Primary Care 365 Insurance Accepted

Primary Care 365 Insurance Accepted

NEW! Health care exchange information

For covered clinic services, Eisenhower Medical Center participates in these exchange programs:

  • Anthem Blue Cross PPO
  • HealthNet PPO

Insurance providers make the final determination which physicians are included in their coverage. Please check the Covered California Web site to see if your doctor of choice is included.

Other insurance coverage information (not related to the health care exchange)

 

Medicare

  • Medicare (traditional Medicare)
  • Medicare Advantage PPO plans
  • Medicare Private Fee for Service plans (PFFS)

Please note: Medicare supplemental plans are accepted as secondary benefits for patients with traditional Medicare.

Medicare Advantage PPO and Private Fee for Service (PFFS) plans may be out of network.  Confirmation of your "In-Network" status can be made by calling your insurance.

Medicare Advantage HMO plans (e.g., SecureHorizons, MD Care Healthplan, and other Medicare Advantage HMO plans through networks such as Empire Physicians Medical Group and Desert Oasis Medical Group) cannot be accepted due to HMO requirement that HMO members must see their HMO primary care physician. 

PPO Plans (Preferred Provider Organization Plans)

  • Access Plus Plan (The Agua Caliente Band of Cahuilla Indians)

  • Aetna PPO
  • Beech Street*
  • Anthem Blue Cross PPO (including Covered California PPO plans)
  • Blue Shield PPO
  • CIGNA PPO
  • First Health*
  • Health Net PPO (including Covered California PPO plans)
  • Interplan*
  • MultiPlan*
  • PHCS (Private Health Care Systems)*
  • United Healthcare
  • TriCare (Military)

Please note: Companies marked with an asterisk (*) often provide their physician networks to other insurance companies.  Look for their name or logo on your insurance card.

♦ Blue Shield Group PPO plans and grandfathered Individual and Family Plans only, not Covered California or new 2014 Individual and Family PPO plans.

  • HMO Plans (Health Maintenance Organization Plans)

At this time, Eisenhower 365 cannot accept HMO programs such as California Care, SCAN Healthplan or other Medicare Advantage or commercial HMO plans through networks such as Empire Physicians Medical Group or Desert Oasis Medical Group due to HMO requirements that HMO members must see their HMO primary care physician.

Eisenhower Primary Care does offer options for EPMG members to see traditional Eisenhower Primary Care Physicians (not Eisenhower 365). Call 760-773-1460 to learn more about physician availability and locations.