choosing your primary care provider - smusd

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Choosing your Primary Care Provider

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Page 1: Choosing your Primary Care Provider - SMUSD

Choosing your Primary Care Provider

Page 2: Choosing your Primary Care Provider - SMUSD

Choosing your Performance HMO Primary Care Provider (PCP).The CS VEBA Performance HMO Plan separates doctors and hospitals into three distinct networks (Network 1, Network 2 and Network 3). Networks are based on each participating provider group’s quality outcomes and health care costs. A key decision in managing your health is choosing your primary care provider (PCP) from one of the three Performance Plan networks. Using the grids shown below, you would first review and select your network (1, 2 or 3), then choose the medical group within your county. Once you decide on the medical group, you can choose a PCP that best meets your health care needs by visiting csveba.welcometouhc.com.

Network 1*Group Name Group #

KERN COUNTYBakersfield Family Medical Center 004209

GEMCARE-Delano Regional Medical Group 025188

Heritage Physician Network 007665

LOS ANGELES COUNTYAlamitos Independent Physicians Association 010217Altamed Health Services Corporation 028928Altamed Health Services Corporation 028951AppleCare Medical Group Downey Region 015967AppleCare Medical Group St. Francis 014692AppleCare Medical Group Whittier Region 021736AppleCare Medical Group Select Region 025327HealthCare Partners Los Angeles County 028463HealthCare Partners Arta Health Network 029878HealthCare Partners Bixby Knolls 028435HealthCare Partners IPA Arcadia 028404 HealthCare Partners IPA East Los Angeles 028399 HealthCare Partners IPA Glendale 028401 HealthCare Partners IPA Little Company of Mary 028436 HealthCare Partners IPA Los Angeles County 028393 HealthCare Partners IPA Long Beach 028454 HealthCare Partners IPA Montebello 028388HealthCare Partners IPA Northridge 028416 HealthCare Partners IPA South Bay 028417 HealthCare Partners IPA Pasadena 028410 HealthCare Partners IPA San Fernando Valley 028423 HealthCare Partners IPA San Fernando Valley West 028460 HealthCare Partners IPA East West 028411 HealthCare Partners Medical Group Long Beach 028455 HealthCare Partners Medical Group Pasadena Main 028391 HealthCare Partners Medical Group 028459 HealthCare Partners Medical Group Valencia 028414 HealthCare Partners Medical Group South Bay 028403 HealthCare Partners San Fernando Holy Cross 028440HealthCare Partners Medical Group San Fernando Valley 028442 HealthCare Partners Medical Group Santa Anita 028764High Desert Medical Group 003804Lakeside Medical Group/East/West Covina 024675Lakeside Medical Group/Central/Burbank/North Hollywood 024664Lakeside Medical Group/Central/Central Valley 024670

Group Name Group #Lakeside Medical Group/Central/Glendale 024662Lakeside Medical Group/Central/North Valley 024671Lakeside Medical Group/Central/Santa Clarita 024677Lakeside Medical Group/Central/Verdugo Hills 024681Lakeside Medical Group/East/Glendora 024674Lakeside Medical Group/East/San Gabriel Valley 024686Lakeside Medical Group/West/Agoura Hills 024672Lakeside Medical Group/West/Simi Valley 024682Lakeside Medical Group/West/Tarzana 024684Lakeside Medical Group/West/Thousand Oaks 024678Lakeside Medical Group/West/West Hills/Canoga Park 024683Lakewood Independent Physicians Association, Inc. 005225Magan Medical Clinic/HCP Affiliated Provider Network 028445Monarch Long Beach 027882Omnicare Medical Group 014498Physicians Associates IPA/HCP Citrus 028428 Physicians Associates IPA/HCP Glendale 028437 Physicians Associates IPA/HCP Huntington 028434 Physicians Associates IPA/HCP Methodist 028451 Physicians Associates IPA/HCP San Dimas 028419 Physicians Associates IPA/HCP San Gabriel 028422 Pioneer Provider Network A Medical Group Inc. 015848Regal Medical Group/Caduceus 019793Regal Medical Group/Burbank/Glendale 017556Regal Medical Group/Central Valley Region 012410Regal Medical Group/Downey 017547Regal Medical Group/Downtown Los Angeles Region 014163Regal Medical Group/East San Gabriel 017555Regal Medical Group/Glendale Physicians Alliance 023187Regal Medical Group/Greater Covina 017778Regal Medical Group/Long Beach 017552Regal Medical Group/San Gabriel Region 014888Regal Medical Group/St. Francis 017551Regal Medical Group/Ventura County 021557Regal Medical Group/West Valley 017554Regal Medical Group/Whittier 017550Seoul Medical Group Inc. 019881Seoul Medical Group/Orange County 029550Sierra Independent Physicians Association 023025Sierra Medical Group Clinic 023023

