Jeffrey Wade
UCLA Health accepts many types of health insurance, including government health insurance programs such as Medicare and Medi-Cal, as well as various Medicare Advantage, HMO, POS, and PPO plans. However, it is important to note that not all UCLA Health doctors accept Medicare. Patients with Medicare may have no out-of-pocket expenses, while those with Medicare Advantage have a $20 co-payment for in-person or video visits. To find out more about Medicare coverage options accepted by UCLA Health, patients can use PlanEnroll.com, a third-party website that connects them to a licensed insurance agent who can guide them through their options.
| Characteristics | Values |
|---|---|
| Medicare options at UCLA Health | Medicare Advantage HMO, PPO, PFFS, and Prescription Drug Plan |
| Medicare cost | Most patients have no out-of-pocket expenses. The cost for some patients ranges from $3 to $6. Patients with Medicare Advantage have a $20 co-payment. |
| Medicare coverage | UCLA Health is working with Berwick Insurance Services to help patients find the Medicare coverage accepted by their UCLA Health doctors. |
| Medicare enrollment | Enrollment in a plan may be limited to certain times of the year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period. |
| Medicare billing | UCLA Health sends separate bills for hospital services and physician services. |
| Medicare billing inquiries | 310-301-8860 (physician services), 310-825-8021 (hospital services), 310-825-2631 (UCLA Health referral line) |
| Medicare billing website | my.uclahealth.org |
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What You'll Learn
UCLA Health accepts Medicare and Medi-Cal
UCLA Health accepts a wide range of health insurance plans, including government health insurance programs such as Medicare and Medi-Cal. UCLA Health works with Berwick Insurance Services, a company that offers a free service to help patients find the Medicare coverage that suits their needs and is accepted by their UCLA Health doctors. Patients can also use PlanEnroll.com, a third-party site, to connect with a licensed insurance agent and review the Medicare plans accepted by UCLA Health physicians.
UCLA Health accepts various Medicare Advantage plans, with most patients having no out-of-pocket expenses. However, patients with Medicare Advantage have a $20 co-payment for in-person or video visits. UCLA Health also accepts Medi-Cal, which has no out-of-pocket costs.
It is important to note that not all UCLA Health doctors accept Medicare and Medi-Cal. Patients are advised to check with individual doctors before scheduling care. Additionally, UCLA Health bills separately for physician and hospital services, so patients should contact the appropriate service for billing inquiries.
For the latest information on UCLA Health's participation in insurance plan networks, patients can call UCLA Health representatives or their health plan directly. UCLA Health also accepts select plans purchased individually, through an agent, or directly from an insurance company. These plans may be purchased through Covered California, the state's official health insurance marketplace.
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Some UCLA doctors do not accept government insurance programs
UCLA Health accepts many types of health insurance plans to help patients get the care they need. UCLA Health works with Berwick Insurance Services, a company that offers a free service to help patients find the Medicare coverage that suits their needs and is accepted by their UCLA Health doctors. Patients can also compare plans online at PlanEnroll.com, a third-party site where they can connect with a licensed insurance agent to review the Medicare plans accepted by UCLA Health doctors.
UCLA Health accepts government health insurance programs, including Medicare and Medi-Cal. However, it is important to note that not all UCLA Health doctors accept these government insurance programs. Patients are advised to check with individual doctors before scheduling care to ensure they accept Medicare or Medi-Cal.
UCLA Health also accepts various Medicare Advantage, HMO, POS, and PPO plans. Patients can call the UCLA Health referral line to check which plans are accepted by specific hospitals and doctors. Additionally, UCLA Health accepts health insurance purchased by individuals, families, and small businesses, as well as select plans purchased directly from an agent, an insurance company, or Covered California, the state's official health insurance marketplace.
UCLA Health provides separate billing for hospital services and physician services. Patients can access their billing statements at my.uclahealth.org and call specific numbers for copies of their hospital and physician services statements. UCLA Health also charges a facility fee for the use of its clinics and related ancillary services. It is important for patients to understand that preventive check-ups do not cover the evaluation or management of acute and chronic conditions, which fall under follow-up or diagnostic care and are billed separately.
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$19.95 $14.95
Medicare patients have no out-of-pocket expenses
UCLA Health works with Berwick Insurance Services, a company that offers a free service to help you find the Medicare coverage that suits your needs and is accepted by your UCLA Health doctors. UCLA Health accepts a wide range of health insurance plans, including select plans purchased on your own, directly from an insurance company, or through an agent.
