Medicare Plans Accepted at UC San Diego Health

To access care at UC San Diego Health, select one of the plans below. If you are eligible for both Medicare and Medi-Cal, please see Medi-Cal and Dual-Eligible Plans Accepted.

Note: Please be aware that beginning Jan. 1, 2024, the following changes will apply to Medicare Advantage plans accepted at UC San Diego Health:

1. Brand New Day Medicare HMO will no longer be contracted with UC San Diego Health or UC San Diego Health Physician Group effective Jan. 1, 2024. If you continue to have Brand New Day insurance in 2024, there is a strong likelihood you will lose access to all of your UC San Diego Health providers.

2. Blue Shield 65 Plus HMO members will only be able to access specialty services at UC San Diego Health with a referral and authorization from either Blue Shield or the member’s medical group effective Jan. 1, 2024.

If you would like to continue to access UC San Diego Health services through a Medicare Advantage plan in 2024, please review Medicare Open Enrollment for information on how to switch plans. If you have any questions on which Medicare Advantage HMO plans are accepted at UC San Diego Health, please call 619-471-9123.

Medicare Plans Accepted

Original Medicare (Parts A and B)

Note: If you have original Medicare, your doctor may be participating in the UC San Diego Health Accountable Care Network, a Medicare Shared Savings Program ACO.

All Medicare supplemental (Medigap) plans *

* Please verify with your supplemental plan that your coverage applies to any Medicare provider. There are rare instances when a supplemental plan restricts your benefit coverage to a limited provider network.

Note: Medicare Supplemental plans may not be impacted by the Anthem termination. Please verify with the health plan directly that there are no network requirements.

Medicare Advantage (Part C) plans (non-employer-based)

UC San Diego Health has been recognized as a 4.5-star provider of care to Medicare Advantage patients by the Integrated Healthcare Association, a statewide nonprofit group.

• SCAN Alta Medicare Advantage HMO
  Primary care and specialty care
  Call SCAN at 800-559-3500 for more information
• Scripps Classic (HMO) offered by SCAN Health Plan
  Primary care and specialty care
  Call SCAN at 800-559-3500 for more information
• Scripps Signature (HMO) offered by SCAN Health Plan
  Primary care and specialty care
  Call SCAN at 800-559-3500 for more information
• Humana Gold Plus Medicare Advantage HMO
  Primary and specialty care
  Call Humana at 800-421-7856 for more information. TTY: 711. Español: 800-833-6580.
• Humana UC San Diego Medicare Advantage HMO
  Primary and specialty care
  Call Humana at 800-421-7856 for more information. TTY: 711. Español: 800-833-6580.
• Humana USAA Honor with Rx PPO
  Primary and specialty care
  Call Humana at 800-421-7856 for more information. TTY: 711. Español: 800-833-6580.
• Blue Shield Select Medicare Advantage PPO
  Primary and specialty care
  Call (844) 713-8274 for more information.
• AARP United Healthcare Medicare Advantage PPO
  Primary and specialty care
  Call (844) 459-2348 for more information.
• Blue Shield 65 Plus HMO
  Beginning Jan. 1, 2024, Blue Shield 65 Plus will be limited to specialty services with a referral and authorization from their provider or Blue Shield. No primary care access.
  Call Blue Shield at 800-709-1333 for more information.
• Anthem Blue Cross : Anthem MediBlue Plus (HMO) and Coordination Plus (HMO)
  Specialty referrals only, no primary care access
  Call Anthem Blue Cross at 855-306-4537 for more information.
  
  Note: Beginning March 1, 2024, UC San Diego Health may no longer be contracted with this Anthem plan. See Important Information for Patients with Anthem Blue Cross Health Insurance Plans for details.
• Other Medicare Advantage PPO plans: Please call your plan to verify UC San Diego Health’s participation in your network and to verify benefits. Some Medicare Advantage PPO plans offer competitive out-of-network coverage.

UC retiree group plans

UC San Diego Health accepts the following plans available to UC retirees enrolled in Medicare:

• UC Medicare Choice (administered by UnitedHealthcare): For benefits or coverage questions regarding this plan, call (866) 887-9533.
• UC Medicare PPO (administered by Anthem Blue Cross): For benefits or coverage questions regarding this plan, call (844) 437-0486.
• UC Medicare PPO without prescription drugs (administered by Anthem Blue Cross): For benefits or coverage questions regarding this plan, call (844) 437-0486.
• UC High Option Supplement to Medicare (administered by Anthem Blue Cross): For benefits or coverage questions regarding this plan, call (844) 437-0486.

If you need more information after reviewing the list above, call 858-249-3560. Patients who receive medical benefits through another employer group retirement plan should contact their employer group to determine what plans are being offered.

Open Enrollment for Medicare Advantage Plans

For coverage starting on January 1, the annual open enrollment period is October 15 – December 7 of the previous year. During Open Enrollment you can sign up or change your Medicare Advantage plan. You can also sign up for a Medicare Advantage plan when you turn 65, or if you become disabled (under age 65). Learn more about when you can enroll in Medicare at Medicare.gov.

Medicare also offers a special enrollment period for those who already have a Medicare Advantage plan. From January 1 – March 31, there is a one-time option to switch to Original Medicare (plus a supplemental or Medigap plan) or to a different Medicare Advantage plan.

Resources

We recommend the following resources for help with finding information about Medicare:

• Health Insurance Counseling and Advocacy Program (HICAP), 858-565-8772
• Medicare.gov
• For more information on Medicare Advantage HMO plans accepted at UC San Diego Health, call 619-471-9123

This is not a comprehensive listing of private or public insurance we accept. We strongly encourage you to call your insurance company directly and provide them with tax ID numbers for UC San Diego Medical Group (tax ID 23-7064656) and UC San Diego Medical Center (tax ID 33-0599494) to verify their participation as in-network providers for your specific insurance plan.

Medicare Annual Wellness Visit

If you've been a Medicare beneficiary for at least 12 months, you are eligible for an  Annual Wellness Visit at no cost to you.