Contracted insurance plans

If you have a doctor or group of doctors you have been seeing or would like to see, be sure they are in the health plan's network. Always be sure to verify if with the insurance plan your doctor is in network.

Because health plan and network information may change, we recommend confirming your choice is available in your area by contacting the health plan's customer service number listed on their website.

HMO - Health Maintenance Organization (HMO)

Generally with an HMO plan you must choose a Primary Care Physician (PCP) from a network of local healthcare providers. Most of your healthcare will be coordinated through your PCP. If you need a referral you will first need to contact your doctor to have them refer you to an in-network specialist. Your out-of-pocket cost and monthly premiums generally are lower with this type of plan.

PPO - Preferred Provider Organization (PPO)

Generally with a PPO plan you are allowed more flexibility and choices when it comes to your healthcare. Usually you are given a network of healthcare providers to choose from which allows you to choose an in- or out-of-network doctor, specialist or hospital. In most cases a referral is not needed. Your out-of-pocket costs are greater generally if you see an out-of-network-doctor. Also, your monthly premium will tend to be higher.

Types of Plans

  • Aetna (including Meritain Health)
  • Anthem 
  • Blue Shield
  • ChoiceCare
  • Cigna
  • Community Health Network
  • Coventry/First Health
  • Health Net (including TriCare)
  • HealthSmart
  • Multiplan/PHCS
  • Networks by Design
  • Premier Direct
  • SunviewCare
  • UnitedHealthcare
  • HMO Plans accepted through Dignity Health Medical Network- Central California (formerly GEMCare) 
    • Anthem Blue Cross: Basic, Select, Traditional
    • Blue Shield of California: Basic and Access+
    • California Correctional Peace Officers Association (CCPOA): Access+ (Basic)
    • UnitedHealthcare: Signature Value Alliance and Signature Value Harmony
  • Participating PPO Plans
    • Blue Shield of California: Platinum Basic, Gold Basic, and Medicare
    • California Association of Highway Patrolmen (CAHP) (including Supplement to Medicare)
    • California Correctional Peace Officers Association (CCPOA) (including Medicare Out of State and Medical Plan Medicare)
    • Peace Officers Research Association of California (PORAC) (including Out-of-State Basic Health Plan and Supplement to Original Medicare
    • UnitedHealthcare (including Medicare Advantage)
  • Qual Care
  • Dignity Health Medical Network participating plans 
    • Aetna
    • Aetna Value Network
    • Anthem Blue Cross
    • Anthem Blue Cross MediBlue Dual Advantage 
    • Anthem Blue Cross MediBlue Plus
    • Blue Shield of California
    • Health Net
    • UnitedHealthcare
  • Aetna
  • Anthem Blue Cross
  • Blue Shield of California
  • Cigna
  • Cigna Open Access Plus (OAP)
  • First Health Network (a Coventry Health Care)
  • Health Net  (Individual/Family)
  • Health Net  (Small/Large Business)
  • Health Net (Centene Employee Plan)
  • HealthSmart Preferred
  • Networks by Design
  • Private Healthcare Systems (PHCS) by Multiplan
  • SunviewCare
  • United Healthcare
  • Aetna Select Open Access
  • Anthem Blue Cross PPO and EPO
  • Blue Shield of California PPO
  • Blue Shield of California EPO
  • Health Net Enhanced Care PPO
  • Health Net CommunityCare Individual & Family HMO Plan
  • Health Net PPO (Small Business)

Health Maintenance Organization (HMO): 

  • Anthem Blue Cross Senior Secure
  • HMO plans accepted through Dignity Health Medical Network- Central California (formerly GEMCare): 
    • Anthem CalPERS HMO
    • Anthem Medicare Select HMO
    • HealthNet - CalPERS Salud HMO
    • HealthNet - Medicare Advantage
Preferred Provider Organizations (PPOs): 
  • Anthem Blue Cross
  • Blue Shield of California


*Please note that hospital and medical group clinics may accept different health insurance plans. To ensure your insurance is accepted at your preferred location, we recommend contacting your health insurance provider directly to confirm coverage.

*Participation in some health plan products is limited. Dignity Health is not a health insurance company. Dignity Health is a provider network of more than 60,000 caregivers and staff who deliver excellent care to diverse communities in hospitals, physician offices, and other types of care centers in 21 states. Headquartered in San Francisco, Dignity Health is the fifth largest health system in the nation and the largest hospital provider in California.

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If you have a doctor or group of doctors you have been seeing or would like to see, be sure they are in the health plan's network. Always be sure to verify with the insurance plan that your doctor is in-network.

Since health plan and network information may change, we recommend confirming your choice is available in your area by contacting the health plan's customer service number listed on its website.

 

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