Primary Care 365 and Concierge

With our Eisenhower Primary Care 365 and Eisenhower Primary Care Concierge programs, we will ultimately accept most insurance plans. The list of health plans at Eisenhower Health continues to grow. While every effort is made to ensure this list is current, please verify with your insurance before your visit.

In the event that your insurance plan has not contracted for clinic based primary care or specialty services with Eisenhower Health, you will be responsible for your bill and may receive partial payment from your insurer.

Medicare

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

Note: Medicare supplement 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 (including Covered California PPO plans)
• First Health*
• Health Net PPO (Excluding, Eisenhower Primary Care 365 and Concierge Programs)
• Interplan*
• MultiPlan*
• PHCS (Private Health Care Systems)*
• United Healthcare (Excluding United Healthcare Core Plans)
• TriCare (Military)

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.

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, such as Desert Oasis Medical Group, due to HMO requirements that HMO members must see their HMO primary care physician.

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