Health Plans & Insurance

The health plans included on this page have designated PIH Health Physicians and Hospitals as a service provider for their enrollees. While we strive to keep this list up to date, it's always a good idea to check with your health plan to determine the specific details of your coverage.

Please note that health plans introduce new products and the benefit products are subject to change.

An EPO is a limited PPO network. Consult your employer and/or the health plan to confirm PIH Health Physicians participation.

See a list of nurse advice lines offered by some of the medical plans.

PIH Health Physicians

If your health plan is not listed, consult your employer and/or health plan to determine PIH Health Physicians participation.

Chiropractic

  • American Specialty Health (ASH)

  • UnitedHealthcare Commercial California

    • Commercial Products
    • United Medical Resources and Definity
    • United One

  • UnitedHealthCare Medicare California

Commercial HMO

For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.

  • Aetna
    • Aetna HMO, QPOS
      • HMO
      • HMO AHF
      • QPOS
      • QPOS AHF
      • Vitalidad Mexico con Aetna HMO
    • Aetna Health Fund HMO
      • Aetna Value Network HMO (AVN)
      • Aetna Whole Health (AWH)
      • HealthFund HMO
      • HMO Deductible Plan
  • Anthem Blue Cross
    • Employer-Sponsored
      • Advantage HMO
      • Anthem Blue Cross HMO
      • Blue Cross HMO (CaliforniaCare) Large Group
      • Blue Cross HMO (CaliforniaCare) Small Group
      • Dignity Health Custom Advantage HMO
      • PERS Select HMO
      • PERS Traditional HMO
      • Platinum HMO (CaliforniaCare) Small Group
      • Priority Select HMO
      • Select HMO
      • Select Plus HMO
      • Silver HMO (CaliforniaCare) Small Group
      • USC HMO Plan (Two Tiered Network)
    • Individuals & Families Plans (IFP) 
      • CaliforniaCare HMO (Traditional/Full HMO)
  • Anthem Blue Cross Vivity
  • Blue Shield
    • Individuals & Families Plans (IFP)
      • Trio
    • Mid - Large Group HMO plans (101+) 
      • Access+
        • C.A.P.E (California Association of Professional Employees  
      • CCPOA HMO
      • CalPERS Access+
      • CalPERS Medicare Prime Access+
      • FEHBP Access+ HMO
      • Local Access+
      • PSJH HMO+ Network
      • SavNet HMO
      • Trio
    • Small Business HMO plans (Silver, Gold, Platinum)
      • Access+
      • Local Access+
      • Trio
  • Health Net
    • Elect Open Access
    • SmartCare Network (CalPERS members only)
    • PPO - AON Active Health Exchange
      • Southern CA HMO SmartCare (Platinum HMO) 
      • Southern California HMO SmartCare (Gold II)
    • Full Network Large Groups
      • ExcelCare Large Group
      • ExcelCare Large Group (with walk-in clinics)
      • ExcelCare Large Group with walk-in clinics (FEHB Southern CAHigh Option)
      • Full Network Large Group
      • Salud HMO Plus (Large Group)
      • SmartCare Network (Large Group)
      • SmartCare Network (Large Group) (with walk-in clinics)
      • Standard HMO (Large Group)
    • Full Network Small Groups
      • Full Network Small Group (Platinum, Gold, Silver, GF Plans)
      • ExcelCare Small Group
      • ExcelCare Small Group (with walk-in clinics)
      • SmartCare Network (Small Group) (Platinum, Gold, Silver)
      • Standard HMO (Small Group)
      • WholeCare (Small Group) (Platinum, Gold, Silver)
    • Health Services Plan (HSP)
    • Individual and Family Plans (IFP)
      • Medicare COB
      • SmartCare Network Medicare COB
      • SmartCare Network Medicare COB (with walk-in clinics)
    • UC Blue & Gold HM)
  • UnitedHealthCare
    • West 
      • SignatureValue Advantage
      • SignatureValue Flex
      • SignatureValue Focus
      • SignatureValue VEBA
      • SignatureValue

Commercial PPO/POS/EPO

PIH Health Physicians accepts most PPO/POS/EPO plans. If your health plan is not listed below, consult your employer and/or health plan to determine if you have out-of-network benefits. For EPO plans, consult your employer and/or health plan to determine if PIH Health Physicians is a participating provider.

