Jeffrey Wade
UC San Diego Health accepts a variety of insurance plans, including HMO, PPO, Medicare, Medi-Cal, and Covered CA. UC San Diego also offers a student health insurance plan (UC SHIP) for its graduate and undergraduate students. UC SHIP provides medical, behavioural health, pharmacy, dental, and vision care benefits, and is compliant with the Affordable Care Act requirements. UC San Diego School of Medicine covers trainees under its self-insured medical professional and hospital liability insurance.
| Characteristics | Values |
|---|---|
| Does UC San Diego require medical insurance? | Yes, UC San Diego requires medical insurance. UC SHIP is a mandatory student health insurance plan for all registered students. |
| Insurance plans accepted | UC San Diego Health accepts a variety of HMO, PPO, Medicare, Medi-Cal, Covered CA, and Anthem Blue Cross plans. |
| Billing | UC San Diego Health sends bills for any balance not paid at the time of service. Patients will receive a unified billing statement that includes hospital and professional services, with one customer service telephone number for all billing questions. |
| Liability insurance | UC San Diego has self-insured medical professional and hospital liability insurance that covers trainees within the course and scope of their appointment. |
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What You'll Learn
UC San Diego Health insurance plans accepted
UC San Diego Health accepts a variety of health insurance plans, including HMO, PPO, Medicare, Medi-Cal, and Covered CA. They are also contracted with most major insurance plans. UC San Diego Health accepts most major health insurance plans, but it is the patient's responsibility to call the health plans and verify that UC San Diego is an in-network provider for their particular plan.
UC San Diego Health provides world-class providers and makes it easy to switch to a UC San Diego Health primary care provider (PCP). They accept all major health plans, including Anthem Blue Cross. To register with UC San Diego Health, choose a new doctor, and schedule appointments, one can call 800-926-8273.
For UC employees, there is a choice between UC Blue & Gold HMO or UC Care PPO to receive care at UC San Diego Health. After selecting the UC Blue & Gold plan in UC Path, one will be asked to choose a primary care provider, but there is no need to designate a certain provider. The UC Care plan is administered by Anthem Blue Cross, and one can access optimal benefits when seeing a UC San Diego Health provider or other Tier One provider.
For students, health insurance is a mandatory non-academic condition for enrollment. UCSD automatically enrolls all registered students into UC SHIP (Student Health Insurance Plan), which includes medical, behavioral health, pharmacy, dental, and vision care benefits. Students already covered by another insurance plan can opt out of UC SHIP and apply for a Health Fee Waiver through TritonLink, which must be done for each academic year.
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UC SHIP student health insurance
Since 2011, health insurance is a mandatory non-academic condition for enrollment at UC San Diego. All registered students are automatically enrolled in the UC Student Health Insurance Plan (UC SHIP) and are billed per quarter. However, if students have comparable insurance coverage, they can choose to waive enrollment in UC SHIP by submitting a request by the specified deadline. This waiver must be submitted for each academic year.
UC SHIP is a system-wide, cost-effective health insurance plan that provides enhanced health benefits to all enrolled undergraduate and graduate students, including their eligible dependents. It includes a wide range of services such as medical, pharmacy, dental, vision, mental health, and substance use disorder support. UC SHIP is compliant with the Affordable Care Act requirements and works in conjunction with the on-campus Student Health Services (SHS) to provide convenient and accessible healthcare for students. Students can easily access doctors, nurses, lab work, and prescriptions on campus without any out-of-pocket expenses.
For non-emergency care, students should first seek services at the SHS, where many preventive care options are offered at no cost or a low copay. If the SHS cannot provide the necessary care, students will receive a referral for off-campus care. It is important to note that starting with the 2025-2026 UC SHIP renewal, a referral from SHS will be required for all off-campus doctor visits. Without a referral, students will be responsible for the bill.
UC San Diego Health accepts various insurance plans, including HMO, PPO, Medicare, Medi-Cal, and Covered CA. Students can switch to a UC San Diego Health primary care provider (PCP) by checking if their current insurance plan is accepted and then updating their insurance information.
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Billing and insurance FAQs
UC San Diego Health accepts most major insurance plans, including HMO, PPO, Medicare, Medi-Cal, and Covered CA plans. However, it is the patient's responsibility to verify that UC San Diego is an in-network provider for their specific plan.
Q: How do I know if my insurance plan is accepted by UC San Diego Health?
A: UC San Diego Health accepts most major insurance plans. You can check if your plan is accepted by visiting the Insurance Plans Accepted page on their website or by calling 858-249-3560 to speak with a UC San Diego Health insurance navigator.
Q: What if I don't have insurance? Will I be billed for services?
A: If you do not have health insurance, you will receive a bill for any balance not paid at the time of service. Please contact UC San Diego Health as soon as you receive the bill to make payment arrangements.
