Is My Insurance Accepted at City of Hope (Duarte)?

For questions related to your specific coverage, please contact your insurance provider directly. You can find that phone number on your insurance card or in your benefits book. You can also call City of Hope New Patient Services at 800-826-HOPE (4673).

Every medical situation - and every insurance plan - is different, and there is no guarantee that coverage can be secured. But it is reasonable to make this request, and to ask your insurance company to review the matter with City of Hope directly.
 
The following is a list of insurance companies which cover care at City of Hope National Medical Center (Duarte campus) and City of Hope Physicians (Medical Foundation). City of Hope National Medical Center contracts for hospital/technical services only. City of Hope Medical Foundation contracts for physician services rendered at City of Hope National Medical Center and in our community practice sites. You can also find out what, if any, co-payments and deductibles will be your responsibility.
 
PLEASE NOTE:
 
  • Although we strive to keep this information current, it is subject to change without notice
  • HMO Plans: In order to receive care at City of Hope at the Duarte location or with a City of Hope physician as an HMO plan member, you will need written authorization, which gives you permission to be treated, from your insurance company/medical group before each planned admission and each type of outpatient treatment, e.g. chemotherapy, ambulatory surgery, or diagnostic service.
  • If you wish to receive treatment at a City of Hope location or with a City of Hope physician but your insurance plan does not cover care at City of Hope, contact your insurance company and ask about obtaining authorization to receive treatment here.
     
City of Hope National Medical Center - Duarte
Contracted insurance companies for coverage
of hospital and technical services at Duarte.

 
City of Hope Physicians (Medical Foundation)
Contracted insurance companies for physician services at  Duarte and Community Practice Sites.
 
Anthem Covered California EPO
Anthem Covered California PPO
Benefit Panel Services PPO
Benefit Panel Services (Multiplan) PPO
Blue Distinction Center for Transplant BMT
Envisioncare Triage-Advocates, Inc.
Great West Health Plan
LA Care Health Plan
LA Foundation for Medical Care PPO
LifeTrac Transplant Network BMT
Anthem Covered California EPO
Anthem Covered California PPO
Three Rivers Provider Network
TRICARE Federal Services
 
Covered California
 
City of Hope National Medical Center (which provides hospital services at the Duarte location) and City of Hope Medical Foundation (which bills for physician services) are participating in certain plans through the Affordable Care Act and the California health benefit exchange called Covered California. The information below applies to new individual and family plans purchased within or outside of Covered California to be effective on or after Jan. 1, 2014. Only the Anthem Blue Cross EPO and PPO plans are in-network for both hospital and physician services.
 
Anthem Blue Cross
 
  • Medical Center (Duarte): in-network for EPO and PPO plans
  • Foundation: in-network for EPO and PPO plans
  • Medical Center (Duarte) and Foundation are considered in-network for blood and marrow transplant services.
 
Blue Shield of California
 
  • Medical Center (Duarte): out of network for EPO and PPO. (Note: PPO patients may still access City of Hope, but will have a greater out-of-pocket expense. Please contact Blue Shield of California for more information. There are no out-of-network benefits for the EPO plan.)
  • Foundation: out of network for EPO and PPO. (Note: PPO patients may still have access to Foundation, but will have a greater out-of-pocket expense.  Please contact Blue Shield of California for more information. There are no out-of-network benefits for the EPO plan.)
  • Medical Center (Duarte) and Foundation are considered in-network for blood and marrow transplant services.


To learn more about the exchange, visit www.coveredca.com or call 888-975-1142.

For questions related to your specific coverage, please contact your insurance provider directly.

If you have additional questions, you may call 800-826-HOPE (4673).