Page 3: Choosing your Primary Care Provider - SMUSD

Network 1* (continued)Group Name Group #

Sierra Medical Group Santa Clarita 029357Torrance Hospital IPA 026488

ORANGE COUNTYADOC/Fountain Valley Division 025400ADOC/Los Alamitos Division 025401Altamed Health Services Corporation 029116American Vietnamese (AMVI) 012130Daehan Prospect Medical Group 027362Family Choice Medical Group Inc. 019394GNP - Saddleback 026693HealthCare Partners Orange County 028427HealthCare Partners IPA South Coast 028461MemorialCare Medical Group 025679Monarch HealthCare 021963Monarch/Anaheim Memorial Medical Center 021963Monarch Mission 021963Monarch/Orange Coast 021963Monarch/Orange County 021963Monarch/Saddleback Memorial Hospital 021963Monarch/San Clemente 021963Monarch/South Coast 021963Noble AMA Independent Physicians Association 016335Prospect Gateway MG in Association with Anaheim Memorial 014548Prospect Genesis Healthcare 014904Prospect Northwest Orange County Medical Group/ Anaheim Division 011567

Regal Medical Group/North Orange County 018831

RIVERSIDE COUNTYDesert Oasis Healthcare 021796Empire Physicians Medical Group Inc. 018657PrimeCare/Corona 005232PrimeCare/Hemet Valley 009023PrimeCare/Riverside 008331PrimeCare/Sun City 004140PrimeCare/Temecula 006657Regal Medical Group/Riverside 021553Regal Medical Group/Temecula 020950Riverside Medical Clinic Inc. 014897Tri-Valley Medical Group 026432Valley Physicians Network 026405

SAN BERNARDINO COUNTYAlliance Desert Physicians 024628Beaver Medical Group 027825Chaffey Medical Group 027892Desert Valley Medical 027411Dignity Health Medical Group/Inland Empire 028433Family Practice Medical Group/San Bernardino 001011Fenix Medical Group 029490Lakeside Medical Group/East Pomona 024679

Group Name Group #Pinnacle Medical Group 027850Premier Healthcare IPA 027648PrimeCare Medical Group/Chino Valley 004661PrimeCare Medical Group/San Bernardino 019383PrimeCare/Citrus Valley 021243PrimeCare/Inland Valley 006045PrimeCare/Moreno Valley 003111PrimeCare/Redlands 001026Redlands-Yucaipa Medical Group 027828Regal Medical Group/Chino Valley 017553Regal Medical Group/APSI 020670Regal Medical Group/San Bernardino 020668St. Mary High Desert Medical Group 027647VVIPA Medical Group 028857

SAN DIEGO COUNTYBorrego Springs Direct Contracting Network 017812Cassidy Medical Group/PCAMG 014748Imperial County Physicians Medical Group 004164Primary Care Associated Medical Group 006039Primary Care Associated Medical Group/Encinitas 016223Rady Children’s Health Network 028561SCMG Arch Health Partners 028360Sharp Community Medical Group/Metro 004395Sharp Community Medical Group/Chula Vista 006129Sharp Community Medical Group/Coronado 014128Sharp Community Medical Group/Graybill 015882Sharp Community Medical Group/Graybill N Coastal 025448Sharp Community Medical Group/Grossmont 006130Sharp Community Medical Group/Inland North 014174Sharp Rees-Stealy Medical Group Inc. 001035

