Insurance We Accept

Health care insurance can feel complicated, and we designed this page to clarify questions about coverage.

Each patient’s medical situation and insurance plan are 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, 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

The following is a list of insurance companies that contract with City of Hope National Medical Center (hospital and technical services at the Duarte, California, medical center only) and City of Hope Medical Foundation (physician services only at the Duarte or another 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
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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 the City of Hope National Medical Center for commercial PPOs:

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

United Healthcare

  • Choice/Choice Plus
  • Select/Select Plus

 

Covered California
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Both individuals and families can purchase plans through Covered California or off exchange.

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

 

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

 

Bone Marrow Transplant Networks
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The following companies are contracted with both the City of Hope National Medical Center and City of Hope Medical Foundation:

 

EPO (Exclusive Provider Organization)
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Your coverage only extends to doctors and hospitals within your EPO network. There are no out-of-network benefits.

 

POS (Point Of Service)
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This health plan option allows you to choose a service from a participating or nonparticipating provider, with different benefit levels associated with each.

Commercial HMO (Health Maintenance Organizations)
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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 the City of Hope National Medical Center for commercial HMOs:

 

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

Original Medicare (Part A&B)
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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)
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This plan allows Original Medicare beneficiaries to receive covered benefits through HMOs and Preferred Provider Organization (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 the 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 the City of Hope National Medical Center:


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

 

Dual Eligible: Cal MediConnect
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Dual Eligible/Cal MediConnect/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.

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 the City of Hope National Medical Center and City of Hope Medical Foundation:

 

Medi-Cal Managed Care HMO
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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.

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 the City of Hope National Medical Center and City of Hope Medical Foundation:

 

CAR T Cell Therapy Networks
Out-Of-Network
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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 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.

Need Help?

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