring your child's insurance identification card with you to UCSF Children's Hospital. Your insurance may require prior authorization for your child to be seen by a UCSF doctor. If so, please have your child's primary care doctor or insurance company fax your authorization to the UCSF doctor's office and bring a copy to the appointment to ensure you aren't billed for medical services covered by your insurance. You may be called for insurance or authorization information before your appointment.

Your insurance may require an office co-payment. If so, you will be asked to make your co-payment in full at your visit. If your visit is not covered by a health plan or insurance, you will be asked to pay for your visit on arrival. For your convenience, we accept cash, checks and credit cards.

UCSF Children's Hospital contracts with many major health insurance companies. A list of health insurance companies that provide coverage for our services is available below.

Our hospitals and doctors do not contract with or participate in any health insurance discount card programs. They do, however, accept payments made through health savings account programs. We also can make financial arrangements for your coverage with other health insurance companies, if the companies are willing to do so. Please ask your insurance company or your UCSF doctor to contact our Health Plan Strategy and Contracting office at (415) 353–4536

For background information, a glossary of health insurance terms and an explanation of private and public health coverage are available.

The following is a list of insurance companies that currently have contracts with us.

HEALTH PLANTYPE OF PLAN
 
Aetna (Except Aexcel Network) All Plans
Aetna Citizen HMO
Aetna Elect Choice (EC)EPO
Aetna Managed Choice (MC) POS
Aetna Open ChoicePPO
Aetna QPOSPOS
Aetna Select ChoiceHMO
Alameda Alliance for Health Medi-Cal Referral Only HMO
ASMED Health Partnership PPO
 
Beech Street PPO
Blue Cross CaliforniaCare HMO
Blue Cross CalilforniaCare Medi-Cal HMO
Blue Cross CalilforniaCare Medi-Cal Healthy Families HMO Only
Blue Cross Medi-Cal/Healthy Families HMO Only
Blue Cross Prudent Buyer PPO
Blue Cross Plus POS
Blue Shield Access + HMO
Blue Shield HMO Plus POS
Blue Shield Preferred PPO
Blue Shield Preferred Plus PPO
Blue Shield SELECT PPO
Blue Cross Blue Shield Rare and Complex Cancer Network
 
Central California Alliance for Health (Medi-Cal) Referral Only HMO
Chinese Community Health Plan Referral Only
Choice Care/Human PPO
CIGNA HMO
CIGNA POS POS
CIGNA PPO PPO
CorVel Corp. PPO
Coventry / First Health EPO
Coventry / First Health PPO
 
Definity Health PPO
 
Great West Healthcare (Cigna)All Plans
Great West Healthcare (Cigna)HMO
 
Health Net ELECT/Health Net SELECT EPOPOS
Health Net HMOHMO
Health Plan of San Joaquin Referral OnlyHMO / Medi-Cal
Humana/Choice CarePPO
 
Interlink — Transplant Network
Interplan Corp.EPO
Interplan Corp.PPO
 
Kaiser Permanente Dual Choice/PHCS Network PPO
Kaiser Permanente Added Choice/PHCS NetworkPOS
Kaiser Permanente HMO — Referral Only
 
Merced Foundation for Medical CarePPO
Multiplan (Includes Admar, BPS, Formost, PHCS)PPO
 
Pacific Health AlliancePPO
PacifiCare ChoicePOS
PacifiCare HMOHMO
PacifiCare PPOPPO
Partnership Health Plan (Healthy Families) Referral OnlyHMO / Medi-Cal
PPO NEXTPPO
Private healthCare Systems (PHCS)PPO
 
San Francisco Health Plan Healthy Families Referral OnlyHMO
San Francisco Health Plan (Medi-Cal) Referral OnlyHMO
San Francisco Health Plan Primary CareHMO
San Francisco Health Plan/SF Cares for KidsHMO / Medi-Cal
San Joaquin Foundation for Health CarePPO / EPO
Stanislaus Foundation for Medical Care PPO / EPO
 
TriCare Extra / TriWest (CHAMPUS)PPO
TriCare Prime / TriWest (CHAMPUS) HMO / POS
 
UCSF Student Health Services
United HealthCare CHOICE Plus POS
United HealthCare CHOICEPPO
United HealthCareEPO
United HealthCare Options PPO
United HealthCare SelectHMO
United HealthCare Select PlusPOS
United Resource Network — Transplant and Oncology Networks
USAccess/AetnaPOS

Related Information

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For help finding a doctor or other assistance, contact our Physician Referral Service at (888) 689-UCSF or (888) 689-8273.

Or send us an email.