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.

Types of plans:

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.

Dignity Health is proud to be offered through these employer-based health plans and provider networks^*:

CalPERS

• Blue Shield of California PPO and EPO

Health Maintenance Organization (HMOs)

• Aetna Open Access

Independent Practice Associations (IPAs) contracted with the following HMO plans:

• ALLCARE
  • Aetna
  • Anthem Blue Cross
  • Blue Shield of California
  • Cigna
  • Health Net
  • UnitedHealthcare

Preferred Provider Organizations (PPOs)

• Aetna Open Choice
• Aetna
• Aetna Open Choice
• Anthem Blue Cross, including Select
• Blue Shield of California
• ChoiceCare by Humana
• Cigna
• Cigna OAP (Open Access Plus) 
• Coventry/First Health 
• Health Net Individual & Family and Small/Large Business
• Centene Employee Plan
• HealthSmart
• Multiplan/PHCS
• Networks by Design
• TriCare by TriWest Healthcare Alliance  
• TriWest by Blue Shield
• United Healthcare

Exclusive Provider Organization (EPOs)

• Aetna and Elect Choice 
• Health Net Primary 

Accepted Covered California plans include:

• Anthem PPO and EPO
• Blue Shield of California PPO and EPO
• Health Net PureCare One (HSP) – CA Small Business Plan, EPO – PureCare One Individual & Family Plan, PPO Small Business, and PureCare EPO – SHOP 

Medicare Advantage
CalPERS Members

• United Healthcare PPO and Edge PPO

Independent Practice Associations (IPAs) contracted with the following HMO plans:

• ALLCARE 
  • Alignment Health Plan
  • Blue Shield
  • Golden State Medicare Health Plan
  • UnitedHealthcare

Preferred Provider Organizations (PPOs)

• Blue Shield
• Health Net

*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.