Color Block

Text

Accepted health plans and networks

We accept most health insurance plans, but they may vary by office location.  

Find care

Text
Text
Text
Text

If you're under age 65 and have a family or individual plan

You may get your health insurance through an employer, a spouse, partner, family member, local insurance agent or your state’s marketplace (Covered California).

Learn more about Covered California

We accept most health maintenance organization (HMO) and preferred provider organization (PPO) plans. We also have a large network of doctors across Southern California. So, if you move, or change jobs or insurance plans, you can continue to see an Optum doctor.

We accept the following health insurance plans. Visit each plan's website for more information.

Text

HMOs and point-of-service (POS) plans

A point-of-service plan (POS) is a type of managed care plan that is a hybrid of HMO and PPO plans.

Aetna 

Anthem Blue Cross 

Blue Shield3

Cigna 

Health Net 

UnitedHealthcare®

CalOptima Medi-Cal 

Scripps6

Sharp Health Plan6

TriCare5

Text

Covered California

The state’s marketplace for Affordable Care Act plans. Learn more

Anthem Blue Cross

Health Net6

Health Net PureCare PPO/EPO (individual and CCS)

Molina Health Plan1
(ob/gyn and pediatrics in San Diego offices only) 

LA Care1

Blue Shield PPO

Text

Medi-Cal plan (California’s Medicaid program)

CalOptima Medi-Cal

Text

If you aren’t sure what type of health insurance plan you have, check your health insurance card. If you can’t find the information there, you can:

  • Call your chosen Optum clinic to see if it accepts your health plan, or 
  • Call your health insurance company to find out if you can see an Optum doctor. 
Text

If eligible for or already on Medicare

We accept the following Medicare plans. Visit each plan's website for more information. 

Text

Special needs plans

This is for those on Medicare who have chronic or ongoing illnesses.

Health Net
(Cardiovascular disorders, chronic heart failure, diabetes) 

SCAN Health Plan
(Diabetes mellitus) 

VillageHealth by SCAN (ESRD)
(LA County only)1,4

Text

Cal MediConnect

This is for those who qualify for both Medicare and Medi-Cal, California’s Medicaid program.

Blue Shield Promise6

LA Care1

Molina
(limited network for LA County)1

CalOptima OneCareConnect1,2

Health Net5

OneCare
(HMO for Special Needs Plans)

OneCare Connect CalMedi Connect Plan

Text

Footnotes

  1. Limited network 
  2. Health plan only offers dual eligible/Cal MediConnect option(s) for Medicare Advantage patients. Does not offer Medicare Advantage-only option(s).
  3. Employer-sponsored plans only 
  4. Fee-for-service only
  5. Available in Orange County only
  6. Available in San Diego only
Text

FAQs

Accordion Block v2
  • There are several differences between a health maintenance organization (HMO) and preferred provider organization (PPO) plan. They differ in the size of the plan network, ability to see specialists, plan costs and coverage for out-of-network services. Also:

    • HMOs:
      • Coordinate your care through a network of doctors and hospitals. You pick a medical network and one primary care doctor within that network. 
      • Your primary care doctor coordinates your care and works closely with the hospitals, specialists and other providers in your medical network. 
      • Your HMO plan usually won't pay for any visits to health care providers who are not in your medical network.
    • PPOs:
      • Have a larger network of medical providers. This gives PPO patients more flexibility in choosing doctors. 
      • You don’t have to select a primary care doctor. You can go to any health care professional you want without a referral — inside or outside of your network.
      • There are network benefits and out-of-network benefits. If you stay inside your PPO network, you’ll pay less for your medical services. If you go outside of your PPO network, you might have to pay more.
    OR
  • No, Optum is not an insurance plan. We are a group of doctors who contract with most major health insurance plans. These include HMOs, PPOs, Original Medicare, Medicare Advantage and supplement plans. These may vary by office location.

     Call the office you want to go to and see if it accepts your health plan. You can also call your health plan and ask if you can choose an Optum doctor.  

    OR
  • Your insurance plan may require a copayment at your doctor's visit. We also accept automatic bill pay, cash, checks, Visa, American Express, Discover and Mastercard. 

    OR
Text

Find care near you 

Find care

Text

Helpful resources

 

Card Box

Virtual care

Get the care, when you need it, without leaving home.

Medicare

Our goal is to offer you what you need to stay healthy and independent.

Preparing for your visit

Planning ahead will help you and your doctor make the most of your time together.