Get to know Edinger Medical Group
Insurance Plans We Accept
Commercial Insurance Plans
Click to expand each section for a list of accepted health plans.
AETNA
| AETNA Aexcel Open Access Aet Select |
| AETNA Choice POS |
| AHF HMO (Silver, Gold) |
| AETNA SR HMO plans (see Medicare section) |
| AETNA Value Network HMO |
| Aetna Value Network HMO (Bronze, Silver, Gold, Platinum) |
| Aetna Voluntary PPO |
| AWH MemorialCare EPO/EPO HDHP (Bronze, Silver, Gold) |
| AWH MemorialCare Managed Choice POS/POS HDHP (Bronze, Silver, Gold) |
| AWH MemorialCare OA Aetna Select |
| AWH MemorialCare OA Elect Choice EPO/EPO HDHP (Bronze, Silver, Gold) |
| AWH MemorialCare Elect Choice EPO/EPO HDHP (Silver, Gold) |
| AWH MemorialCare OA Managed Choice POS/POS HDHP (Bronze, Silver, Gold) |
| AWH Southern CA HMO (Bronze, Silver, Gold, Platinum) |
| AWH Southern CA Elect Choice EPO/EPO HDHP (Bronze, Silver, Gold) |
| AWH Southern CA Managed Choice POS/POS HDHP |
| AWH Southern CA Elect Choice |
| AWH Southern CA Managed Choice |
| HMO/HMO HDHP (Silver, Gold, Platinum) |
| HMO Deductible (Bronze, Silver, Gold, Platinum) |
ANTHEM BLUE CROSS
| Anthem Blue Cross (HMO) – CALPERS |
| Advantage HMO |
| Advantage PPO-CA |
| Anthem Blue Cross POS – HMO |
| Anthem Blue Cross UC Care EPO (employer University of CA) |
| Anthem PPO Elements Choice |
| BC SelectNarrowNetwork PPO |
| Anthem Blue Cross: CA SG Anthem PPO |
| BC Prudent Buyer Incentive PPO |
| BC GOLD HMO 50/30%6850 |
| BC Gold Select PPO |
| BCBS CareFirst PPO/EOP |
| BC PERS Select HMO |
| BC PPO Incentive |
| BC Lumenos |
| Blue Cross HMO (CACare) – Individual |
| Blue Cross HMO (CACare) – Large Group |
| Blue Cross HMO (CACare) – Small Group |
| Capital Blue Cross PPO |
| Dignity Health Custom Advantage HMO |
| HMO (CACare HMO/Small Group) – Platinum, Gold, Silver |
| PERSCare (PPO) – CALPERS |
| PERS Choice (PPO) – CALPERS |
| PERS Select (PPO) – CALPERS |
| PERS (CalPers)Select HMO |
| PERS Traditional HMO |
| Select Plus HMO |
| Select PPO-CA |
| USC HMO Plan (Two Tiered Network) |
| Vivity HMO |
BLUE SHIELD
| BS Access Plus HMO |
| BS Gold 80 PPO |
| BS Gold Trio HMO |
| BS High Performance Network (HPN) |
| BS Premera BX – Heritage Prime |
| BS PPO Shared Advantage+ |
| BS Silver 94 HMO Trio |
| BS SR HMO plans (see Medicare section) |
| BS Tandem PPO |
| BS Traditional HMO |
| BS Trio HMO (CoveredCA) |
| BS Trio ACO HMO |
| Added Advntage HMO |
| Blue Shield of California (HMO) – CALPERS |
| CalOptima Custom Access+ HMO |
| CalPERS Access+ HMO |
| CCPOA Medical Plan – HMO |
| Federal Employee Health Benefit Program Access+ HMO |
| Gold Access+ HMO Off Ex |
| Platinum Access+ HMO Off Ex |
| Silver Access+ HMO Off Ex |
| Wellwise Choice PPO (County of Orange) |
CALPERS
| Anthem Blue Cross Traditional (HMO) – CALPERS |
| Blue Shield Access+ (HMO) – CALPERS |
| Blue Shield Trio HMO – CALPERS |
| PERSCare (PPO) – CALPERS |
| PERS Choice (PPO) – CALPERS |
| PERS Select (PPO) – CALPERS |
| UHC SignatureValue Harmony (HMO) – CALPERS |
CIGNA
| CIGNA Alliance |
| CIGNA ChoiceFund OA Plus |
| CIGNA ChoiceFund OA Plus Caerlink |
| CIGNA Choice Fund PPO |
| Cigna HealthCare of California – Southern CA Open Access Network – HMO |
| Cigna HealthCare of California, Inc. – So. CA HMO/Network |
| CIGNA NALC |
| CIGNA Open Access (OA) Plus |
| CIGNA PPO |
| CIGNA SAR (Shared Admin Repricing) |
| CIGNA Select HMO |