  • Aetna
    • Aetna Signature Administrators
    • Choice POS II
    • Elect Choice EPO
    • Managed Choice POS
    • National Advantage [Program]
    • Open Choice PPO
    • Select
  • Affiliated Health Funds
  • Anthem Blue Cross
    • EPO
      • Blue High Performance Network (HPN) (Call doctor's office to confirm coverage)
    • Federal Employee Program
    • POS
      • Anthem Blue Cross POS
    • PPO
      • Blue Cross Blue Shield Boeing MemorialCare Health Alliance (MCHA)
      • Blue High Performance Network (HPN) (Call doctor's office to confirm coverage)
      • PPO plans
      • Prudent Buyer Plan
      • Select PPO
  • Beech Street Network
  • Bind On-Demand Health Insurance PPO (an affiliate of UnitedHealthcare)
  • Blue Shield
    • EPO
      • Mid - Large Group EPO plans (101+)
          • Blue High Performance Network (HPN) (Call doctor's office to confirm coverage)
        • Full EPO Plans  (Members need to check with Blue Shield if PIH Health is participating in their EPO network)
        • Tandem EPO Network
    • POS
      • CAPE (California Association of Professional Employees Benefit Trust)
      • Mid - Large Group POS plans  (101+)
        • Added Advantage POS plans
    • PPO
      • CAPE (California Association of Professional Employees Benefit Trust)Large Group PPO Plans
      • Individual and Family Plans (IFP) PPO plans (Bronze, Silver, Gold, Platinum)
        • Exclusive PPO Network
      • Mid - Large Group PPO plans  (101+)
        • Active Choice PPO Network
        • Blue High Performance Network (HPN) (Call doctor's office to confirm coverage)
        • Full PPO Network
        • Tandem PPO Network
        • PPO Savings plans
      • Small Business Plans  PPO plans (Bronze, Silver, Gold, Platinum)
        • Full PPO Network
        • Tandem PPO Network
        • PPO Savings plans
  • Centivo
  • Humana ChoiceCare Network
  • First Health Network / Coventry Health Care
  • Health Net
    • EPO
      • Stanford Student EPO
    • POS
      • Elect Large Group
      • Elect Open Access ExcelCare Large Group
      • Elect Open Access ExcelCare Small Group
      • Elect Open Access Large Group
      • Elect Open Access Small Group
      • Select Large Group
      • Select Small Group
    • PPO
      • Centene Employee Plan
      • Individual & Family Plans (IFP) PPO (Platinum, Gold, Silver, Bronze, Min Cov, GF Plans)
      • Large Group (Platinum, Gold, Silver, Bronze, GF Plans, HSA Compatible, HDHP)
      • Small Group (Platinum, Gold, Silver, Bronze, GF Plans, HSA Compatible, HDHP)
      • Stanford Student Dependent PPO
      • Stanford Student PPO

Note: PIH Health Physicians is not a participating provider in Health Net EnhancedCare PPO obtained through Health Net or Covered California.

  • Medi-Share Preferred Provider Network (customized through PHCS)
  • MultiPlan Network
  • Networks by Design (NBD)
  • Private Healthcare System (PHCS)
  • Provider Network of America (PNOA)
  • Three Rivers Provider Network
  • UMR (a UnitedHealthcare company)
  • UnitedHealthcare
    • EPO
      • Choice
      • Navigate
      • Navigate Balanced
      • Select
    • POS
      • Choice Plus
      • Navigate Plus
      • Select Plus
    • PPO
      • Options
      • Oxford Health Plans
      • PPO plans

Health Exchange HMO/PPO/POS

These plans can be purchased directly through the health plans and/or Covered California.

  • Blue Shield Exchange
    • HMO
      • Trio HMO
        • Individual & Family Plans (IFP) HMO
        • Small Business HMO
    • POS
      • Small Business POS Plans
        • Full PPO Provider Network
        • Tandem PPO Network
    • PPO
      • Full PPO Provider Network
      • Individual & Family Plans (IFP) PPO
      • Small Business PPO Plans
      • Tandem PPO Network
    • Health Net
      • PPO
        • Small Group (Platinum, Gold, Silver, Bronze, GF Plans, HSA Compatible, HDHP)

Note: PIH Health Physicians is not a participating provider in Health Net EnhancedCare PPO obtained through Health Net or Covered California.

  • UnitedHealthcare Exchange (available only through UnitedHealthcare)
    • EPO
      • Core Essential EPO
    • POS
      • Core POS

Medicare Advantage HMO

For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.

