UCLA Health Insurance provides access to world-class medical care through a variety of accepted plans, ensuring quality healthcare for patients.
As part of UCLA Health, one of the top healthcare systems in California, it connects you to over 280 clinics and leading providers.
This article explores UCLA Health Insurance, its accepted plans, benefits, and how to navigate coverage in simple, easy language.
What Is UCLA Health Insurance?
UCLA Health Insurance refers to the range of health plans accepted by UCLA Health facilities, including Ronald Reagan UCLA Medical Center and UCLA Santa Monica Medical Center. It includes Medicare, HMO, PPO, and individual plans purchased through Covered California or private insurers. These plans provide access to UCLA’s extensive network of doctors and specialists.
The system is designed to make top-tier care accessible to diverse patients. UCLA Health does not offer its own HMO product but partners with major insurers to ensure broad coverage options. Patients benefit from UCLA’s reputation for innovative and compassionate care.
Types of Plans Accepted
UCLA Health Insurance accepts a variety of plans to meet different needs. These include employer-sponsored HMO and PPO plans, Medicare, and individual plans. Coverage extends to medical, dental, vision, and behavioral health services.
Some plans are purchased through Covered California, California’s health insurance marketplace. UCLA also supports specialized care, like organ transplants, through designated centers of excellence. Checking plan acceptance ensures you can use UCLA providers.
UCLA Student Health Insurance (UCSHIP)
UCLA students are automatically enrolled in the UC Student Health Insurance Plan (UCSHIP), a comprehensive plan tailored for students. UCSHIP covers primary care, specialist visits, mental health, and prescriptions. Students can waive it if they have comparable coverage elsewhere.
The plan is managed by Academic Health Plans (AHP) and billed through BruinBill. It ensures access to the Arthur Ashe Student Health & Wellness Center and UCLA Health providers. Waivers require proof of insurance meeting specific criteria, like in-network providers within 50 miles of campus.
Medicare Plans at UCLA Health
UCLA Health Insurance includes Medicare options for seniors. Both Original Medicare and Medicare Advantage plans are accepted, covering hospital stays, doctor visits, and preventive care. UCLA Health Medicare Advantage plans, launched in 2025, offer low premiums and extra benefits like dental and vision.
These plans provide access to over 7,000 in-network providers in Los Angeles County. They emphasize physician-led care and streamlined referrals. Contact UCLA’s Member Services at 1-833-627-8252 for plan details.
Covered California and UCLA Health
UCLA Health Insurance partners with Covered California to offer affordable individual and family plans. Plans like those from L.A. Care and Blue Shield provide access to UCLA doctors and hospitals. These are classified into bronze, silver, gold, and platinum tiers based on coverage and cost.
Subsidies through Covered California can lower premiums for eligible households. Open Enrollment runs from November 1 to January 31, with coverage starting January 1 if enrolled by December 15. Call L.A. Care at 855-222-4239 or Blue Shield at 888-626-6780 for specifics.
Benefits of UCLA Health Insurance
UCLA Health Insurance offers access to top-ranked medical care across Southern California and the Central Coast. Patients benefit from advanced treatments, innovative research, and a vast provider network. Plans cover essential services like preventive care, hospital stays, and specialty treatments.
Extra benefits include telehealth, mental health services at Resnick Neuropsychiatric Hospital, and wellness programs. Some plans offer fitness benefits or transportation to appointments. UCLA’s patient-centered approach ensures compassionate, high-quality care.
Costs and Affordability
Costs for UCLA Health Insurance depend on the plan type and provider. Employer-sponsored plans often have lower premiums, averaging $100-$200 monthly for individuals. Covered California plans range from $300 to $700 monthly, with subsidies reducing costs for many.
Medicare Advantage plans may have $0 premiums, though the Part B premium ($174.70 in 2025) applies. Deductibles and copays vary, with out-of-pocket maximums capping annual expenses. Always verify costs with your insurer or UCLA at 310-301-8700.
Comparing UCLA Health Insurance Plans
Choosing the right plan involves balancing premiums, deductibles, and coverage. The table below compares key features of plans accepted by UCLA Health for 2025.
