Patient Forms

Aetna
Anthem Blue Cross of CA (except Dr. Swartz)
Blue Cross PPO
Anthem Blue Cross UC Care
BCBS Blue Edge
Blue Shield of CA
Cigna/Evicore
Covered California - Blue Shield
First Health PPO
HealthNet PPO
John Muir HMO/ JMPN any/Canopy
JMPN Bright Health Care
JMPN Brand New Day
JMPN Humana
Kaiser PPO
Medicare
Medigap
Meritain Health
Multiplan
Pacific Health Alliance
PHCS
Tricare
TriWest Healthcare Alliance (except Dr. Humphrey)
UHC (except Dr. Humphrey)
UHC Core
UMR Pro

Affinity Medical Group
Anthem Blue Cross Covered CA - metal plans (silver, gold, platinum)
Anthem Blue Cross UC Select PPO/EPO
Anthem Blue Cross University of CA Student Plan
Blue Cross Pathway PPO/EPO
BCBS Select PPO
Brown and Tolland
Community Health Center
Health Net - Medicare HMO and PPO
Hill Physicians
Humana Medicare PPO
Imperial Health Plan
Kaiser HMO
MedPay
Medi-Share Health Ministry
Mtor Vehicle Insurance
One-Call
Sutter
UHC Canopy
UHC Medicare Canopy
Wellcare HMO