Health Insurance Plans - PIH Health - Whittier, CA

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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 Provider. 

  • Aetna
    • Aetna HMO
      • HMO
      • HMO AHF
      • QPOS
      • QPOS AHF
      • Vitalidad Mexico con Aetna HMO
    • Aetna HMO HRA
      • Basic HMO
      • HealthFund HMO
      • HMO Deductible Plan
      • Value Network HMO
  • 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
      • Gold HMO (CaliforniaCare) Small Group)
      • PERS Select HMO
      • PERS Traditional HMO
      • Platinum HMO (CaliforniaCare) Small Group
      • Select Plus HMO
      • Silver HMO (CaliforniaCare) Small Group
      • USC HMO Plan (Two Tiered Network)
    • Individual & Families
      • CaliforniaCare HMO
  • Anthem Blue Cross Vivity
  • Blue Shield
    • Large Group HMO plans
      • Access+
    • Small Business HMO plans
      • Access+
  • Health Net
    • Full Network Large Groups
    • Full Network Small Groups (Platinum, Gold, Silver, GF Plans)
    • Salud HMO Plus Large Group
  • UnitedHealthCare
    • SignatureValue Advantage
    • SignatureValue Alliance
    • SignatureValue Flex
    • SignatureValue Focus
    • SignatureValue VEBA
    • Signature Value
    • West

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
    • Choice POS II
    • Elect Choice EPO
    • Managed Choice POS
    • National Advantage [Program]
    • Open Choice PPO
    • Select
  • Affiliated Health Funds
  • Anthem Blue Cross
    • EPO
    • Federal Employee Program
    • POS
      • Anthem Blue Cross POS
    • PPO
      • PPO plans
      • Prudent Buyer Plan
      • Select PPO
  • Beech Street Network
  • Blue Shield
    • POS
      • Large Group POS plans
        • Full PPO Provider Network
      • Midsize Group POS plans
        • Full PPO Provider Network
    • PPO
      • Large Group PPO Plans
        • Active Choice PPO Network
        • Full PPO Provider Network
        • Tandem PPO Network
  • 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
  • MultiPlan Network
  • Networks by Design (NBD)
  • Private Healthcare System (PHCS)
  • 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 PPO/POS

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

PIH Health Physicians does not participate in Health Exchange HMO plans.

  • Blue Shield Exchange
    • POS
      • Small Business POS Plans
        • Full PPO Provider Network
        • Tandem PPO Network
    • PPO
      • Individual & Family Plans (IFP) PPO (Exclusive PPO Network)
      • Small Business PPO Plans
        • Full PPO Provider Network
        • Tandem PPO Network
  • Health Net Exchange
    • AON Active Health Exchange
      • Southern CA PPO (Bronze, Bronze Plus, Silver)
      • Southern CA PPO (Platinum PPO)
    • PPO (Covered California)
      • Small Group PPO (Platinum, Gold, Silver, Bronze, GF Plans, HSA Compatible, HDHP)

Note: PIH Health Physicians does not participate in Health Net EnhancedCare PPO, PureCare Health Services Plans (HSP), or PureCare One EPO plans.

  • UnitedHealthcare
    • Core POS
    • Core Essential EPO

Medicare Advantage HMO

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

  • Alignment (effective January 1, 2020)
    • CalPlus (Dual Eligibles)
    • Heart & Diabetes (HMO SNP)
    • Health My Choice
    • Health Platinum
    • smartHMO
  • Blue Shield of California
    • 65 Plus
    • 65 Plus Choice
    • Inspire
    • Vital
  • Blue Shield Promise
    • Advantage Optimum
    • Coordinated Care (Dual Eligibles)
    • TotalDual (D-SNP) (Dual Eligibles)
  • CareMore (terminating December 31, 2019)
  • 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 (effective January 1, 2020)
    • 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
    • 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
  • UnitedHealthcare
    • Group Medicare Advantage PPO
    • Medicare Advantage PPO plans

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

  • TRICARE
    • TRICARE For Life
    • TRICARE Overseas
    • TRICARE Prime/TRICARE Prime Remote
    • TRICARE Reserve Select
    • TRICARE Retired Reserve
    • TRICARE Select
    • TRICARE Young Adult (Prime, Select)
    • CHCBP
  • TriWest
    • Veterans Choice Program
    • Patient-Centered Community Care (PC3)

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 Hospital - Whittier

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
  • First Health Network / Coventry Health Care
  • HealthNet

Note: PIH Health is not a participating provider in Health Net EnhancedCare PPO obtained through the Exchange

  • Humana ChoiceCare Network
  • Interplan Health Group
  • MultiPlan Network
  • Networks by Design (NBD)
  • Private Healthcare Systems (PHCS)
  • 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 Provider.

Medicare Advantage

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

  • Aetna PPO
  • Alignment (effective January 1, 2020)
  • Blue Shield of California
  • Blue Shield Promise Health Plan
  • CareMore 
  • Health Net
  • Humana
  • SCAN (effective January 1, 2020)
  • UnitedHealthcare

Medicare Health Insurance

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

Military

  • TRICARE

TRICARE For Life

TRICARE Overseas

TRICARE Prime/TRICARE Prime Remote

TRICARE Reserve Select

TRICARE Retired Reserve

TRICARE Select

TRICARE Young Adult (Prime, Select)

CHCBP

  • TriWest

Veterans Choice Program

Patient-Centered Community Care (PC3)

PIH Health Hospital - Downey

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
  • HealthNet

Note: PIH Health is not a participating provider in Health Net EnhancedCare PPO obtained through the Exchange

  • Integrated Health Plan
  • MultiPlan Network
  • Networks by Design (NBD)
  • Private Healthcare Systems (PHCS)
  • 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 Provider.

Medicare Advantage

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

  • Aetna
  • Alignment (Effective January 1, 2020)
  • Blue Cross
  • Blue Shield of California
  • Blue Shield Promise
  • CareMore (Contract ends March 31, 2020)
  • Central Health Plan of California
  • Easy Choice
  • Health Net
  • Humana
  • Molina
  • SCAN
  • UnitedHealthcare

Medicare Health Insurance

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

Military

  • TRICARE

TRICARE For Life

TRICARE Overseas

TRICARE Prime/TRICARE Prime Remote

TRICARE Reserve Select

TRICARE Retired Reserve

TRICARE Select

TRICARE Young Adult (Prime, Select)

CHCBP

  • TriWest

Veterans Choice Program

Patient-Centered Community Care (PC3)

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