VENTURA COUNTYLakeside Medical Group/West/Agoura Hills 024672Lakeside Medical Group/West/Thousand Oaks 024678Regal Medical Group/Ventura County 021557Valley Care Independent Physicians Association 021331Valley Care Physicians IPA Medical Associates 029572Valley Care Physicians IPA Medical Associates 029573Valley Care Select IPA/West County 025530

Network 2*Group Name Group #

KERN COUNTYGolden Empire Managed Care II A Medical Group Inc. 025190Heritage Physician Network 007665

LOS ANGELES COUNTYAccess Medical Group Inc. 010246Access Santa Monica Independent Physicians Association 025517Alamitos IPA 010217Allied Physicians of California 012244

Page 4: Choosing your Primary Care Provider - SMUSD

Group Name Group #LOS ANGELES COUNTY (continued)

Axminster Medical Group Inc. 012143Centinela Valley IPA Medical Group 014696Family Care Specialists IPA A Medical Group 020004GNP - Long Beach 026678HealthCare Partners Los Angeles County 028463HealthCare Partners Arta Health Network 029878HealthCare Partners Bixby Knolls 028435HealthCare Partners IPA Arcadia 028404 HealthCare Partners IPA East Los Angeles 028399 HealthCare Partners IPA Glendale 028401 HealthCare Partners IPA Los Angeles County 028393 HealthCare Partners IPA Long Beach 028454 HealthCare Partners IPA Montebello 028388HealthCare Partners IPA Northridge 028416 HealthCare Partners IPA South Bay 028417 HealthCare Partners IPA – Little Company of Mary 028436 HealthCare Partners IPA Pasadena 028410 HealthCare Partners IPA San Fernando Valley 028423 HealthCare Partners IPA San Fernando Valley West 028460 HealthCare Partners IPA East West 028411 HealthCare Partners Medical Group Long Beach 028455 HealthCare Partners Medical Group Pasadena Main 028391 HealthCare Partners Medical Group 028459 HealthCare Partners Medical Group Valencia 028414 HealthCare Partners Medical Group South Bay 028403 HealthCare Partners San Fernando Holy Cross 028440HealthCare Partners Medical Group San Fernando Valley 028442 HealthCare Partners Medical Group Santa Anita 028764High Desert Medical Group 003804High Desert Medical Group 003804Korean American Medical Group 019863Lakewood IPA Inc. 005225Magan Medical Clinic/HCP Affiliated Provider Network 028445Physicians Associates IPA/HCP Citrus 028428 Physicians Associates IPA/HCP Glendale 028437 Physicians Associates IPA/HCP Huntington 028434 Physicians Associates IPA/HCP Methodist 028451 Physicians Associates IPA/HCP San Dimas 028419 Physicians Associates IPA/HCP San Gabriel 028422 Prospect Northwest OC Medical Group 008631Prospect Professional Care IPA Medical Group 014722Prospect Professional Care IPA Montebello 017270Sierra Independent Physicians Association 023025Sierra Medical Group Clinic 023023Sierra Medical Group Santa Clarita 029357St. Mary Independent Physicians Association 018753St. Vincent Medical Group IPA 014697

Group Name Group #ORANGE COUNTY

Edinger Medical Group 026621Greater Newport Physicians/Hoag Hospital 026603Greater Newport Physicians/Orange Coast 026695HealthCare Partners/Orange County 028427HealthCare Partners IPA/South Coast 028461Monarch/Orange County 021963

