If your health plan is not listed, consult your employer and/or health plan to determine PIH Health Physicians participation.
Chiropractic
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
- Anthem Blue Cross Vivity
- Blue Shield
- Large Group HMO plans
- Small Business HMO plans
- 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
- PPO
- PPO plans
- Prudent Buyer Plan
- Select PPO
- Beech Street Network
- Bind On-Demand Health Insurance (an affiliate of UnitedHealthcare)
- 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
- 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
- Bind On-Demand Health Insurance (an affiliate of UnitedHealthcare)
- 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
- 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)
- 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
- 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
- Bind On-Demand Health Insurance (an affiliate of UnitedHealthcare)
- 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
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
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.
Commercial Preferred Provider Organization (PPO), Point of Service (POS) and Exclusive Provider Organization (EPO)
- Aetna
- Affiliated Health Funds
- Anthem Blue Cross
- Beech Street Network
- Bind On-Demand Health Insurance (an affiliate of UnitedHealthcare)
- 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
- Blue Shield of California
- Blue Shield Promise Health Plan
- Health Net
- Humana
- SCAN
- UnitedHealthcare
Medicare Health Insurance
- Hospital (Part A)
- Medical (Part B)
Military
TRICARE For Life
TRICARE Overseas
TRICARE Prime/TRICARE Prime Remote
TRICARE Reserve Select
TRICARE Retired Reserve
TRICARE Select
TRICARE Young Adult (Prime, Select)
CHCBP
Commercial Preferred Provider Organization (PPO), Point of Service (POS) and Exclusive Provider Organization (EPO)
- Aetna
- Affiliated Health Funds
- Anthem Blue Cross
- Beech Street Network
- Bind On-Demand Health Insurance (an affiliate of UnitedHealthcare)
- 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
- Blue Cross
- Blue Shield of California
- Blue Shield Promise
- Central Health Plan of California
- Easy Choice
- Health Net
- Humana
- Molina
- SCAN
- UnitedHealthcare
Medicare Health Insurance
- Hospital (Part A)
- Medical (Part B)
Military
TRICARE For Life
TRICARE Overseas
TRICARE Prime/TRICARE Prime Remote
TRICARE Reserve Select
TRICARE Retired Reserve
TRICARE Select
TRICARE Young Adult (Prime, Select)
CHCBP
