Forms & Documents

For Your Convenience

Forms & Documents

Occupational Health Forms

Financial Counseling

Primary Care

Insurance	Medical Group	Hospitals	Surgery
Aetna PPO, EPO, POS
Aetna HMO
Anthem Blue Cross PPO, EPO, POS, PPO/EPO
Anthem Blue Cross HMO
Anthem Blue Cross: University of California Care PPO
Anthem Blue Cross: University of California Health Savings Plan
Anthem MediBlue Access LPPO Effective 1/1/2020
Blue Cross Blue Shield PPO
Blue Shield Access+ HMO [By referral only]
Blue Shield Standard PPO, POS [Excludes: Individual Family Plan]
CalPERS: PERSCare (PPO), PERS Choice (PPO), PERS Select (PPO)
CHAMPVA
Cigna PPO, HMO, POS
Compass Rose Plan
Covered California: Western Health Advantage
Department of Corrections: Health Net
FEHB: Blue Cross Blue Shield PPO
First Health/Coventry PPO, EPO
GEHA PPO Plans
Health Net PPO, POS, HMO
Health Smart PPO
Health Smart POS
Health Smart EPO
Mail Handlers Benefit Trust PPO, POS
Medi-Cal
Medicare
Medicare Supplemental Plans A-N (i.e. AARP, Mutual of Omaha, etc)
MultiPlan/Private Healthcare Systems (PHCS) PPO, POS
Partnership HealthPlan of CA (Currently not accepting new patients for Primary Care)
Private Healthcare Systems PPO, POS
Three Rivers Provider Network PPO
TRICARE (includes TRICARE for Life)
United Healthcare PPO, EPO, POS
United Healthcare HMO
United Healthcare Employer Retiree Medicare Advantage Plan PPO
UnitedHealthcare, AARP MedicareComplete, SecureHorizons (HMO)
University of California Care PPO: Anthem Blue Cross
University of California Health Savings Plan: Anthem Blue Cross
Western Health Advantage