RIVERSIDE COUNTYDesert Oasis HealthCare 021796Empire Physicians Medical Group Inc. 018657Family Seniors Medical Group 014899Hemet Community Medical Group 014586Menifee Valley Community Medical Group 015031PrimeCare/Temecula 006657Prospect Medical Group/Corona 017807Riverside Medical Clinic Inc. 014897Riverside Physician Network 005171Temecula Valley Physicians Medical Group 021941Valley Physicians Network Inc. 026405

SAN BERNARDINO COUNTYBeaver Medical Group 027825Choice Medical Group 004800Choice Medical Group/Barstow 021837Loma Linda University Health Care 004470My Family Medical Group 002517PrimeCare/Chino Valley 004661PrimeCare/Citrus Valley 021243PrimeCare/Inland Valley 006045PrimeCare/Redlands 001026PrimeCare/San Bernardino 019383Promed Health Network/Pomona Valley 003447San Bernardino Medical Group 019198St. Mary High Desert Medical Group 027647Upland Medical Group 017771VVIPA Medical Group 028857

SAN DIEGO COUNTYGreater Tri-Cities IPA Medical Group Inc. 014889Imperial County Physicians Medical Group 004164Mercy Physicians Medical Group 004602Midcounty Physicians Medical Group 024783Multicultural Primary Care Medical Group Inc. 007932Rady Children’s Health Network 028561SCMG Arch Health Partners 028360Scripps Physician Medical Group 005375

VENTURA COUNTYFacey Medical Foundation/Simi Valley 025614SeaView Independent Physicians Association 005141

Network 2* (continued)

Page 5: Choosing your Primary Care Provider - SMUSD

Group Name Group #KERN COUNTY

Golden Empire Managed Care II A Medical Group Inc. 025190Heritage Physician Network 007665

LOS ANGELES COUNTYAccess Medical Group Inc. 010246AppleCare Medical Group/Downey Region 015967AppleCare Medical Group/Select Region 025327AppleCare Medical Group/St. Francis 014692AppleCare Medical Group/Whittier Region 021736Cedars-Sinai Health Associates 012532Cedars-Sinai Medical Group 006952Exceptional Care Medical Group 017465Exceptional Care Medical Group/Mubuhay 021250Facey Medical Foundation 001010Facey Medical Foundation/Burbank 027655Facey Medical Foundation/Santa Clarita 015870GNP - Long Beach 026678Good Samaritan Medical Practice Associates 005273Health Care Partners Plan - Santa Anita 028764High Desert Medical Group 003804Nuestra Familia Medical Group Inc. 011315PIH Health Physicians - IPA 005679PIH Health Physicians Medical Group 023247Premier Physicians Network 005169Premier Physicians Network/San Fernando Valley 020614Prospect Health Source Medical Group 016209Prospect Medical Group/Van Nuys 017615Providence Care Network 026251Prudent Medical Group 022732Sierra Independent Physicians Association 023025Sierra Medical Group Clinic 023023Sierra Medical Group/Santa Clarita 029357UCLA Medical Group/Santa Monica Bay Physicians 025465UCLA Medical Group IPA 016998

ORANGE COUNTYEdinger Medical Group 026621GNP-Orange Coast 026695Hoag Affiliated Physicians IPA 027963Mission Hospital Affiliated Physicians 018352Mission Internal Medical Group 025036Prospect Medical Group/Central 011276Prospect Medical Group/North 003948St. Joseph Heritage Medical Group 018346St. Joseph Hospital Affiliated Physicians 018347St. Jude Affiliated Physicians 018344St. Jude Heritage Medical Group 018342UC Irvine Health Affiliated Physicians 028603UC Irvine Health Medical Group 028569

RIVERSIDE COUNTYEmpire Physicians Medical Group Inc. 018657

Group Name Group #Family Seniors Medical Group 014899Hemet Community Medical Group 014586Menifee Valley Community Medical Group 015031Primecare of Temecula 006657Prospect Medical Group Corona 017807Riverside Medical Clinic Inc. 014897

