Haris Ashley
UC Davis Health providers accept most major health plans and insurance, including UC Davis options for Covered California. However, it is important to note that UC Davis Health or UC Davis Medical Group may not be included in your health insurance plan. Additionally, your ability to see a UC Davis Health specialist may be limited by your health plan or the hospital's current capacity to see new patients in that specialty. For those without access to health insurance through their employer or another government program, purchasing coverage from Covered California, a health benefits exchange created through the Affordable Care Act, may be an option.
| Characteristics | Values |
|---|---|
| Insurance plans accepted | Covered California, CalPERS, Medicare, Medi-Cal |
| UC Davis Health listed as | UC Davis Health or UC Davis Medical Group |
| Contact | 800-2-UCDAVIS (1-800-282-3284) |
| Health plans | Vary by region |
| Referral process | Requires a referral from a primary care physician or another specialist |
| Employee health plan rates | UC Davis Human Resources open enrollment website |
| UC Davis employee health plan | UC Blue & Gold HMO plan |
| Employee assistance | UC Davis Health employee liaison line at 916-734-1700 |
| UC SHIP | Anthem Blue Cross |
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What You'll Learn
- UC Davis Health accepts most major health plans
- Including Covered California, CalPERS, Medicare, and Medi-Cal
- UC Davis Health specialists may be limited by your health plan
- UC SHIP members with multiple healthcare plans have Coordination of Benefits (COB)
- Out-of-network providers are typically more expensive
UC Davis Health accepts most major health plans
It's important to note that health plans may vary by region, and the list of accepted insurance plans provided is not comprehensive. As such, it is always a good idea to contact your preferred UC Davis Health doctor to confirm that they are accepting new patients and that your insurance plan is accepted.
If your health insurance plan includes UC Davis Health but you are currently part of another medical group, your plan may allow you to switch anytime. If your plan does not include UC Davis Health, you may consider switching health plans during your open enrollment period.
UC Davis Health offers several convenient options for patients, including online scheduling and messaging through MyUCDavisHealth, as well as video visits and Express Care options for same-day and extended-hours care.
UC Davis Health is dedicated to enhancing access to healthcare services for its diverse patient population and offers professional medical interpretation and translation services to meet this goal.
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Including Covered California, CalPERS, Medicare, and Medi-Cal
UC Davis Health providers accept many major health insurance plans, including Covered California, CalPERS, Medicare, and Medi-Cal.
Covered California
California residents who don't have access to health insurance through their employer or another government program may be eligible to purchase health coverage from Covered California, a health benefits exchange created through the Affordable Care Act. Covered California includes health plans that allow you to choose a UC Davis physician for your primary care. To learn more about choosing a UC Davis physician, you can call UC Davis Health's Consumer Resource Center at 800-2-UCDAVIS (800-282-3284).
CalPERS
The UC Health system is in continuing negotiations for a new agreement to keep its health care facilities and professionals "in-network" with Blue Shield of California health plans. CalPERS members can choose a UC Davis Health or UC Davis Medical Group physician under a number of health plans. You may be able to save money by comparison shopping and changing your plan.
Medicare
UC Davis Health providers accept Medicare insurance. However, they are not currently a provider for other Medicare Advantage HMO or PPO plans. Medicare Supplemental plans assist with a patient's 20% financial responsibility after Medicare has paid 80%.
Medi-Cal
UC Davis Health accepts Medi-Cal insurance.
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UC Davis Health specialists may be limited by your health plan
UC Davis Health providers accept most major health plans and insurance, including UC Davis options for Covered California. However, it is important to note that your ability to see a UC Davis Health specialist may be limited by your health plan or by their current capacity to see new patients in that specialty. Most specialists require a referral from a primary care physician or another specialist.
If your health insurance plan includes UC Davis Health, but you are currently part of another medical group, your plan may allow you to switch anytime. If your plan does not include UC Davis Health, you may want to consider switching health plans during your open enrollment period.
UC Davis Health offers specialty care for adults and children, and their specialists are available when the need arises. If you would like to see one of their primary care doctors or specialists, you can talk to your health insurance plan about your options.
UC Davis Health patients have the option of using MyUCDavisHealth to securely and confidentially communicate with their care team, review their medical record, and more. This can be accessed through a regular web browser or by downloading the MyUCDavisHealth app on a mobile phone.