| CIGNA Value HMO |
| CIGNA So.Cal HMO/Network |
| CIGNA So.Cal Open Access Network |
| CIGNA (+ Oscar) Open Access Plus |
COVERED CALIFORNIA
| Covered California-BS PPO |
| Covered California-BS Trio HMO |
HEALTHNET
| Blue&Gold HMO |
| HMO Full Network Large Group |
| HMO Full Network Small Group (Platinum, Gold, Silver, GF Plans) |
| HMO-Medicare COB |
| HMO- Salud HMO Plus Large Group |
| HMO – WholeCare Small Group (Platinum, Gold, Silver) |
| POS – Elect Large Group – Tier 1 HMO only |
| POS – Elect Open Access ExcelCare Small/Large Group – Tier 1 HMO only |
| POS – Elect Medicare COB – Tier 1 HMO only |
| POS – Elect Open Access Medicre COB – Tier 1 HMO only |
| POS – Elect Open Access Small/Large Group – Tier 1 HMO only |
| POS – Select Medicare COB – Tier 1 HMO only |
| POS – Select Small/Large Group – Tier 1 HMO only |
UNITEDHEALTHCARE
| UHC Choice (PPO) |
| UHC Choice Plus (PPO) |
| UHC Choice HMO |
| UHC Freedom (Oxford) PPO |
| UHC Harmony HMO |
| UHC Premium Choice |
| UHC Premium program Version 16 |
| SignatureValue HMO |
| SignatureValue Flex HMO (Network 1) |
| SignatureValue Flex HMO (Network 2) |
| SignatureValue Flex HMO (Network 3) |
| SignatureValue Performance HMO (Network 1) |
| SignatureValue Performance HMO (Network 2) |
| SignatureValue Performance HMO (Network 3) |
| SignatureValue Harmony HMO |
| SignatureValue Harmony HMO (CalPERS) |
| UHC SR HMO plans (see Medicare section) |
| All Savers Choice (UHC) |
| All Savers Choice Plus (UHC) |
| Charter / Charter Balanced (UHC) |
| Charter HMO/Charter Balanced HMO/Charter Plus HMO (UHC) |
| Charter Plus (UHC) PPO |
| Choice with Harvard Pilgrim |
| Choice Plus with Harvard Pilgrim |
| Doctors Plan (UHC) |
| Doctors Plan HMO/Doctors Plan Plus HMO (UHC) |
| Doctors Plan Plus (UHC) |
| GEHA (UHC Select Plus) |
| Heritage Plus (UHC) |
| NexusACO PPO/R-HRA/HSA (UHC) (NOT HMO) |
| Oxford (UHC) |
| UMR PPO (UHC) |
OTHER
| 5Star Life Insurance Company (via MultiPlan network) |
| Administrative Concepts (via MultiPlan network) |
| Administrative Concepts Evolve Hlth (via First Health network) |
| Alera Healthcare PPO |
| SUREST (via UHC Shared Services) |
| Boon Administrators Services (via First Health network) |
| Centivo (ACO) |
| CHAMPVA |
| Christian Care Ministry (via Medi Share) |
| Continental Benefits/Marpai Health PPO (via Aetna Signature) |
| COVENTRY PPO |
| Delta Health PPO network |
| Detego Health 1st Hlth PPO |
| EDIS |
| Essential Choice (via First Health network) |
| Evolution Healthcare PPO (via Aetna Signature) |
| FIRST HEALTH PPO network |
| GEHA (via UHC) |
| The HealthPlan (via PHCS) |
| HP2 |
| Imagine360 |
| HUMANA Gold |
| Lucent Health Wisconsin Division PPO (via Cigna) |
| Medi Share |
| Medical Mutual (via Aet) |
| MEMORIALCARE Hlth Alliance PPO |
| Mountain Health Co-Op PPO |
| Multi-Plan PPO network |
| NALC (use Cigna PPO) |
| NetWell (via PHCS/Multiplan) |
| PacificSource (via First Health network) |
| PHCS PPO network |
| PHCS Physicians Only |
| S&S Healthcare Strategies BPO, PPOn (CIGNA) |
| Samera Health |
| SelmanCo |
| Sheet Metal Workers Trust Fund |
| Sierra Health & Life (via UHC) |
| So Cal Pipe Trades |
| Strada Healthgroup (via PHCS) |
| TUFTS |
| UNICARE (via PHCS) |
| Web TPA |
| Western Growers Assurance Trust PPO (via BC) |
Medicare Advantage HMO Plans
Click to expand each section for a list of accepted health plans.
