Health Insurance for UCSF Benioff Children's Hospital San Francisco

Health-Insurance-2x
Published February 27, 2025

UCSF Benioff Children's Hospital San Francisco has contracts with many health insurance companies and accepts several Medi-Cal plans. A complete list of insurance companies and Medi-Cal programs that cover our services is available below.

Please note that we don't contract with or participate in health insurance discount card programs. We do, however, accept payments made through health savings account (HSA) programs.

HEALTH PLAN TYPE NOTE
A
Aetna (Only Commercial Plans) HMO, POS, PPO, EPO UCSF is only included in some Aetna EPO plans, therefore check with Aetna to confirm our participation in your specific EPO plan.
Aetna Medicare Advantage Plans & Medicaid HMO, POS, PPO, EPO Not contracted
Alameda Alliance for Health (referrals only) Medi-Cal HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Anthem Blue Connection HMO & EPO UCSF may only be included in some Anthem EPO plans, therefore check with Anthem to confirm our participation in your specific EPO plan.
Anthem Blue Cross CaliforniaCare HMO
Anthem Blue Cross Covered California Exchange, IFP & SHOP (Small Business) EPO (Tier 1) & PPO UCSF is not an in-network provider but is contracted for tertiary care (i.e., highly specialized care) if Anthem has prior authorized the care.
Anthem Blue Cross Medi-Cal Managed Care Medi-Cal HMO UCSF is not an in-network provider but is contracted for tertiary care (i.e., highly specialized care) if Anthem has prior authorized the care.
Anthem Blue Cross Plus POS
Anthem Blue Cross Prudent Buyer PPO/EPO
Anthem Medicare Advantage Not contracted
ASMED Health Partnership PPO
Aspire Health Plan Medicare Advantage HMO, HMO (Commercial)
B
Beech Street (via Multiplan) PPO
Blue Cross (See Anthem Blue Cross)
Blue Shield 65 + Medicare Advantage HMO, PPO
Blue Shield Access + HMO
Blue Shield Covered California, IFP and SHOP (Small Business) HMO, PPO
Blue Shield HMO Plus POS
Blue Shield Narrow Network EPO EPO UCSF may only be included in some Blue Shield EPO plans, therefore check with Blue Shield to confirm our participation in your specific EPO plan.
Blue Shield Preferred PPO
Blue Shield Preferred Plus PPO
Blue Shield SELECT PPO
Blue Shield TRIO - HMO HMO
Blue Shield TRIO - Covered California HMO
C
Central California Alliance for Health (referrals only) Medi-Cal HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Central Health Plan Medicare Advantage Plans Medicare Advantage HMO
Chinese Community Health Plan HMO, Medicare Advantage HMO
CIGNA HMO HMO
CIGNA Medicare Advantage HMO and PPO Not Contracted
CIGNA POS POS
CIGNA PPO PPO
CorVel Corp. PPO
Coventry (First Health) EPO, PPO
D
Definity Health PPO
F
First Health (Coventry) EPO, PPO, W/C
Foundation for Medical Care (multiple counties) PPO
G
Great West Healthcare (Cigna) All plans
Great West Healthcare (Cigna) HMO
H
Health Net Behavioral Health (formerly MHN) Commercial & Medicare
Health Net Blue & Gold HMO
Health Net Blue & Gold/Canopy Health HMO
Health Net Canopy Care San Francisco Health Service System/Canopy Health HMO
Health Net Covered California Small Business (SHOP) PPO only
Health Net ELECT POS
Health Net HMO HMO
Health Net PPO PPO
Health Net Seniority Plus Medicare Advantage HMO Not contracted effective 1/1/2025
Health Net Smart Care/Canopy Health HMO
Health Plan of San Joaquin (referrals only) Medi-Cal HMO and San Joaquin County employees To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Health Plan of San Mateo Medi-Cal Managed Care  Medi-Cal HMO (pediatrics only)
Health Plan of San Mateo Medicare Advantage Medicare - federal program
Health Smart/Interplan Corp. HMO, PPO
Humana Medicare Advantage Medicare HMO & PPO Not contracted
I
Imperial Health Plan - Medicare Advantage HMO (specialty referrals only) HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Interlink Transplant Network
Interplan Corp/Health Smart PPO
K
Kaiser Permanente ASO PPO
Kaiser Permanente HMO (referrals only) HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Kaiser Permanente Medi-Cal HMO (referrals only) Medi-Cal HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Kaiser Permanente Medicare HMO (referrals only) Medicare Advantage HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