Plan Type | Monthly Premium | Deductible | Key Benefits | Best For |
---|---|---|---|---|
UCSHIP (Student) | $800-$1,000/term | Low | Mental health, campus clinic access | UCLA students |
Covered California | $300-$700 | Moderate | Subsidies, broad UCLA network | Individuals and families |
Medicare Advantage | $0-$50 | Low | Dental, vision, low copays | Seniors in LA County |
Employer PPO | $100-$200 | Varies | Flexible providers, specialty care | Employees with workplace plans |
This table shows UCSHIP suits students, while Medicare Advantage is ideal for seniors. Covered California plans benefit those seeking subsidies, and PPOs offer flexibility for employees.
How to Access UCLA Health Providers
To use UCLA Health Insurance, confirm your plan is accepted by calling 310-301-8700. Use the “Find a UCLA Physician” tool on uclahealth.org to locate in-network providers. HMO plans require a primary care physician (PCP) for referrals to specialists.
PPO plans allow out-of-network care at higher costs. Schedule appointments online via myUCLAhealth or by calling 310-825-2631. The myUCLAhealth portal also lets you view bills, medical records, and communicate with providers.
Enrollment and Open Enrollment
Enrollment periods vary by plan type. Covered California’s Open Enrollment is November 1 to January 31, with a December 15 deadline for January coverage. Medicare’s Annual Election Period runs October 15 to December 7, with changes effective January 1.
UCSHIP enrollment is automatic for students, with waiver deadlines each term. Special Enrollment Periods allow sign-ups after life events like job loss. Contact your plan provider or UCLA for enrollment assistance.
Tips for Choosing a Plan
Selecting the right UCLA Health Insurance plan requires careful planning. These tips help you make an informed choice:
- Confirm UCLA providers are in-network to avoid extra costs.
- Review your health needs, like frequent specialist visits or prescriptions.
- Compare premiums, deductibles, and out-of-pocket maximums.
- Check for extra benefits, like telehealth or dental coverage.
Challenges and Considerations
Some patients face issues with claim denials or out-of-network costs. HMO plans may limit provider choices, requiring referrals for specialists. The myUCLAhealth portal occasionally has login issues, affecting bill payments or appointment scheduling.
Contact UCLA’s customer service at 310-825-2631 for help with claims or coverage questions. Verifying plan details before treatment reduces surprises. UCLA’s team works to resolve issues quickly.
Why Choose UCLA Health Insurance?
UCLA Health Insurance connects you to a top-ranked healthcare system with over 280 locations. Its focus on innovation, like telehealth and advanced research, ensures cutting-edge care. Plans are flexible, covering diverse needs from students to seniors.
Affordable options through Covered California and Medicare make care accessible. The patient portal and customer support simplify managing your healthcare. Choosing UCLA Health Insurance means quality and reliability.
Summary
UCLA Health Insurance encompasses a range of plans accepted by UCLA Health, including Medicare, Covered California, employer-sponsored plans, and UCSHIP for students.
These plans provide access to over 280 clinics, covering preventive care, specialty services, and mental health. Costs vary, with subsidies and low-premium options like Medicare Advantage enhancing affordability.
By confirming provider networks, enrolling during open periods, and using tools like myUCLAhealth, you can access UCLA’s world-class care. UCLA Health Insurance ensures quality healthcare tailored to your needs.
FAQ
What plans are included in UCLA Health Insurance?
UCLA Health Insurance includes Medicare, HMO, PPO, Covered California, and UCSHIP for students. These cover medical, dental, vision, and mental health services. Check plan acceptance at 310-301-8700.
How much does UCLA Health Insurance cost?
Costs vary: UCSHIP is $800-$1,000 per term, Covered California plans range $300-$700 monthly, and Medicare Advantage may have $0 premiums. Subsidies and employer contributions can lower costs. Verify with your insurer.
How do I access UCLA Health providers?
Use the “Find a UCLA Physician” tool on uclahealth.org or call 310-825-2631. HMO plans need a PCP for referrals; PPOs offer flexibility. The myUCLAhealth portal schedules appointments and manages care.
When can I enroll in UCLA Health Insurance plans?
Covered California’s Open Enrollment is November 1 to January 31; Medicare’s is October 15 to December 7. UCSHIP is automatic for students with term-specific waivers. Special Enrollment Periods apply for life events.
Does UCLA Health Insurance cover mental health?
Yes, plans cover mental health services, including care at Resnick Neuropsychiatric Hospital. Coverage varies by plan, with some using separate behavioral health providers. Confirm details with your insurer.