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 Physician.
- 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
- CCPOA HMO
- CalPERS Access+
- CalPERS Medicare Prime Access+
- FEHBP Access+ HMO
- Large Group HMO plans
- Local Access+
- PSJH HMO+ Network
- SavNet HMO
- Small Business HMO plans
- Trio HMO
- 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
- EPO
- 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
Note: PIH Health Physicians is not a participating provider in Health Net EnhancedCare PPO obtained through Health Net or Covered California.
- 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 HMO/PPO/POS
These plans can be purchased directly through the health plans and/or Covered California.
- Blue Shield Exchange
- HMO
- Trio HMO
- Individual & Family Plans (IFP) HMO
- Small Business HMO
- POS
- Small Business POS Plans
- Full PPO Provider Network
- Tandem PPO Network
- PPO
- Full PPO Provider Network
- Individual & Family Plans (IFP) PPO
- Small Business PPO Plans
- Tandem PPO Network
- Health Net
- PPO
- Small Group (Platinum, Gold, Silver, Bronze, GF Plans, HSA Compatible, HDHP)
Note: PIH Health Physicians is not a participating provider in Health Net EnhancedCare PPO obtained through Health Net or Covered California.
- UnitedHealthcare Exchange (available only through UnitedHealthcare)
Medicare Advantage HMO
For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.
- Alignment
- CalPlus (Dual Eligibles)
- Heart & Diabetes (HMO SNP)
- Health My Choice
- Health Platinum
- smartHMO
- Blue Shield of California
- 65 Plus
- 65 Plus Plan 2
- AdvantageOptimum
- Coordinated Choice
- Inspire
- TotalDual Plan (D-SNP) (Dual Eligibles)
- Vital
- 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
- Blue Shield
- Bind On-Demand Health Insurance (an affiliate of UnitedHealthcare)
- UnitedHealthcare
- Group Medicare Advantage PPO
- Medicare Advantage PPO plans
Medicare Advantage POS
- VillageHealth (a product of SCAN Health Plan for ESRD beneficiaries), is a Medicare Advantage HMO with a Point-of-Service (POS) option, which means you can access PIH Health Physicians specialists
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
- CHCBP
- TRICARE For Life
- TRICARE Overseas
- TRICARE Prime/TRICARE Prime Remote
- TRICARE Reserve Select
- TRICARE Retired Reserve
- TRICARE Select
- TRICARE Young Adult (Prime, Select)
Guam Plans
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
- Health Net
Note: PIH Health is not a participating provider in Health Net EnhancedCare PPO obtained through Health Net or Covered California.
- 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 Physician.
Medicare Advantage
For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.
- Aetna
- Alignment
- Blue Cross
- Blue Shield of California
- Central Health Plan of California
- Easy Choice
- Health Net
- Humana
- Molina
- SCAN
- UnitedHealthcare
- VillageHealth (a product of SCAN Health Plan for ESRD beneficiaries)
Medicare Health Insurance
- Hospital (Part A)
- Medical (Part B)
Military
- TRICARE
- CHCBP
- TRICARE For Life
- TRICARE Overseas
- TRICARE Prime/TRICARE Prime Remote
- TRICARE Reserve Select
- TRICARE Retired Reserve
- TRICARE Select
- TRICARE Young Adult (Prime, Select)
Guam 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
- Blue Shield
- Cigna
- First Health Network / Coventry Health Care
- Health Net
Note: PIH Health is not a participating provider in Health Net EnhancedCare PPO obtained through Health Net or Covered California.
- Humana ChoiceCare Network
- Interplan Health Group
- MultiPlan Network
- OSCAR
- 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 Physician.
- Aetna (select your PIH Health Physician)
- Anthem Blue Cross (select your PIH Health Physician)
- Anthem Blue Cross Vivity (select your PIH Health Physician)
- Blue Shield of California (includes Trio HMO) (select your PIH Health Physician)
- Cigna
- Health Net (select your PIH Health Physician)
- UnitedHealthcare (select your PIH Health Physician)
Medicare Advantage
For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.
- Aetna
- Alignment (select your PIH Health Physician)
- Blue Cross
- Blue Shield of California (select your PIH Health Physician)
- Central Health Plan
- Health Net (select your PIH Health Physician)
- Humana (select your PIH Health Physician)
- Molina
- SCAN (select your PIH Health Physician)
- UnitedHealthcare (select your PIH Health Physician)
- VillageHealth (a product of SCAN Health Plan for ESRD beneficiaries)
- WellCare
Medicare Health Insurance
- Hospital (Part A)
- Medical (Part B)
Guam Plans
- Calvos/SelectCare
- CNMI Medicaid Program
- Guam Bureau of Healthcare Financing
- Medical Referral Services Saipan
- NetCare
- Staywell
- TakeCare
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 Health Net or Covered California.
- 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 Physician.
Medicare Advantage
For HMO plans, make sure you select a PIH Health Physician as your Primary Care Physician.
- Aetna PPO
- Alignment
- Blue Shield of California
- Health Net
- Humana
- SCAN
- UnitedHealthcare
- VillageHealth (a product of SCAN Health Plan for ESRD beneficiaries)
Medicare Health Insurance
- Hospital (Part A)
- Medical (Part B)
Military
- TRICARE
- CHCBP
- TRICARE For Life
- TRICARE Overseas
- TRICARE Prime/TRICARE Prime Remote
- TRICARE Reserve Select
- TRICARE Retired Reserve
- TRICARE Select
- TRICARE Young Adult (Prime, Select)
Guam Plans
