It is in your best interest to know and understand your plan benefits, as well as any deductible and co-payment amounts that you are responsible for paying. If you do not understand your coverage, we recommend you contact your insurance carrier. They should be able to explain if the service is covered or not. You can also contact a UC San Diego Health System financial counselor to review your benefits with you.
UC San Diego will make every attempt to ensure that the service(s) we provide has been authorized by your insurance prior to the service(s) being rendered. Not all insurance companies will provide a pre-authorization; therefore, it is UC San Diego Health System's expectation that you are familiar with your insurance benefits. If you are unsure of your medical benefits, call your insurance company to find out if the service(s) you need are a covered benefit. If authorization for service(s) is/are denied by your insurance carrier, we will inform you that authorization for medical service(s) were denied. You are financially responsible and will be billed for services not covered by your insurance.
For patient referrals, insurance information and approval authorization, please fax to 858-822-2511.
All charges for doctor visits and any other services you receive are sent to your insurance carrier as a claim. Unfortunately, we do not know in advance whether those services will be covered by your insurance. Claims that we submit to your insurance carrier are paid based upon your individual benefits. Your insurance carrier will not determine if a service is covered until they receive and process the claim.
Most health insurance claims are processed without problems. However, insurance carriers are becoming more watchful of costs. This sometimes results in services that were previously covered no longer being covered. Any non-covered services must be paid for by you. We recommend you call your insurance company, read your health care benefits coverage information carefully, and do your research so you understand what is covered under your plan.
If you have questions regarding your billing statements, please call Customer Service at 855-827-3633, Monday through Friday between the hours of 9:00 am to 6:00 pm. Patient Billing Number 619-543-3000. You can also email: askus@ucsd.edu. If you have a MyChart account, you can send Customer Service a MyChart message as well.
UC San Diego Health has a financial assistance program for eligible patients to receive medically necessary care. For more information on how to qualify, please go to: https://health.ucsd.edu/insurance-billing/financial-assistance