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Insurance Types That We Accept

Notice regarding patient responsibility:

Though we make every effort to assist our families with any and all insurance questions, issues, and concerns, it is your responsibility to understand how to use your policy.  This responsibility includes verification of in-network status before services are rendered. The patient (or patient’s family, in the case of pediatrics) is responsible for payment when services are not reimbursed through your health insurance policy.

Here is a list of most common in-network plans accepted at Growing Healthy Together. For a comprehensive search, or to look up your specific plan, please visit your insurance company’s website.

  • 2015 and 2016 Aetna DC Bronze, Silver and Gold Open Access Managed Choice (OAMC)
  • 2015 Aetna MD Bronze, Silver and Gold OAMC
  • 2016 Aetna MD Bronze and Gold Open Access Health Network Only
  • 2016 Aetna MD Bronze and Gold PPO
  • Aetna Choice® POS II (Aetna HealthFund®)
  • Aetna Choice® POS II (Open Access)
  • Aetna Choice® POS II on the Altius Network
  • Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
  • Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
  • Aetna Select(SM) (Open Access) on the Altius Network
  • Aetna Select℠
  • Aetna Value Performance Network℠(2015)
  • Aetna Voluntary Plans
  • Elect Choice® EPO
  • Elect Choice® EPO (Open Access)
  • Elect Choice® EPO (Open Access) on the Altius Network
  • Managed Choice® (Open Access)
  • Managed Choice® (Open Access) on the Altius Network
  • Managed Choice® POS
  • NAP (National Advantage Plan)
  • Open Choice® PPO
  • Open Choice® PPO (Aetna HealthFund®)
  • Open Choice® PPO on the Altius Network

Web site: https://www.aetna.com

IMPORTANT NOTES:  

  • Exchange is “Covered California”
Medical (Individual & Families)
  • Blue Cross PPO (Prudent Buyer) – Individual-CA
Medical (Employer-Sponsored)
  • Advantage PPO-CA
  • Anthem Balanced PPO (Prudent Buyer PPO)-CA
  • Anthem Blue Cross PPO (PERS Choice / PERSCare Providers)-CA
  • Anthem Gold Advantage PPO-CA
  • Anthem Silver Advantage PPO-CA
  • Blue Cross PPO (Prudent Buyer) – Large Group-CA
  • Blue Cross PPO (Prudent Buyer) – Small Group-CA
  • Bronze EPO (Prudent Buyer EPO/ Small Grp)-CA
  • Bronze EPO (Prudent Buyer PPO/ Small Grp)-CA
  • Bronze PPO (Prudent Buyer PPO/ Small Grp)-CA
  • Bronze PPO w/ H.S.A (Prudent Buyer PPO/Small Grp)-CA
  • Dignity Health EPO / PPO-CA
  • Dignity Health Ventura EPO/PPO-CA
  • EPO-CA
  • Gold EPO (Prudent Buyer EPO/ Small Grp)-CA
  • Gold EPO (Prudent Buyer PPO/ Small Grp)-CA
  • Gold PPO (Prudent Buyer PPO/ Small Grp)-CA
  • Lumenos Plans PPO-CA
  • MemorialCare Custom PPO-CA
  • National PPO (BlueCard PPO Basic)-
  • National PPO (BlueCard PPO)-
  • Platinum PPO (Prudent Buyer PPO/ Small Grp)-CA
  • Silver EPO (Prudent Buyer EPO/ Small Grp)-CA
  • Silver EPO w/ H.S.A (Prudent Buyer PPO/Small Grp)-CA
  • Silver PPO (Prudent Buyer PPO/ Small Grp)-CA
  • Silver PPO w/ H.S.A (Prudent Buyer PPO/Small Grp)-CA
  • Tenet Network PPO-CA
  • Traditional PPO-
  • UC CORE PPO-CA
  • UC Care PPO-CA
  • UC Resident and Fellows PPO-CA
Medical (Student Health)
  • Blue Cross PPO (Prudent Buyer) – Student Health-CA
  • UCSHIP PPO-CA
 
Medical Networks on-Exchange

Web site: https://www.anthem.com

  • PPO
  • EPO

Contact your Blue Shield administrator to verify coverage.

Web site: https://www.blueshieldca.com

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