Billing, Insurance & Payment

Your Insurance Options at Valley Presbyterian Hospital

At Valley Presbyterian Hospital, we are proud to accept health insurance plans from many providers. Patients who lack insurance, or who have inadequate insurance and meet certain income requirements, may qualify for government assistance programs, charity care or financial assistance.

To learn more about your insurance options, click on the links below.

Insurance Options

I Get Health Insurance through My Employer

If you and your dependents receive health insurance through your work, you do not need to do anything unless you hear otherwise from your employer.

There have been many changes in the health care marketplace as a result of the Affordable Care Act. You may have noticed some significant changes regarding preventive care coverage and keeping children on your insurance policy until they reach a certain age. Before the health care law, insurance companies could discontinue coverage for young adults once they reached the age of 19. However, under current legislation, most plans that cover children are required to provide coverage until they are 26 years old.

Before you choose an insurance carrier or seek care from a provider, there are some key factors to consider:

  • Is your physician participating in the plan?
  • Is Valley Presbyterian Hospital - or any other health care facility you choose - participating?
  • Will you be required to obtain prior authorization for the services you need?

Please see below for a list of insurance plans accepted at Valley Presbyterian Hospital. If you do not see your plan listed here, we recommend contacting your provider directly for more information.

PPO Plans

  • Aetna
  • Blue Shield
  • Blue Cross Federal
  • Blue Cross Prudent Buyer
  • Choice Care Humana
  • Cigna
  • Directors Guild of America
  • Motion Picture Health and Welfare
  • First Health
  • Great West
  • Health Net
  • Iron Workers local 395
  • Laborers Health and Welfare
  • Mega Life and Health Ins
  • National Association Letter Carrier
  • Operating Engineer
  • Screen Actors Guild
  • Sheet Metal Workers
  • So Ca Pipe Traders
  • The Mail Handlers
  • United Food and Commercial
  • United Healthcare
  • United Medical Resources

HMO Payers

  • Aetna
  • Aetna POS
  • Blue Shield Health Families
  • Blue Cross California Care
  • Cigna
  • Cigna POS
  • Great West POS
  • Health Net
  • Health Net POS
  • Kaiser
  • Kaiser POS
  • Molina Healthy Families
  • Pacific Care
  • Positive Healthcare
  • United Healthcare

Medi-Cal HMO Payers

  • Blue Cross Medi-cal
  • Care First Medi-cal
  • LA Care Medi-cal
  • Molina Medi-cal

Senior HMO Plans

  • Aetna Senior
  • Blue Shield Senior
  • Blue Cross Medicare Advantage
  • Care 1 st Medicare
  • Central Health Plan of CA
  • Citizens Choice
  • Easychoice
  • Health Net Senior
  • Kaiser Senior
  • LA Care Medicare
  • Molina Healthcare Medicare
  • Providence Health Plan
  • San Miguel Health Plan
  • Scan
  • Secure Horizons
  • United Health Plan Senior VIVA Health Medicare

Government Plans

  • Medicare
  • Medi-Cal
  • California Children Services (CCS)
  • Caloptima
  • Genetically Handicapped Persons Program (GHPP)
  • Positive Healthcare

Covered California Plans

  • Blue Cross Covered CA
  • Blue Shield Covered CA
  • Healthnet Covered CA
  • LA Care Covered CA
  • Molina Covered CA

I Buy Health Insurance On My Own

If you currently purchase a private (also referred to as "commercial") policy for yourself and/or your family, there are two options available to you:

Option 1: You can purchase a plan through the Covered California health benefit exchange.

Option 2: You can buy private insurance through an insurance agent or company outside of the health exchange.

Whatever you decide, it is wise to carefully choose your plan. Only a select few plans provide complete coverage for care provided by Valley Presbyterian Hospital and our contracted physicians.

For more information, contact our Patient Financial Services Department at 818.902.2913.

I Have Medicare

If you have Medicare your coverage likely will remain the same.

Subscribers can direct questions to:

I Have Medi-Cal

If you have Medi-Cal, you may have to make adjustments to your coverage.

Medi-Cal beneficiaries likely need to select a Medi-Cal managed care health plan to receive Medi-Cal services. The Medi-Cal managed care health plan will be responsible for all your medical care, some transportation and certain long-term services and supports.

Medi-Cal members can direct questions to:

Under the Affordable Care Act, eligibility requirements for government programs such as Medi-Cal are expanding. Please contact Medi-Cal, or ask a Patient Financial Services Department representative if you think you may qualify.

I Have Medicare and Medi-Cal

If you are "dual eligible," with both Medicare and Medi-Cal, you may have the choice to participate in Cal MediConnect, a new pilot program being tried out in Los Angeles and seven other counties in California. Click here for CalMediConnect eligibility information.

I Don’t Have Health Insurance

If you've always believed that you couldn't qualify for coverage or could not afford health insurance, things may be different now due to the Affordable Care Act.

Here's how:

  • You will no longer be denied coverage by insurance companies based upon pre-existing conditions.
  • You may qualify for subsidies through the Covered California health insurance exchange if you meet certain income requirements.
  • Government programs such as Medicare and Medi-Cal are expanding their eligibility requirements. We encourage you to contact Medicare and Medi-Cal to find out if you qualify.

It is important to note that if you don't currently have health insurance, you may need to purchase a policy on your own, or through your work, in order to avoid government penalties.