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It is open enrollment time for many health plans. Open enrollment is a time when employees and Medicare recipients can make additions, changes, or deletions to their health insurance plans. We ask that you take this opportunity to ensure that you’re signed up for the health plan that allows you to receive hospital care at Emanuel Medical Center. The following plans will be accepted at Emanuel in the following year:
Aetna
Anthem Blue Cross (Commercial Plans)
Beech Street / Capp Care
Blue Shield
Central California Alliance for Health / CCA (Merced County Medi-Cal-HMO)
CIGNA
Citizens Choice Healthplan (Medicare Advantage Plan)
Easy Choice (Medicare Advantage Plan)
First Health / Coventry HealthCare
Emanuel EPO and PPO
Health Net (Commercial Plans)
Health Payors Organization
Health Plan of San Joaquin (Commercial, Healthy Families and AIM)
Health Plan of San Joaquin (Stanislaus County Medi-Cal HMO)
Health Smart / Interplan Health Group
Medi-Cal (Traditional)
Medicare
MultiPlan
Networks By Design
ppoNEXT
Private Healthcare Systems/PHCS
Stanislaus County Partners in Health
Stanislaus Foundation for Medical Care
United Healthcare
The list above does not include contracted plans for 2012. Should you have additional questions, please call Emanuel's Contract and Benefits Department at (209) 664-5680.
The Physicians participate with the Hospital as a provider in some, but not all Health Plans. Participation does include government programs such as Medicare and Medi Cal. There are certain Plans with which the Emergency Physicians’ Group is not-participating or is a non-contracted provider. For these plans physicians will accept reasonable reimbursement, which is defined as billed charges. No contract shall be implied between a health care service plan or a contractor of a health care service plan and a non-contracting physician, based on any conduct, the provision of emergency medical services, the provision of post stabilization care following the provision of emergency medical services, any contact, including but not limited to the submission of a claim for payment to a health care service plan or a contractor of a health care service plan, or for any other reason.
Disclaimer: This list was updated October 29, 2012. Please check with your individual medical group, IPA, or health plan to verify coverage. Please do not rely on this page to make a medical referral decision.
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