  • Alignment
    • AVA (HMO-POS)
    • CalPlus  + Veterans
    • CalPlus (Dual Eligibles)
    • el UNICO/the ONE + Rite Aid
    • ESRD Balance (HMO C-SNP)
    • Harmony
    • Heart & Diabetes CalPlus(HMO C-SNP)
    • Heart & Diabetes (HMO C-SNP)
    • My Choice
    • My Choice CalPlus
    • Platinum
    • Platinum + Instacart
    • smartHMO
  • Anthem Blue Cross
    • Anthem MediBlue Coordination Plus (HMO)
    • Anthem MediBlue Dual Advantage (HMO D-SNP)
    • Anthem MediBlue Extra (HMO)
    • Anthem MediBlue Plus (HMO)
    • Anthem MediBlue Select (HMO)
  • Blue Shield of California
    • 65 Plus
    • 65 Plus Plan 2
    • AdvantageOptimum
    • Coordinated Choice
    • Inspire
    • TotalDual Plan (D-SNP) (Dual Eligibles)
    • Vital
  • Health Net
    • Healthy Heart
    • Gold Select
    • Seniority Plus (Employer)
    • Seniority Plus Amber I (HMO SNP) (Dual Eligibles)
    • Seniority Plus Amber II (HMO SNP) (Dual Eligibles)
    • Seniority Plus Green
    • Seniority Plus Sapphire
    • Seniority Plus Sapphire Premier I (Dual Eligibles)
    • Seniority Plus Sapphire Premier II (Dual Eligibles)
  • Humana
    • Gold Plus
    • Value Plus (Dual Eligibles)
  • SCAN
    • Balance (HMO SNP) (Diabetes Only)
    • Classic
    • Connections (HMO SNP) (Dual Eligibles)
    • Prime
    • Plus (Dual Eligibles)
  • UnitedHealthcare
    • AARP Medicare Advantage SecureHorizons Essential
    • AARP Medicare Advantage SecureHorizons Plan 1
    • AARP Medicare Advantage SecureHorizons Premier
    • AARP Medicare Advantage SecureHorizons Focus
    • AARP Medicare Advantage Freedom Plus (HMO-POS)
    • Chronic Complete Focus Medicare Advantage Plan (CSNP)
    • UnitedHealthcare Medicare Advantage Assure (Dual Eligibles)

Medicare Advantage PPO

PIH Health Physicians accepts most Medicare Advantage PPO plans, which include out-of-network benefits. If your plan is not listed below, call your plan to determine your out-of-network benefits.

  • Aetna
    • ESA PPO
    • Medicare Advantage PPO plans
    • UAW Retiree Medical Benefits Trust
  • Blue Shield
  • Bind On-Demand Health Insurance (an affiliate of UnitedHealthcare)
  • Humana
    • PPO
    • Medicare Network PFFS Plans
  • UnitedHealthcare
    • Group Medicare Advantage PPO
    • Medicare Advantage PPO plans

Medicare Advantage POS

  • Alignment
    • Ava (HMO-POS)
  • Humana
  • UnitedHealthcare
    • AARP Medicare Advantage Freedom Plus (HMO-POS)

Medicare Supplement

PIH Health Physicians accepts Medicare Supplement Plans (also known as, Medigap) including, but not limited to:

  • AARP
  • Aetna Medicare Supplement
  • Health Net Medicare Supplement
  • Humana Medicare Supplement
  • Mutual of Omaha Medicare Supplement
  • UnitedHealthcare Medicare Supplement

Medicare Health Insurance

  • Medical (Part B)

Military

  • Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)

  •  TRICARE
    • CHCBP
    • TRICARE For Life
    • TRICARE Overseas
    • TRICARE Prime/TRICARE Prime Remote
    • TRICARE Reserve Select
    • TRICARE Retired Reserve
    • TRICARE Select
    • TRICARE Young Adult (Prime, Select)
  • TriWest
    • VA’s Community Care Network (CCN)

Guam Plans

  • Calvo’s SelectCare
  • Guam Bureau of Healthcare Financing
  • StayWell
  • TakeCare

Saipan Plans

  • CNMI Medicaid Program

PIH Health Eye Care Centers (optometry)

The following list of plans are accepted by PIH Health for optometry services:

  • Eyemed
  • Flex Spending
  • Health Savings Account (HSA)
  • MESVision
  • Spectera
  • VSP (not accepted at Bloomfield Medical Office Building)

Ophthalmology services are covered by medical health plans.

PIH Health Downey Hospital

Commercial Preferred Provider Organization (PPO), Point of Service (POS) and Exclusive Provider Organization (EPO)

  • Aetna
  • Affiliated Health Funds
  • Anthem Blue Cross
  • Beech Street Network
  • Bind On-Demand Health Insurance (an affiliate of UnitedHealthcare)
  • Blue Shield
  • Centivo
  • Health Net

Note: PIH Health is not a participating provider in Health Net EnhancedCare PPO obtained through Health Net or Covered California.

  • Integrated Health Plan
  • Medi-Share Preferred Provider Network (customized through PHCS)
  • MultiPlan Network
  • Networks by Design (NBD)
  • Private Healthcare Systems (PHCS)
  • Provider Network of America (PNOA)
  • UMR (a UnitedHealthcare company)
  • UnitedHealthcare

Commercial Health Maintenance Organizations (HMO)

For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.

Medicare Advantage

For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.

