HMOs Accepted
 

Many PPO plans also accepted.

Commercial Plans:

Aetna
Blue Shield
Anthem Blue Cross
Cigna
Health Net
IEHP
Molina
Pacificare/ United Care
Universal Care

 

Senior Plans:

AARP Medicare Complete by Secure Horizons/ United
Aetna
Blue Shield 65+
Care 1st
Central Health Plan
Citizens Choice
Inter Valley Health Plan
Health Net
MD Care
Medicare
SCAN


UM decision making is based only on appropriateness of care, service and existence of coverage. Pinnacle Medical Group does not specifically reward practitioners or other individuals for issuing denials of coverage or service care. Financial incentives for UM decisions makers do not encourage decisions that result in underutilization. The Utilization Management (UM) staff is available for callers with questions about approvals, denials, or UM criteria eight hours per day, Monday - Friday. Patients can call 1-866-230-2835.