Health Insurance Plans Accepted by Hoag
By participating in most major health insurance plan and network, Hoag makes it easy to access the finest medical treatment available.
PPO (Preferred Provider Organization) Plans
- Aetna Open Choice
- Anthem Blue Cross
- Beech Street*
- Blue Cross Standard
- Blue Shield
- Choice Care (Humana)
- CIGNA
- First Health/Coventry Health*
- Great-West Healthcare
- Interplan/HealthSmart*
- MultiPlan*
- Private Healthcare Systems (PHCS)*
- Prudent Buyer (Blue Cross)
- United Healthcare
- Healthnet PPO (excluding Enhanced Care PPO)
POS (Point of Service) Plans
- Aetna Managed Choice
- Aetna Managed Choice II
- Blue Cross Plus
- Blue Shield
- CIGNA
- CIGNA Open Access Plus
- PacifiCare Choice
- United Healthcare
EPO (Exclusive Provider Organization) Plans
- Aetna Elect Choice
- PacifiCare EPO, Varies by Employer Group
- Private Healthcare Systems*
HMO (Health Maintenance Organization) Plans
- Anthem Blue Cross
- Blue Shield
- Blue Shield Net Value/Local Access
- California Care (Anthem Blue Cross)
- CIGNA
- Great-West Healthcare
- Pacificare
- United Healthcare
- Healthnet HMO
Individual Senior Medicare Advantage Plans
Medicare Open Enrollment Period: October 15 - December 7
- AARP Medicare Complete Secure Horizons Plan 2 (HMO) by UnitedHealthcare
- Anthem Medicare Preferred Standard (PPO, HMO)
- Blue Shield 65 Plus (HMO)
- Blue Shield 65 Plus Choice (HMO)
- SCAN Classic (HMO), SCAN Balance (HMO SNP), SCAN Heart First (HMO SNP), SCAN Plus (HMO)
Individual Senior Medicare PPO Plans
- Aetna Medicare PPO
- Alignment Health PPO Powered by Hoag
- Anthem Medicare PPO
- Blue Shield Medicare PPO
- United Healthcare Medicare PPO
Other Senior Programs
- Original Medicare Parts A & B
- Most Medicare Supplement Insurance (MediGap) plans
- Many Employer Group plans (Call the phone number on the back of your insurance I.D. card to verify if Hoag is your network hospital.)
Covered California Insurance Plans
- Blue Shield of California PPO (Southern California)
- Blue Shield PPO Bronze Plans on Small Business Health Options Program (SHOP) Exchange
- Blue Shield of California Trio HMO (exclusive to Orange County)
Grandfathered Health Plans
A grandfathered plan is an individual health insurance policy that was purchased — on or before March 22, 2010. Grandfathered plans provide the same access to the facilities and physicians you have grown accustomed to.
If you’ve had an Anthem Blue Cross or Blue Shield individual policy since March 22, 2010, you may be able to keep your current benefits through “grandfathering.” Please call the member services phone number on the back of your insurance card to see if you qualify.
If you have questions about your health insurance, please call our Personal Service Team at 800-400-4624 or e-mail Insurance@hoag.org.
*Hoag does not participate in medical discount cards (cash pay) or consumer card programs such as Care Entrée’, Care IQ, Galaxy Health Network, Integrated Health Plan, MedicalConnect1, etc. that may be offered by these or any other networks.
The following plans are not contracted with Hoag: Kaiser, Medi-Cal, and Three Rivers Provider Network (TRPN). In some cases, patients can access Hoag services if their plan and/or IPA pre-authorizes the care.