Hoag Medical Group accepts most HMO, PPO and Medicare insurance plans.
Please note the listing of provider networks and/or products is provided for reference purposes only. Hoag Medical Group’s participation is subject to change at the sole discretion of the health plan. Please contact the health plan directly to confirm the status of Hoag Medical Group’s current participation in a particular provider network or product which may or may not be listed here. Insurance accepted may vary for certain physicians as noted on the physician’s profile.
Additionally, Hoag Medical Group accepts cash pay patients.
For assistance with your insurance questions and to ensure you understand your options for accessing Hoag, please contact Hoag Medical Group’s Personal Service team at 877-464-2778.
Hoag Medical Group does not participate in medical discount cards (cash pay) or consumer card programs such as Care Entrée’, Care IQ, Galaxy work, Integrated Health Plan, MedicalConnect1, etc. that may be offered by these or any other networks.
Health Exchange/Covered California
Hoag Medical Group accepts the following Covered California plans:
- Blue Shield HMO TRIO and PPO Bronze, Silver, Gold and Platinum plans
Visit the Covered California website at www.coveredca.com to apply and ensure your access to Hoag Medical Group.
Note that the PPO or other plan products or provider networks listed apply only to our medical groups above. Our Hoag Physician Partner specialists may also participate in other plan products or provider networks which may include those listed. Please consult your physician to verify which PPO or other plan products or networks your physician participates in.
Insurance Accepted
HMO Plans
- Anthem Blue Cross
- Blue Shield
- Blue Shield Net Value/Local Access
- California Care (Anthem Blue Cross)
- CIGNA
- Great-West Healthcare
- Pacificare
- United Healthcare
- Healthnet HMO
PPO Plans
- Aetna Open Choice
- Anthem Blue Cross
- Beech Street*
- Blue Cross Standard
- Blue Shield
- Choice Care (Humana)
- CIGNA
- First Health/Coventry Health*
- Great-West Healthcare
- Interplan/HealthSmart*
- MultiPlan*
- Private Healthcare Systems (PHCS)*
- Prudent Buyer (Blue Cross)
- United Healthcare
- Healthnet PPO (excluding Enhanced Care PPO)
POS (Point of Service) Plans
- Aetna Managed Choice
- Aetna Managed Choice II
- Blue Cross Plus
- Blue Shield
- CIGNA
- CIGNA Open Access Plus
- PacifiCare Choice
- United Healthcare
EPO (Exclusive Provider Organization) Plans
- Aetna Elect Choice
- PacifiCare EPO, Varies by Employer Group
- Private Healthcare Systems
Medicare Advantage Plans
- AARP Medicare Complete Secure Horizons Plan 2 (HMO) by UnitedHealthcare
- Anthem Medicare Preferred Standard (PPO, HMO)
- Blue Shield 65 Plus (HMO) (contract ends Dec. 31, 2025)
- Blue Shield 65 Plus Choice (HMO) (contract ends Dec. 31, 2025)
- SCAN Classic (HMO), SCAN Balance (HMO SNP), SCAN Heart First (HMO SNP), SCAN Plus (HMO)
Medicare PPO Plans
- Aetna Medicare PPO
- Alignment Health PPO
- Anthem Medicare PPO
- Blue Shield Medicare PPO
- United Healthcare Medicare PPO
Other Senior Programs
- Original Medicare Parts A & B
- Most Medicare Supplement Insurance (MediGap) plans
- Many Employer Group plans (Call the phone number on the back of your insurance I.D. card to verify if Hoag is your network hospital.)
Covered California
- Blue Shield of California PPO (Southern California)
- Blue Shield PPO Bronze Plans on Small Business Health Options Program (SHOP) Exchange
- Blue Shield of California Trio HMO (exclusive to Orange County
Grandfathered Health Plans
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A grandfathered plan is an individual health insurance policy that was purchased — on or before March 22, 2010. Grandfathered plans provide the same access to the facilities and physicians you have grown accustomed to.
If you’ve had an Anthem Blue Cross or Blue Shield individual policy since March 22, 2010, you may be able to keep your current benefits through “grandfathering.” Please call the member services phone number on the back of your insurance card to see if you qualify.