AARP UNITEDHEALTHCARE
(UHC) AARP Medicare Advantage from UHC CA-003P (HMO-POS), formerly Harmony LA
(UHC) AARP Medicare Advantage from UHC CA-004P (HMO-POS), formerly Focus LA
(UHC) AARP Medicare Advantage from UHC CA-005P (HMO-POS,) formerly Focus OC
(UHC) AARP Medicare Advantage from UHC CA-021P (HMO-POS), formerly Harmony Plan OC
(UHC) AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS)
(UHC) AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS)
AARP Medicare Advantage Patriot No RX CA-MA01 (HMO-POS)
UHC Complete Care CA-18P (HMO-POS CSNP)
UHC Complete Care CA-19P (HMO-POS CSNP)
UHC Complete Care CA-1AP (HMO-POS CSNP)
United Healthcare Group Medicare Advantage (HMO)
AETNA
Aetna Medicare Plus (HMO-POS)
Aetna Medicare Plus II (HMO-POS)
Aetna Medicare Preferred Plus (HMO-POS)
Aetna Medicare Prime II (HMO-POS)
Aetna Medicare Prime II Preferred (HMO-POS)
Aetna Medicare Prime II Value Plus (HMO-POS)
Aetna Medicare Select (HMO-POS)
Aetna Medicare Value Plus (HMO-POS)
BLUE SHIELD
Blue Shield Inspire (HMO)
Blue Shield 65+ (HMO)
Blue Shield 65+ Plan 2 (HMO)
Blue Shield AdvantageOptimum (HMO)
Blue Shield TotalDual Plan (HMO-DSNP)
HUMANA
Humana Gold Plus 021 (HMO)
Humana Gold Plus Giveback 146 (HMO)
SCAN
SCAN Affirm (HMO)
SCAN Balance (HMO-CSNP)
SCAN Classic (HMO)
SCAN Connections (HMO-DSNP)
SCAN Inspired (HMO)
SCAN MyChoice (HMO)
SCAN Prime (HMO)
SCAN Strive (HMO)
Important Medicare Information
We do not contract with Original Medicare, Medicare Supplement Plans or Medicare Advantage PPOs.
However, patients with these plans are eligible to enroll in Elevate, our concierge program, for a monthly fee of $125. Elevate offers priority access and additional support to ensure high-quality, personalized care.
Understanding Your Benefits
Navigating health insurance can be challenging, and we are here to help. Understanding your benefits is crucial to making informed healthcare decisions.
Key questions to ask your insurance provider:
- Is Edinger Medical Group in-network with my plan?
- What are my co-pays for primary care visits and specialty care?
- Does my plan require referrals for specialists?
- What services are covered under my plan?
- Are preventive screenings and wellness visits included?
For any additional questions or assistance, please feel free to contact our office. Our team is dedicated to helping you understand your options and maximize your healthcare benefits.
Contact EMG to Verify Your Insurance
Our team is happy to assist you with any questions regarding insurance eligibility and benefits. Please contact our office for personalized assistance. You can reach us at 714.965.2500 or connect with us online.