Medicare out-of-pocket (OOP) costs refer to what you're obliged to pay beyond what Medicare covers. These costs can change annually and depend on your plan's coverage and other factors. There is no yearly limit on what you pay out-of-pocket unless you have supplemental coverage, like a Medicare Supplement Insurance (Medigap) policy, or you join a Medicare Advantage Plan.
Medicare Part A (Hospital Insurance) typically doesn't require a premium if you've worked for 10+ years and had Social Security taxes withheld. However, if you don't qualify for premium-free Part A, you may pay up to $518 monthly in premiums, with a $1,676 deductible per benefit period for a hospital stay in 2025.
Medicare Part B (Medical Insurance) has a standard monthly premium of $185, with a $257 deductible per year. The Part B coinsurance is 20% of the cost for each Medicare-approved service or item, contributing significantly to total out-of-pocket costs.
Medicare Part D (Prescription Drug Coverage) has a deductible of up to $590 per year, with annual out-of-pocket costs capped at $2,000. After reaching this limit, you pay nothing for covered drugs for the rest of the year.
Medigap policies provide supplemental coverage, reducing out-of-pocket expenses by covering costs for services under Medicare Parts A and B. These policies can also include extra benefits, such as coverage for travel outside the country.
While Medicare patients typically have out-of-pocket expenses, these costs can be mitigated through various means, including supplemental coverage, Medigap policies, and Medicare Advantage Plans.
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Medicare Advantage patients have a $20 co-payment
UCLA Health accepts a wide range of health insurance plans to help patients get the care they need. While it is not explicitly stated that UCLA Medical accepts Medicare Advantage with only a $20 copayment, there are several Medicare options available at UCLA Health.
UCLA Health works with Berwick Insurance Services, a company that offers a free service to help patients find the Medicare coverage that is right for them and accepted by UCLA Health doctors. Patients can also compare plans online at PlanEnroll.com, a third-party site where they can connect with a licensed insurance agent to review the Medicare plans accepted by UCLA Health doctors and compare premiums, copays, and prescription drug out-of-pocket costs.
It is important to note that Medicare Advantage (MA) Plans usually charge a copayment for doctor's visits, which can vary by plan. While MA Plans cannot charge higher copays than Original Medicare for certain care, such as chemotherapy, dialysis, and skilled nursing facility (SNF) care, they may ask patients to pay more for certain services or require specific steps before covering their care.
For the most up-to-date information on UCLA Health's participation in insurance plan networks, patients can call UCLA Health representatives or their health plan.
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UCLA Health works with Berwick Insurance Services to help patients find the right Medicare coverage
PlanEnroll represents Medicare Advantage HMO, PPO, PFFS, and Prescription Drug Plan organisations with a Medicare contract and/or a Medicare-approved Part D sponsor. Patients can review and compare premiums, co-pays, and prescription drug out-of-pocket costs. They can also review the Medicare plans accepted by their UCLA Health doctors. Medicare's Annual Election Period, from October 15 to December 7, offers patients the opportunity to review and change their current Medicare options, with changes taking effect on January 1 of the following year.
UCLA Health accepts a wide range of health insurance plans, including government health insurance programs such as Medicare and Medi-Cal, and various Medicare Advantage, HMO, POS, and PPO plans. However, it is important to note that not all UCLA Health doctors accept these government insurance programs, so patients should check with their doctors before scheduling care. UCLA Health also accepts select plans purchased individually or through an agent, insurance company, or Covered California, the state's official health insurance marketplace.
For specific inquiries about insurance plan networks, patients can contact UCLA Health representatives or their health plan directly. Additionally, patients can refer to the UCLA Health referral line or their benefits coordinator at work for further information about accepted insurance plans.
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Frequently asked questions
UCLA Health accepts many types of health insurance, including government health insurance programs like Medicare and Medi-Cal. However, some doctors at UCLA Health do not accept Medicare, so be sure to check with individual doctors before scheduling care.
You can check which plans are accepted by UCLA Health hospitals and doctors by calling the UCLA Health referral line at 310-825-2631 or 310-301-8700.
Most patients with Medicare will have no out-of-pocket expenses. However, patients with Medicare Advantage have a $20 co-payment for in-person or video visits.