  • Aetna
  • Alignment
  • Blue Cross
  • Blue Shield of California
  • Central Health Plan of California
  • Easy Choice
  • Health Net
  • Humana
  • Molina
  • SCAN
  • UnitedHealthcare

Medicare Health Insurance

  • Hospital (Part A)
  • Medical (Part B)

Military

  • Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)

  • TRICARE
    • CHCBP
    • TRICARE For Life
    • TRICARE Overseas
    • TRICARE Prime/TRICARE Prime Remote
    • TRICARE Reserve Select
    • TRICARE Retired Reserve
    • TRICARE Select
    • TRICARE Young Adult (Prime, Select)

Guam Plans

  • Calvo’s SelectCare
  • Guam Bureau of Healthcare Financing
  • StayWell
  • TakeCare

Saipan Plans

  • CNMI Medicaid Program

PIH Health Good Samaritan Hospital

Commercial Preferred Provider Organization (PPO), Point of Service (POS) and Exclusive Provider Organization (EPO)

  • Aetna
  • Affiliated Health Funds
  • Anthem Blue Cross
  • Beech Street Network
  • Blue Shield
  • Centivo
  • First Health Network / Coventry Health Care
  • Health Net

Note: PIH Health is not a participating provider in Health Net EnhancedCare PPO obtained through Health Net or Covered California.

  • Humana ChoiceCare Network
  • Interplan Health Group
  • Medi-Share Preferred Provider Network (customized through PHCS)
  • MultiPlan Network
  • OSCAR
  • Private Healthcare Systems (PHCS)
  • Provider Network of America (PNOA)
  • UMR (a UnitedHealthcare company)
  • UnitedHealthcare

Commercial Health Maintenance Organizations (HMO)

For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.

  • Aetna (select your PIH Health Physician)
  • Anthem Blue Cross (select your PIH Health Physician)
  • Anthem Blue Cross Vivity (select your PIH Health Physician)
  • Blue Shield of California (includes Trio HMO) (select your PIH Health Physician)
  • Health Net (select your PIH Health Physician)
  • UnitedHealthcare (select your PIH Health Physician)

Medicare Advantage

For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.

  • Aetna
  • Alignment (select your PIH Health Physician)
  • Blue Cross
  • Blue Shield of California (select your PIH Health Physician)
  • Central Health Plan
  • Health Net (select your PIH Health Physician)
  • Humana (select your PIH Health Physician)
  • Molina
  • SCAN (select your PIH Health Physician)
  • UnitedHealthcare (select your PIH Health Physician)
  • WellCare

Medicare Health Insurance

  • Hospital (Part A)
  • Medical (Part B)

Military

  • Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)

Guam Plans

    • Calvo’s SelectCare
    • Guam Bureau of Healthcare Financing
    • NetCare
    • Staywell
    • TakeCare

    Saipan Plans

    • CNMI Medicaid Program
    • Medical Referral Services Saipan

    PIH Health Whittier Hospital

    Commercial Preferred Provider Organization (PPO), Point of Service (POS) and Exclusive Provider Organization (EPO)

    • Aetna
    • Affiliated Health Funds
    • Anthem Blue Cross
    • Beech Street Network
    • Bind On-Demand Health Insurance (an affiliate of UnitedHealthcare)
    • Blue Shield
    • Centivo
    • First Health Network / Coventry Health Care
    • HealthNet

    Note: PIH Health is not a participating provider in Health Net EnhancedCare PPO obtained through Health Net or Covered California.

    • Humana ChoiceCare Network
    • Interplan Health Group
    • Medi-Share Preferred Provider Network (customized through PHCS)
    • MultiPlan Network
    • Networks by Design (NBD)
    • Private Healthcare Systems (PHCS)
    • Provider Network of America (PNOA)
    • Three Rivers Provider Network
    • UMR (a UnitedHealthcare company)
    • UnitedHealthcare

    Commercial Health Maintenance Organizations (HMO)

    For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.

    Medicare Advantage

    For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.

    • Aetna PPO
    • Alignment
    • Anthem
    • Blue Shield of California
    • Health Net
    • Humana
    • SCAN
    • UnitedHealthcare

    Medicare Health Insurance

    • Hospital (Part A)
    • Medical (Part B)

    Military

    • Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)

    •  TRICARE
      • CHCBP
      • TRICARE For Life
      • TRICARE Overseas
      • TRICARE Prime/TRICARE Prime Remote
      • TRICARE Reserve Select
      • TRICARE Retired Reserve
      • TRICARE Select
      • TRICARE Young Adult (Prime, Select)
    • TriWest
      • VA’s Community Care Network (CCN)

    Guam Plans

    • Calvo’s SelectCare
    • Guam Bureau of Healthcare Financing
    • StayWell
    • TakeCare

    Saipan Plans

    • CNMI Medicaid Program