L
Lifesource Transplant Network
M
Medi-Cal California program No contracted with other state's Medicaid programs.
Medicare Federal program
Merced Foundation for Medical Care PPO
Meritain/Aetna PPO, EPO UCSF may only be included in some Meritain/Aetna EPO plans, therefore check with Meritain/Aetna to confirm our participation in your specific EPO plan.
MHN Behavioral Health-See Health Net Behavioral Health Commercial & Medicare
Multiplan (includes Beech Street and PHCS) PPO UCSF is not contracted with Multiplan’s HST product.
N
Networks by Design PPO PPO
O
On Lok Senior Health Services/PACE (referrals only) Medicare Advantage HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Optum Behavioral Health HMO, PPO
Optum Transplant Network HMO, PPO
P
Pacific Health Alliance PPO
Partnership Health Plan, Medi-Cal (referrals only) Medi-Cal HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
PPO NEXT PPO
Private Health Care Systems (PHCS) (via Multiplan) PPO
Progeny Health (Reproductive/Fertility) PPO
S
San Francisco Foundation for Medical Care PPO/EPO
San Francisco Health Plan (pre-authorization required for specialty or hospital care) Medi-Cal HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
San Francisco Health Plan Healthy Kids (referrals only) HMO To get care from UCSF covered by insurance, your health plan must first authorize a referral.
San Francisco Health Plan IHSS
San Francisco Health Plan UCSF Primary Care Medi-Cal HMO
San Francisco Health Plan/SF Cares for Kids Medi-Cal HMO
San Joaquin Foundation for Health Care PPO/EPO
Stanislaus Foundation for Medical Care PPO/EPO
Stanislaus County Partners in Health PPO
T
TriCare Prime HMO
TriCare Select PPO
TriWest/VA Federal program
U
UC Care (administered by Blue Shield of California) PPO
UC Core Plan (administered by Anthem Blue Cross) PPO
UC Health Savings Plan (administered by Anthem Blue Cross) PPO
UC High Option Supplement to Medicare (administered by Anthem Blue Cross) Medicare Advantage Supplement Plan
UC Medicare Choice (administered by United Healthcare) Medicare Advantage PPO
UC Medicare PPO (administered by Anthem Blue Cross) Medicare Advantage Supplement Plan
UC Medicare PPO without prescription drugs (administered by Anthem Blue Cross) Medicare Advantage Supplement Plan
UC Residents & Fellows HMO plan (administered by Anthem Blue Cross) HMO
UCSF Residents & Fellows (administered by Anthem Blue Cross) PPO
UCSF Student Health Insurance Plan (administered by Anthem Blue Cross) PPO
United Healthcare EPO
United Healthcare HMO
United Healthcare CHOICE PPO
United Healthcare CHOICE Plus POS
United Healthcare Doctor's Plan  EPO
United HealthCare Group PPO Plans Medicare Advantage PPO
United Healthcare Medicare Advantage Medicare Advantage HMO
United Healthcare Medicare Advantage (Canopy Health only) Medicare Advantage HMO Plan is ending on 12/31/24.
United Healthcare Options PPO
United Healthcare Select Plus POS
United Healthcare SignatureValue Harmony/Canopy Health HMO
United Healthcare/AARP Medicare Advantage Choice Plan Individuals Medicare Advantage PPO (hospital only) UCSF Medical Group physicians are not contracted. UCSF Medical Center hospital and clinic facilities are contracted.
V
Veterans Association/TriWest  Federal program
W
Western Health Advantage (referrals only) HMO (hospital only) To get care from UCSF covered by insurance, your health plan must first authorize a referral.
Western Health Advantage Covered California (referrals only) HMO (hospital only) To get care from UCSF covered by insurance, your health plan must first authorize a referral.

Estimate out-of-pocket costs

We want you to be fully informed about any out-of-pocket costs for your child's care. To speak with a financial advisor and get a personalized estimate, call one of the financial counseling teams listed below, depending on where your child will receive care. Or click "Get an estimate online" to see out-of-pocket costs for our most common services.
Get an estimate online

Financial Counseling

Phone: 415-353-1966
M-F, 9 a.m. - 5 p.m.

Patient Estimate Program

Phone: 844-678-6831patientestimate@ucsf.edu