Health Plans

Health Plans We Participate In

Commercial HMO Health Plan Network and/or Product Participation*

Download PDF all Plans

HMO Provider Networks and/or Products for the following networks:

Health Plan

Provider Network and/or Product

Aetna

HMO – Full or Standard Network
QPOS

Anthem Blue Cross
of California

HMO – Full or Standard Network
California Care
Blue Cross Plus POS

Blue Shield of California

HMO – Full or Standard Network
Access+
Net Value – CalPERs Employee plan/product exclusive to St. Joseph Hoag Health in OC
Local Access + – Exclusive to St. Joseph Hoag Health in OC
SaveNet – Exclusive to St. Joseph Hoag Health in OC
POS

CIGNA

HMO – Full or Standard Network
POS
Select -- Exclusive to St. Joseph Hoag Health in OC
St. Joseph Heritage Select (SJH Employee plan/product)
Hoag-St. Joseph Health Preferred (Hoag Employee plan/product)

Health Net

HMO – Full or Standard Network
POS

United Healthcare

HMO Full or Standard Network
Signature Value Full Network only
Signature Value Flex Tier 3 only

Please note the following listing of provider networks and/or products is provided for reference purposes only. St. Joseph Hoag Health’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 St. Joseph Hoag Health’s current participation in a particular provider network and/or product which may or may not be listed below.

For more information about the exclusive St. Joseph Hoag Health network products, please contact the individuals below:

Cigna
Vicki Clements
Chief Operating Officer Southern California/Nevada
949-214-0451
vicki.clements@cigna.com

Blue Shield of California
Jason Bleau
Southern California Vice President
(619) 209-9619
Jason.Bleau@blueshieldca.com


Commercial Non-HMO Health Plan Network and/or Product Participation*

Hoag Medical Group
Mission Heritage Medical Group
St. Joseph Heritage Medical Group
St. Jude Heritage Medical Group

Health Plan

Provider Network and/or Product

Aetna

PPO – Full or Standard Network
Elect Choice
Managed Choice POS
Aetna Choice POS II
Aetna Select

Anthem Blue Cross

PPO Prudent Buyer – Full or Standard Network
Select
Advantage

Blue Shield of California

PPO – Full or Standard Network
SHOP

CIGNA

PPO – Full or Standard Network
Open Access Plus (OAP)
Coventry PPO – Full or Standard Network
First Health PPO – Full or Standard Network

Health Net

PPO – Full or Standard
Multiplan PPO – Full or Standard Network

United Healthcare

PPO – Full or Standard Network
Choice
Choice Plus
Select
Select Plus
Options PPO
Tricare-Active Military

Please note the following listing of provider networks and/or products is provided for reference purposes only. St. Joseph Hoag Health’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 St. Joseph Hoag Health’s current participation in a particular provider network and/or product which may or may not be listed below.

NON - PARTICIPATING

​​​​**St. Joseph Hoag Health does not participate in medical discount cards (cash pay) or consumer card programs such as Care Entrée', Care IQ, Galaxy Health Network, Integrated Health Plan, MedicalConnect1, etc. that may be offered by these or any other networks.

Kaiser is not contracted with St. Joseph Hoag Health. In some cases, patients can access us for their care if their plan and/or IPA pre-authorizes the care.


Medicare Advantage Senior Health Plan Network and/or Product Participation*

HMO Provider Networks and/or Products for the following networks:

Hoag Affiliated Physicians
Hoag Medical Group
Mission Hospital Affiliated Physicians

Mission Heritage Medical Group
St. Joseph Heritage Medical Group
St. Joseph Hospital Affiliated Physicians

St. Jude Affiliated Physicians
St. Jude Heritage Medical Group

Health Plan HMO Provider Network and/or Product
Aetna Aetna Medicare Prime Plan HMO – Exclusive to St. Joseph Hoag Health in OC
Aetna Medicare Select HMO
Aetna Medicare Choice Plan PPO†
Anthem Blue Cross Anthem Select Advantage HMO
Anthem Medicare Preferred Standard PPO†
Blue Shield of California Blue Shield 65 Plus HMO
Blue Shield 65 Plus Choice HMO – Exclusive to St. Joseph Hoag Health in OC
Health Net

Health Net Healthy Heart HMO*
Health Net Seniority Plus Ruby HMO*
Health Net Seniority Plus Sapphire HMO*

SCAN SCAN Classic HMO
SCAN Plus HMO
SCAN Balance HMO SNP
SCAN Health First HMO SNP
United Healthcare AARP Medicare Complete Secure Horizons Premier HMO
AARP Medicare Complete Secure Horizons Essential HMO
AARP Medicare Complete Secure Horizons Plan 2 HMO
AARP Medicare Complete Secure Horizons Plan 3 HMO

Please note the following listing of provider networks and/or products is provided for reference purposes only. St. Joseph Hoag Health’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 St. Joseph Hoag Health’s current participation in a particular provider network and/or product which may or may not be listed below.

* Hoag Affiliated Physicians and Hoag Medical Group is not yet available for these provider networks/products — contract negotiations are in process

† Participation in Aetna Medicare Choice Plan PPO or Anthem Medicare Preferred PPO applies to St. Jude Heritage Medical Group, St. Joseph Heritage Medical Group, Mission Heritage Medical Group, Hoag Affiliated Physicians and Hoag Medical Group only. For all other physician networks, please contact Anthem Blue Cross directly to verify participation.