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^*:

• 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

Dignity Health is proud to be offered through these CalPERS health plans^*:

• HMO Plans
• CalPERS Health Net Salud y Más
• Dignity Health Medical Network (formerly GEMCare)
  • Aetna
  • Anthem 
  • Blue Shield
  • Health Net 
  • United Healthcare
• Qual Care

PPO Plans

• PERS Gold
• PERS Platinum

Dignity Health is proud to be offered through these Covered CA health plans^*:

• Blue Shield  
• Health Net - Enhanced Care

Dignity Health is proud to be offered through these Medicare Advantage health plans^*:

• Anthem
• Dignity Health Medical Network (formerly GEMCare) 
  • Blue Shield
  • Health Net
  • Wellcare (via Health Net)
• Indepndence Medical Group (IMG) 
• Meritain Health 
• United Healthcare (including CalPERs) 

 

^*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.