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 Benioff 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 Benioff 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 health insurance discount card programs. We do, however, accept payments made through health savings account programs.

UCSF also can make financial arrangements for your coverage with health insurance companies that don't have contracts with UCSF, if the companies are willing to do so. If your health insurance company is not listed below, please ask your insurance company or your UCSF doctor to contact our Health Plan Strategy and Contracting office at (415) 353-9020 to discuss possible arrangements.

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

NOTE:

  • The state Healthy Families plan is being phased out in 2013. All eligible children will be enrolled into Medi-Cal or Medi-Cal Managed Care.
  • UCSF is not contracted for any of Blue Shield of California's EPO Products, and is not an "in-network" provider for any policies recently purchased through the Covered California Exchange, or for most individual and family plans. Please contact your Blue Shield representative for questions about your network providers and out-of-network benefits.

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 Choice, Referral OnlyMedi-Cal HMO
Alameda Alliance for Health Medi-Cal Referral Only Medi-Cal HMO
Anthem Blue Cross CaliforniaCareHMO
Anthem Blue Cross CalilforniaCare
    Medi-Cal and Healthy Families
Medi-Cal HMO
Anthem Blue Cross Medi-Cal/Healthy Families Medi-Cal HMO
Anthem Blue Cross -- Covered California Exchange
Anthem Blue Cross PlusPOS
Anthem Blue Cross Prudent BuyerPPO
Anthem Blue Cross / Blue Shield Rare & Complex Cancer Network
ASMED Health Partnership PPO
 
Beech Street (via Multiplan) PPO
Blue Cross (See Anthem Blue Cross)
Blue Shield Access + HMO
Blue Shield HMO Plus POS
Blue Shield Preferred PPO
Blue Shield Preferred Plus PPO
Blue Shield SELECT PPO
 
California Children's ServicesState Program
Central California Alliance for Health, Referral Only Medi-Cal HMO
Chinese Community Health Plan, Referral Only HMO
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
Foundation for Medical Care (multiple counties) PPO
 
Great West Healthcare (Cigna)All Plans
Great West Healthcare (Cigna)HMO
 
Health Net Blue & GoldHMO
Health Net Covered CAPPO
Health Net ELECTPOS
Health Net HMOHMO
Health Plan of San Joaquin Referral OnlyMedi-Cal HMO
Humana/Choice CarePPO
 
Interlink — Transplant Network
Interplan Corp.PPO
 
Kaiser Permanente ASOPPO
Kaiser Permanente Added Choice/PHCS NetworkPOS
Kaiser Permanente Dual Choice/PHCS Network PPO
Kaiser Permanente HMO, Referral OnlyHMO
 
Medi-CalState Program
Merced Foundation for Medical CarePPO
Multiplan (Includes Beech Street and PHCS)PPO
 
Networks by Design PPO PPO
 
Pacific Health AlliancePPO
PacifiCare ChoicePOS
PacifiCare HMOHMO
PacifiCare PPOPPO
Partnership Health Plan (Healthy Families), Referral OnlyMedi-Cal HMO
PPO NEXTPPO
Pre-Existing Condition Insurance Plan (PCIP)PPO
Private HealthCare Systems (PHCS) (via Multiplan)PPO
 
San Francisco Foundation for Medical CarePPO / EPO
San Francisco Health Plan Healthy Families Referral Only
HMO
San Francisco Health Plan (Medi-Cal) Referral OnlyHMO
San Francisco Health Plan Primary CareHMO
San Francisco Health Plan/SF Cares for KidsMedi-Cal HMO
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/OPTUM CHOICE Plus POS
United HealthCare/OPTUM CHOICEPPO
United HealthCare/OPTUMEPO
United HealthCare/OPTUM Options PPO
United HealthCare/OPTUM Select PlusPOS
United Resource Network — Transplant and Oncology Networks
UC Care (administered by Blue Shield of CA) PPO
USAccess/AetnaPOS

Related Information

Contact Us

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.

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