Health Insurance Plans Accepted at Los Angeles-Area Locations

Health care insurance may feel complicated. This page answers some common questions about insurance coverage.

Each patient’s medical situation and insurance plan is different. Although there is no guarantee of coverage, you should ask your health insurance company to review your case with City of Hope®. Even if your plan doesn’t cover care at City of Hope Cancer Center Duarte and surrounding locations, you can ask your insurance company to authorize treatment here.

Notice: Although we strive to keep the following information current, it is subject to change without notice.

Accepted Insurance Types and Companies at Los Angeles-Area Locations

The following is a list of insurance companies that contract with City of Hope National Medical Center (hospital and technical services at the Duarte cancer center only) and City of Hope Medical Foundation (physician services only at the Duarte cancer center or another Los Angeles-area clinical location). If you don't see your specific plan or product below, please contact the company customer service department to check if you're covered or that City of Hope Medical Center or City of Hope Medical Foundation is a participating provider.

Commercial PPO

A PPO contracts with doctors and hospitals to create a network of participating health care providers. You save money when you use providers in your PPO network. If you use out-of-network providers, you may incur additional costs.

The following companies are contracted with City of Hope National Medical Center for commercial PPOs:

The following companies are contracted with City of Hope Medical Foundation for commercial PPOs:

Covered California

Individuals and families may purchase plans through Covered California or off exchange.

The following companies are contracted with City of Hope National Medical Center under Covered California:

The following companies are contracted with City of Hope Medical Foundation under Covered California:

Bone Marrow Transplant Networks

The following companies are contracted with both City of Hope National Medical Center and City of Hope Medical Foundation:

EPO (Exclusive Provider Organization)

Your coverage only extends to doctors and hospitals within your EPO network. There are no out-of-network benefits. Please contact your health insurance plan for City of Hope’s network status.

POS (Point Of Service)

Point of Service (POS) is a hybrid HMO/PPO insurance product, often with the following:

HMO coverage: Members choose a primary care physician (PCP); the PCP must manage the care, and services must be authorized.  Typically, patients are only responsible for their co-pays.

PPO in-network coverage: The patient may self-refer to any in-network-contracted provider, but authorization is often required from the insurance company. Patients are responsible for a deductible and coinsurance.

PPO out-of-network coverage: Coverage for medical care provided to POS members from non-contracted providers. The insurance payment amount is dependent on the benefit offered by the plan. Services may be denied by the insurance company as not covered and the patient is responsible for 100% of all charges. Typically, patients are responsible for a higher deductible and coinsurance.

Commercial HMO (Health Maintenance Organizations)

If you belong to an HMO, your insurance company will not pay for your health care unless you have an approved authorization from your insurance company and/or medical group prior to a planned admission or any service.

The following companies are contracted with City of Hope National Medical Center for commercial HMOs:

The following companies are contracted with City of Hope Medical Foundation for commercial HMOs:

Original Medicare (Part A and B)

Medicare is a federal health insurance program for people aged 65 years or older or with disabilities. It covers the costs of hospitalization, medical care and qualifying related services at City of Hope.

Medicare Advantage PPO/HMO (Part C)

This plan allows Original Medicare beneficiaries to receive covered benefits through HMOs and Preferred Provider Organizations (PPOs) instead. Private insurance companies offer additional benefits, such as dental, prescription drug and vision coverage, gym memberships, etc. The HMO plan requires the beneficiary to choose a primary care physician.

Medicare Advantage PPO

The following companies are contracted with both City of Hope National Medical Center and City of Hope Medical Foundation for Medicare Advantage PPOs:

Medicare Advantage HMO

If you belong to an HMO, your insurance company will not pay for your health care unless you have an approved authorization from your insurance company and/or medical group prior to a planned admission or any service.

The following companies are contracted with both City of Hope National Medical Center and City of Hope Medical Foundation:

Dual Eligible Medi-Medi

Dual Eligible Medi-Medi is a voluntary program for people with both Medicare and Medi-Cal. It benefits seniors and people with disabilities and will combine medical, behavioral, long-term and home- and community-based services in one health plan. If you belong to an HMO, your insurance company will not pay for your health care unless you have an approved authorization from your insurance company and/or medical group prior to a planned admission or any service.

The following companies are contracted with both City of Hope National Medical Center and City of Hope Medical Foundation:

Medi-Cal Managed Care HMO

Medi-Cal is a public program that provides health care coverage to adults, families and people with disabilities who meet the income requirements. If you belong to an HMO, your insurance company will not pay for your health care unless you have an approved authorization from your insurance company and/or medical group prior to a planned admission or any service.

The following companies are contracted with both City of Hope National Medical Center and City of Hope Medical Foundation:

CAR T Cell Therapy Networks
Out-Of-Network

If you receive care from a provider without a contract with your insurance company, that service is considered out of network. You may be financially responsible for any additional costs.

What Is Provider-Based Billing?

A provider-based facility is a hospital outpatient department of City of Hope National Medical Center, a general acute care hospital in Duarte, California, and a National Cancer Institute-designated comprehensive cancer center. Patients benefit because we offer additional resources for them and their families, including clinical nutrition, social work, rehabilitation/physical therapy, psychosocial screening and other related services.

Learn about provider-based billing options
Glossary of Terms

Understanding health care coverage is a lot easier when you know common industry terms.

View medical insurance terms
Frequently Asked Questions

A list of answers to the most common questions about insurance and coverage.

Check our health insurance FAQs

Contact City of Hope

If you have questions about your insurance coverage, we have dedicated financial advisors who can provide answers.
844-936-4673