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Explore our network of care for kids, from the tiniest to teens and young adults.
World-class docs
We'll help you find the best provider for your child.
Stress-free visits
Accommodations. Admission. Discharge. Procedure prep. We've got you covered.
Extraordinary kid care
Our specialists handle conditions ranging from the common to the most rare.
Referrals made easy
Contacts and resources to get your patients to our pediatric specialists
Best in Northern CA
We're ranked #1 in pediatric cancer, heart surgery, cardiology & more.
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 | UCSF Medical Center and UCSF Medical Group are not contracted with Aetna's Medicare Advantage Plans and Medicaid Plans. |
| 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 | |
| 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 | |
| Anthem Medicare Advantage | UCSF Medical Center and UCSF Medical Group are not contracted with Anthem's Medicare Advantage Plans. | |
| 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 Preferred | PPO | |
| Blue Shield Preferred Plus | PPO | |
| Blue Shield SELECT | PPO | |
| Blue Shield TRIO - HMO ACO | HMO | |
| Blue Shield TRIO - Covered California | HMO | |
| Brand New Day Medicare Advantage Plans | Medicare Advantage 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 | |
| Choice Care/Humana | PPO | |
| CIGNA HMO | HMO | |
| CIGNA Medicare Advantage | HMO and PPO | Not Contracted |
| CIGNA POS | POS | |
| CIGNA PPO | PPO | UCSF is not in-network for Pathwell. |
| 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) | HMO | |
| H | ||
| 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 HMO | |
| 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 | |
| Hometown Health | PPO | |
| 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 | |
| Medicare | Federal program | |
| Merced Foundation for Medical Care | PPO | |
| Meritain/Aetna | PPO, EPO | |
| 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 | |
| T | ||
| TriCare Prime | HMO | |
| TriCare Select | PPO | |
| TriWest/VA | Federal program | |
| U | ||
| UC Care (administered by Anthem Blue Cross) | 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 | HMO | |
| United HealthCare Doctor's Plan | EPO | |
| United HealthCare Group PPO Plans | Medicare Advantage PPO | |
| 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. |
| United HealthCare/Medicare Advantage (Canopy Health only) | Medicare Advantage HMO | |
| United HealthCare/OPTUM | EPO | |
| United HealthCare/OPTUM CHOICE | PPO | |
| United HealthCare/OPTUM CHOICE Plus | POS | |
| United HealthCare/OPTUM Options | PPO | |
| United HealthCare/OPTUM Select Plus | POS | |
| United Medicare Advantage/Canopy Health | Medicare Advantage HMO | |
| United SignatureValue Advantage/Canopy Health | HMO | |
| United SignatureValue Harmony/Canopy Health | HMO | |
| 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. |
M-F, 9 a.m. - 5 p.m.
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