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INSURANCE

Hoag Urgent Care accepts most PPO, HMO, and Medicare insurance plans. Insurance coverage applies to the following groups:

  • Hoag Medical Group
  • Hoag Affiliated Physicians
  • Mission Heritage Medical Group
  • Mission Hospital Affiliated Physicians
  • St. Joseph Heritage Medical Group
  • St. Joseph Hospital Affiliated Physicians
  • St. Jude Heritage Medical Group
  • St. Jude Affiliated Physicians
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AARP

MEDICARE ADVANTAGE SENIOR HEALTH PLANS:
Medicare Complete Secure Horizons:

  • Focus (HMO)
  • Plan 2 (HMO)
  • Premier (HMO)
  • Assure (HMO)
  • Essential (MA-Only HMO)

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Affiliated Health Plans

PPO:

  • Full or Standard Network

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Aetna

HMO:

  • HMO Full or Standard Network
  • QPOS

PPO:

  • PPO Full or Standard Network
  • Elect Choice
  • Managed Choice POS
  • Aetna Choice POS II
  • Aetna Select

MEDICARE ADVANTAGE SENIOR HEALTH PLANS:

  • Medicare Preferred Standard PPO (Participation in Aetna Medicare Choice Plan PPO or Anthem Medicare Preferred PPO.)

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Anthem Blue Cross

HMO:

  • HMO Full or Standard Network
  • California Care
  • Blue Cross Plus POS

PPO:

  • PPO Prudent Buyer: Full or Standard Network
  • Select
  • Advantage

MEDICARE ADVANTAGE SENIOR HEALTH PLANS:

  • Medicare Preferred Standard PPO (Participation in Aetna Medicare Choice Plan PPO or Anthem Medicare Preferred PPO.)

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Beech Street

PPO:

  • Full or Standard Network

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Blue Shield of California

HMO:

  • HMO Full or Standard Network
  • Access+
  • Trio
  • St. Joseph Hoag Health in OC (Net Value-CalPERS (employee plan), Local Access+, Save Net)
  • POS

PPO:

  • PPO Full or Standard Network
  • IFP

MEDICARE ADVANTAGE SENIOR HEALTH PLAN:

  • 65 Plus HMO
  • 65 Plus Choice HMO-Exclusive to St. Joseph Hoag Health in OC
  • Blue Shield Inspire HMO
  • Blue Shield Vital HMO

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Cigna

HMO:

  • HMO Full or Standard Network
  • POS
  • Select (St. Joseph Hoag Health in OC)
  • Hoag SJ Health Preferred (Hoag employee plan)

PPO:

  • PPO Full or Standard Network
  • Flex
  • Open Access Plus (OAP)

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Coventry

PPO:

  • PPO Full or Standard Network

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Covered California

PPO:

  • Blue Shield PPO (All Levels on IFP Exchange and Bronze plans on SHOP Exchange)
  • Note: these can be purchased on the exchange or directly from the provider.

PAYMENT

Payment is due at the time services are rendered.

Copayments & Deductibles

Co-payment and partial deductible is due at time services are rendered.

Payment Forms Accepted

Cash, checks and most major credit cards are accepted.

Self-Pay Options

For patients without insurance, self-pay options are provided. Pricing can be provided in advance for any patients wishing to pay out of pocket.
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First Health Network

PPO:

  • Full or Standard Network

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Health Smart

PPO:

  • PPO Full or Standard Network

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Humana

PPO:

  • PPO Full or Standard Network

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Multiplan

PPO:

  • PPO Full or Standard Network

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Network By Design

PPO:

  • PPO Full or Standard Network

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OC Foundation

PPO:

  • PPO Full or Standard Network

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Oscar

EPO Circle: Oscar Circle EPO (purchased directly from Oscar or insurance broker only)

  • Classic Silver Circle EPO
  • Silver 70 Circle EPO
  • Bronze 60 Circle EPO

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PHCS

PPO:

  • EPO

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Scan

MEDICARE ADVANTAGE SENIOR HEALTH PLANS:

  • Classic HMO
  • Plus HMO
  • Balance HMO SNP
  • Health First HMO SNP
  • Prime HMO

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United Healthcare

HMO:

  • HMO Full or Standard Network
  • Signature Value Full Network Only
  • Signature Value Flex Tier 3 Only

PPO:

  • PPO Full or Standard Network Choice
  • Choice Plus
  • Select
  • Select Plus
  • Options PPO
  • Navigate
  • Navigate Balanced
  • Navigate Plus
  • Tricare-Active Military

AARP® MedicareComplete® SecureHorizons® :

  • Focus (HMO)
  • Plan 2 (HMO)
  • Premier (HMO)
  • Assure (HMO)
  • Essential (MA-Only HMO)

*All health insurance logos and brand names are each registered trademarks or trademarks of their respective owners.

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