Insurance

Accepted Health Insurances

Newport Children’s Medical Group and its pediatricians are participating with the list of insurance plans below. Participation in these plans is not a guarantee of payment or coverage. There are insurance companies that require referral or prior-authorization for coverage of services. If you would like to verify coverage or have questions regarding out of pocket expenses, please contact your insurance company to verify requirements, your coverage and benefits. To find out if Newport Children’s Medical Group and its physicians participate in your insurance plan, please contact us.

PPO

We are accepting all PPO plans including:

Admar -Multi-Plan PPO
Aetna PPO
American Benefit Plan
Assurant PPO
Beechstreet/ Capp Care
Blue Cross PPO
All PPO products including Blue Cross Select PPO)
Iron Workers CA
United Food & Comm. Worker
Bx/Blue Shield Blue Card
Blue Shield Federal
Blue Shield
BRMS
Champva
Cigna (Not Local Plus)
GreatWest Health-Cigna
Community Care Network
Coresource
First Health
Harvard Pilgrim
Humana
Interplan
InterValley Health Plan
Meritan Health
Monarch
Multiplan
National Provider Network
Nippon Life Ins
One Health Plan
Orange County Foundation
Oxford Health
Pacific Care
PAI
Physicians Care of California (PCOC)
Pinnacle
Preferred Health Network
Prime Care Health Network
Private Healthcare Systems (PHCS)
Prospect
Regal Medical Group
Tricare
UMR
United Healthcare PPO

Health Net PPO
Platinum
Gold

HMO

The following HMO plans are contracted through Monarch IPA

Aetna
Aetna/Prudential
Aetna Select Choice
Blue Cross California Care
Blue Shield
Cigna
Cigna Select
Health Net (including former Foundation)
Healthcare
InterValley Health Plan
One Health Plan
Pacificare
United Health Healthcare (including former Blue Shield HMO)
Universal Care

HOAG IPA/St. Joseph Healthcare
Aetna
Blue Cross
Blue Shield
Cigna
Cigna Select
Health Net
United Healthcare

Monarch Healthcare IPA
Aetna
AHMC Healthcare
Blue Cross
Cal-Optima
Cigna
Health Net
OnceCare
United Health- Orange Coast
United Health- Orange County
United Health- Anaheim
United Health – Healthcare

Covered California
Aetna
AHMC Healthcare
Blue Cross
Cal-Optima
Cigna
Health Net
OnceCare
United Health- Orange Coast
United Health- Orange County
United Health- Anaheim
United Health – Healthcare

Covered California
Blue Cross- Advantage PPO
Blue Cross- Pathway PPO
Blue Cross- Pathway Tiered

Blue Shield- PPO & EPO
Platinum
Gold