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 and accepts several Medicare and Medi-Cal plans. A list of health insurance companies and Medicare and Medi-Cal programs 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 (HSA) 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.

NOTE:

• The state Healthy Families plan was phased out in 2013. All eligible children were enrolled into Medi-Cal or Medi-Cal Managed Care.
• As of Jan. 1, 2015, UCSF is not contracted with Health Net's Covered California EPO product.

HEALTH PLAN	TYPE OF PLAN
Aetna (Except Aexcel Network)	All Plans
Aetna Citizen	HMO
Aetna Elect Choice (EC)	EPO
Aetna Managed Choice (MC)	POS
Aetna Open Choice	PPO
Aetna QPOS	POS
Aetna Select Choice Referral Only	Medi-Cal HMO
Alameda Alliance for Health	Medi-Cal and Medicare Special Needs
Medi-Cal HMO
Anthem Blue Cross CaliforniaCare	HMO
Anthem Blue Cross CaliforniaCare	Medi-Cal HMO
Anthem	Medi-Cal HMO
Anthem Blue Cross -- Covered California Exchange, IFP & SHOP (Small Business)	EPO (Tier 1) & PPO
Anthem Blue Cross Plus	POS
Anthem Blue Cross Prudent Buyer	PPO
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 65 +	Medicare HMO
Blue Shield Access +	HMO
Blue Shield Covered California, IFP and SHOP (Small Business) - PPO	PPO
Blue Shield HMO Plus	POS
Blue Shield Preferred	PPO
Blue Shield Preferred Plus	PPO
Blue Shield SELECT	PPO
Blue Shield TRIO - HMO and Covered CA	HMO
Canopy Health/Health Net Blue & Gold	HMO
Central California Alliance for Health Referral Only	Medi-Cal HMO
Chinese Community Health Plan Referral Only	HMO
Choice Care/Humana	PPO
CIGNA HMO	HMO
CIGNA POS	POS
CIGNA PPO	PPO
CorVel Corp.	PPO
Coventry (First Health)	EPO, PPO
Definity Health	PPO
First Health (Coventry)	EPO, PPO
Foundation for Medical Care (multiple counties)	PPO
Great West Healthcare (Cigna)	All Plans
Great West Healthcare (Cigna)	HMO
Health Net Blue & Gold	HMO
Health Net Covered CA IFP	PPO (off-exchange) ONLY
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 Plan of San Joaquin Referral Only	Medi-Cal HMO
Health Plan of San Mateo Medi-Cal Managed Care (PEDIATRICS ONLY)	HMO
Health Smart/ Interplan Corp.	PPO
Humana/Choice Care	PPO
Interlink Transplant Network
Interplan Corp./Health Smart	PPO
Kaiser Permanente Added Choice/PHCS Network	POS
Kaiser Permanente ASO	PPO
Kaiser Permanente Dual Choice/PHCS Network	PPO
Kaiser Permanente HMO Referral Only	HMO
Medi-Cal	California Program
Medicare	Federal Program
Merced Foundation for Medical Care	PPO
Multiplan (includes Beech Street and PHCS)	PPO
Networks by Design PPO	PPO
On Lok Senior Health Services Referral Only	HMO
Oscar Health Covered CA EPO IFP and Small Business	EPO
Pacific Health Alliance	PPO
PacifiCare Choice	POS
PacifiCare HMO	HMO
PacifiCare PPO	PPO
PacifiCare Secure Horizons HMO (Senior Plan)	Medicare HMO
Partnership Health Plan, Medi-Cal, Medicare     Referral Only	Medi-Cal HMO, Medicare Special Needs
PPO NEXT	PPO
Private Health Care Systems (PHCS) (via Multiplan)	PPO
San Francisco Foundation for Medical Care	PPO / EPO
San Francisco Health Plan Healthy Families     Referral Only	HMO
San Francisco Health Plan, Referral Only From SF     Medical Groups	Medi-Cal HMO
San Francisco Health Plan UCSF Primary Care	Medi-Cal HMO
San Francisco Health Plan/SF Cares for Kids	Medi-Cal HMO
San Joaquin Foundation for Health Care	PPO / EPO
Stanislaus Foundation for Medical Care	PPO / EPO
TriCare Extra / TriWest (CHAMPUS)	PPO
TriCare Prime / TriWest (CHAMPUS)	HMO / POS
UCSF Student Health Services (administered by Anthem Blue Cross)
United HealthCare/OPTUM CHOICE Plus	POS
United HealthCare/OPTUM CHOICE	PPO
United HealthCare/OPTUM	EPO
United HealthCare/OPTUM Options	PPO
United HealthCare/OPTUM Select Plus	POS
United HealthCare/OPTUM/PacifiCare Secure Horizons     (Senior Plan)	Medicare HMO
United Resource Network — Transplant and     Oncology Networks
UC Care (administered by Anthem Blue Cross)	PPO
USAccess/Aetna	POS

Last updated February 28, 2017