Q: How will I be billed after receiving services?
A: Once your insurance company has been billed and has processed the claim, they will send you an Explanation of Benefits (EOB) notice detailing the amounts paid, any non-covered or denied amounts, and the remaining balance you are responsible for paying to UC San Diego Health. After this, you will receive a bill from UC San Diego Health for any outstanding amounts.
Q: How long does it take to receive a bill after services?
A: Depending on how quickly your insurance company processes the claim, it may take between two to twelve weeks to receive a bill.
Q: What if I have specific medical issues that need treatment, in addition to a wellness visit?
A: Your doctor may choose to treat these issues at the same time as your wellness visit, and these additional services may be charged separately and may be subject to deductible, co-insurance, and/or co-pay. If you have multiple medical conditions, it is recommended to schedule a separate office visit for treatment before scheduling your wellness visit.
Q: Will I receive separate bills for hospital/facility services and physician services?
A: As of June 1, 2017, most patients will receive one unified billing statement that includes both hospital and professional services. However, for certain services, you may receive separate bills from providers within UC San Diego Health that have their own billing departments.
Q: What if I believe I have made a payment in error?
A: If you have any issues or questions related to your payment history, you can call UC San Diego Health at 855-827-3633.
Q: How can I switch to UC San Diego Health?
A: To switch to UC San Diego Health, verify that your insurance plan is accepted by checking the Insurance Plans Accepted page or by calling 858-249-3560. If your plan is accepted, you can change to a UC San Diego Health primary care provider (PCP) at any time.
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UC San Diego Health registration
UC San Diego Health accepts a variety of insurance plans, including HMO, PPO, Medicare, Medi-Cal, and Covered CA. If you are interested in switching your care to UC San Diego Health, you can follow the steps outlined below:
Confirm We're In Network
Firstly, confirm that UC San Diego Health is in your insurance network. You can do this by checking with your insurance provider directly or by contacting UC San Diego Health. Their phone number is 858-249-3560, and they may ask for their Tax ID numbers, which are Medical Group Tax ID # 23-7064656 and Medical Center Tax ID #33-05994954.
Contact UC San Diego Health
Once you have confirmed that UC San Diego Health is in your network, you can contact them to initiate the registration process. They can help you register as a patient, choose a primary care provider, and set up your first appointment.
Sign Up for MyUCSDChart
MyUCSDChart is an online portal that houses your electronic medical records, allowing you to access them from anywhere. You can use it to schedule appointments, communicate with care providers, and renew prescriptions. Signing up for MyUCSDChart is a crucial step in the registration process, ensuring that you have easy access to your medical information.
Transfer Your Records
If you have existing medical records that need to be transferred, you can submit an electronic request through the UC San Diego Health website. This process requires a completed and signed form, along with a copy of your valid photo identification. The form must include the purpose for which the information will be disclosed and the specific health information being requested. It is important to note that certain sensitive information, such as drug and alcohol abuse treatment records, will not be released without your initials acknowledging the release of such information.
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UC San Diego Health liability insurance
UC San Diego Health accepts a variety of major health insurance plans, including HMO, PPO, Medicare, Medi-Cal, and Covered CA. It is important to note that it is the patient's responsibility to verify that their specific insurance plan is accepted by UC San Diego Health and to understand their financial obligations.
UC San Diego Health provides a list of accepted insurance plans on its website, which patients can refer to before selecting a new plan. Patients can also contact UC San Diego Health directly or use the provided phone numbers to speak with an insurance navigator and clarify any insurance-related questions.
For UC employees, there is a choice between the UC Blue & Gold HMO and UC Care PPO plans for receiving care at UC San Diego Health. The UC Blue & Gold plan requires selecting a primary care provider, while the UC Care plan, administered by Anthem Blue Cross, does not.
Additionally, UC San Diego has its own self-insured medical professional and hospital liability insurance coverage for trainees working within the course and scope of their appointment, regardless of whether it is on-site or off-site at an affiliated hospital. This insurance coverage is important for protecting both the trainees and the university in the event of any adverse occurrences or potential malpractice litigation.
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Frequently asked questions
Yes, since 2011, health insurance has been a mandatory non-academic condition for enrollment at UC San Diego. All registered students are automatically enrolled in the Student Health Insurance Plan (SHIP).
The UC San Diego Student Health Insurance Plan (SHIP) includes medical, behavioural health, pharmacy, dental, and vision care benefits.
If you already have health insurance, you can check if UC San Diego accepts your current plan. If they do, you can switch to a UC San Diego Health primary care provider (PCP) at any time.
If you cannot afford health insurance, you can apply for a waiver for the UC San Diego Student Health Insurance Plan (SHIP).