Please note that health plans vary by region, and it is always a good idea to contact your insurance provider or the UC Davis Health Consumer Resource Center to confirm that your plan is accepted.
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UC SHIP members with multiple healthcare plans have Coordination of Benefits (COB)
UC Davis Health providers accept most major health plans and insurance, including UC Davis options for Covered California. They are typically listed as UC Davis Health or UC Davis Medical Group in insurance plan materials. UC Davis Health specialty care for adults and children is available when the need arises. Most specialists require a referral from a primary care physician or another specialist. Your ability to see a UC Davis Health specialist may be limited by your health plan or by their current capacity to see new patients in that specialty.
If you are a UC SHIP member with multiple healthcare plans, you will have Coordination of Benefits (COB). This means that UC SHIP coordinates your benefits between both health plans to ensure payments do not exceed 100% of charges for the covered services. If you have coverage other than UC SHIP, you must complete the COB questionnaire and submit it to Anthem. For care at the SHC, UC SHIP is the primary carrier and will submit claims to Anthem for SHC services. For reimbursement of any copayment or coinsurance you pay, you must submit a claim for that amount to your other insurance carrier. The SHC does not submit claims to other health plans. For care outside the SHC, your other medical plan is the primary carrier, meaning it must pay claims first before any remaining charges can be submitted to UC SHIP for payment. If you are covered by Medi-Cal, MRMIP, or TRICARE in addition to UC SHIP, UC SHIP is the primary health plan, and your other plan is the secondary plan.
COB also applies when you or your dependents have health coverage under Medicare, worker’s compensation, or motor vehicle or homeowner’s insurance. Your Employer Plan will often have a specific section called “Order of Benefit Determination Rules,” which sets forth how your Employer Plan identifies the Primary Plan. When you or any of your dependents are members of an Employer Plan and are also eligible for Medicare, United will apply the terms of the Employer Plan along with the rules and regulations of Medicare to determine whether Medicare or your Employer Plan will be the Primary Plan. In general, under Medicare, working status and group size determine when Medicare is primary. The Employer Plan is primary for people who are 65 or older, still working for an employer with 20 or more employees, and are eligible for Medicare.
The Employer Plan will adopt one of two methodologies that United will use in performing COB for an Employer Plan: the “non-duplication” (or “non-dup”) method and the “come out whole” method. Under an Employer Plan that adopts the non-dup method, United compares the portion of the “Allowable Expense” it would pay to the amount of the “Allowed Expense” actually paid by the Primary Plan. After comparing these two amounts, United will pay secondary benefits for the Employer Plan only if the Plan would pay more than what the Primary Plan paid. Such a structure ensures that the member’s personal financial responsibility, if any, for a portion of the “Allowable Expense” under the Employer Plan is preserved.
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Out-of-network providers are typically more expensive
UC Davis Health providers accept most major health plans and insurance, including UC Davis options for Covered California. The UC Davis Medical Center ranks as the #1 hospital in Sacramento by U.S. News & World Report. It offers eight adult specialty care programs and three pediatrics specialties named among the nation's top 50.
In contrast, in-network providers have a contractual agreement for negotiated rates with the health plan, so they cannot charge more than that rate for a service. This means that seeing an in-network provider can significantly reduce your medical expenses and help you better use your health insurance benefits. For example, any costs you incur (copays or co-insurance) will be applied to your health plan's deductible and out-of-pocket maximum, whereas out-of-network costs do not apply to these amounts.
To avoid unexpected medical bills, it is important to understand how your health insurance plan works and whether your chosen provider is in-network or out-of-network. You can usually find this information on your insurance company's website or by calling their customer service line. By choosing an in-network provider, you can help keep your healthcare expenses down.
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Frequently asked questions
UC Davis Health providers accept most major health plans and insurance, including UC Davis options for Covered California. UC Davis Health or UC Davis Medical Group may be listed in your plan materials.
If your insurance plan is not listed, you may call 800-2-UCDAVIS (1-800-282-3284) to verify if your plan is accepted.
If you are a California resident without access to health insurance, you may be eligible to purchase coverage from Covered California, a health benefits exchange created through the Affordable Care Act.
The out-of-pocket maximum limit is the maximum amount of money you will have to pay for healthcare in a benefit year.
