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HEALTH PLANS

We accept Medicare Advantage HMO plans, Fee for Service and most PPO/HMO/POS Insurance. It is possible that every health plan we accept is not listed below. You can obtain the most accurate information by calling your health plan and confirming your coverage level when choosing an Edinger physician. If you do not see your insurance listed below, please call our office at 714-965-2578 to inquire about our participation.

Are you turning 65 this year? You may need to make changes to your healthcare coverage in order to continue care with us. Click here to read more.

 

 

HMO

Plans

» Aetna
» Anthem Blue Cross
» Blue Shield
» Cigna
» HealthNet
» UnitedHealthcare

Senior

Medicare Advantage HMO Plans

» AARP - UnitedHealthcare
» Aetna
» Blue Shield
» Humana
» SCAN

PPO

Plans

» Aetna
» Blue Cross
» Blue Shield
» Cigna
» UnitedHealthcare

Referrals

The goal of the referrals process is to ensure patients are provided an appropriate level of care and:

  • Authorized quality care is offered in a timely manner.
  • Authorized care matches the benefits defined by the patient’s health plan.
  • Services are medically necessary and are delivered at appropriate levels of care.
  • Guidelines and standards of medical practice criteria set by governmental and other regulatory agencies are adhered to as appropriate.
  • Utilization criteria available upon request – please contact your PCP.
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