Riverside Physician Network 005171

Temecula Valley Physicians Medical Group 021941

SAN BERNARDINO COUNTYBeaver Medical Group 027825Choice Medical Group 004800Choice Medical Group/Barstow 021837Loma Linda University Health Care 004470My Family Medical Group 002517PrimeCare/Chino Valley 004661PrimeCare/Inland Valley 006045PrimeCare/Redlands 001026PrimeCare/San Bernardino 019383Promed Health Network/Pomona Valley 003447San Bernardino Medical Group 019198St. Mary High Desert Medical Group 027647Upland Medical Group 017771VVIPA Medical Group 028857

SAN DIEGO COUNTYImperial County Physicians Medical Group 004164Rady Children’s Health Network 028561Scripps Coastal Medical Center 023659Scripps Physician Medical Group 005375UCSD Medical Group 004589

VENTURA COUNTYFacey Medical Foundation/Simi Valley 025614SeaView Independent Physicians Association 005141

Network 3*

Group Name Group #SAN DIEGO COUNTY

Mercy Physicians Medical Group/Scripps Care Affiliate 026282Primary Care Associates Medical Group/Scripps Care Affiliate 026443

Rady Children’s Health Network 014411Scripps Clinic 003682Scripps Coastal Medical Center 023659Scripps Physicians Medical Group 005375UCSD Medical Group 004589

Alliance San Diego Network

Page 6: Choosing your Primary Care Provider - SMUSD

Why a PCP is important.Having a PCP is an important way to help you stay healthy. You and your PCP will work as a team, along with nurses, pharmacists and other health care providers, to manage your overall health. Your PCP will get to know you and your current health status. If your health changes, your PCP will be more likely to recognize it, as he or she will be familiar with you and your medical history. Your PCP can use this knowledge to advise you on appropriate treatments, and help you make medical decisions that suit your lifestyle and daily habits.

If you don’t have a PCP, or you’re not comfortable with the doctor you have, think about choosing a new one.

Steps to consider when choosing your doctor. Figure out what kind of doctor will best meet your needs.

• Family and general practitioners care for a wide range of health concerns. They may be able to treat family members of any age.

• Internists treat adults and may have additional training in specialties, such as cardiology.

• Pediatricians provide care to children and adolescents.

• Geriatricians specialize in the care of older adults.

Find your PCP using the online Provider Directory. Search for a PCP or other health care professional by name, specialty or ZIP code. The easy-to-use online provider directory puts participating/contracting providers at your fingertips. You can even get driving directions and print a map to the doctor’s office.

To find a participating/contracting health care provider in your Performance HMO network:1. Go to welcometouhc.com/csveba.2. Under Wondering if your doctor is in our network? Click on “Find a Network Doctor or Hospital”.3. Select the appropriate plan(s): “CS VEBA Performance HMO Networks 1, 2 or 3 or the Alliance

San Diego Network”.4. Enter your ZIP code and click Continue.5. On the next page, click the X in the top right corner. Now you can search by Name, Specialty

or Medical Group.

*Based on 2016 updated cost and quality assessments, medical groups may be available in more than one CS VEBA Performance HMO network. For additional details on your medical group, please refer to the UnitedHealthcare website at www.csveba.welcometouhc.com. Please note that UnitedHealthcare cannot guarantee the continuing participation or network level of medical groups and physicians listed in this brochure. To verify a medical group or physician’s continued participation, please visit our online provider directory, or contact UnitedHealthcare at 1-888-586-6365.Health plan coverage provided by or through UHC of California. Administrative services provided by UnitedHealthcare Services, Inc.; Optum Rx, Inc.; or OptumHealth Care Solutions, Inc. Behavioral health products are provided by U.S. Behavioral Health Plan, California (USBHPC); or United Behavioral Health (UBH).

MT-1060702.2 8/18 VEBA Custom ©2018 United HealthCare Services, Inc. 18-9012-C Facebook.com/UnitedHealthcare Twitter.com/@UHC YouTube.com/UnitedHealthcare

Visit csveba.welcometouhc.com