Phone: (310) 665-7200

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Insurance Information

It is very important to bring your current insurance card with you on each visit and to inform us if there has been any change in your coverage or in your address. As changes may occur in the plans that we accept, please verify our acceptance of your insurance at the time you make an appointment. Even though your insurance may not be shown on our list, you may call at (310) 665-7200 to see if it is currently accepted.

The Kerlan-Jobe Orthopaedic Clinic will make every effort to verify your coverage prior to your appointment however, we cannot guarantee coverage of services by your insurance company.

Benefits and eligibility

To determine your insurance benefits and eligibility please contact your insurance carrier directly by calling the customer service telephone number located on your insurance card. Note that you are ultimately responsible for payment for all services that are not covered by your insurance plan.

Insurance we accept

Prudent Provider Organization (PPO)
  • Aetna Health of California Inc.
  • Anthem Blue Cross of California
  • Blue Shield of California
  • Cigna Healthcare of California Inc.
  • Cigna LifeSOURCE (Transplant Network)
  • Corvel/CorCare Corporation
  • Coventry Health Care Inc.
    • Focus (This plan maybe accessed through the Coventry Network)
    • GEHA (This plan maybe accessed through the Coventry Network)
  • Family CareNet
  • Galaxy Health Network
  • Health Management Network
  • Health Net of California Inc.
  • HealthSmart Preferred
  • Humana ChoiceCare Network (This plan may be accessed through PHCS)
  • Multiplan/Private Healthcare Systems
    • Beech Street
    • BCE Emergis
    • PPO Next
  • OptumHealth Care Solutions
    • United Resource Network (Transplant network)
  • Orange County Foundation for Medical Care
  • United HealthCare of California

Health Maintenance Organization (HMO)
  • Aetna Health of California Inc.
  • Anthem Blue Cross of California
  • Blue Shield of California
  • Cigna Healthcare of California Inc.
  • Health Net of California Inc.
  • Kaiser Foundation (By referral only)
  • Positive Healthcare Partners/AIDS Healthcare Foundation
  • United HealthCare of California

Senior HMO
  • Anthem Blue Cross Medicare Advantage
  • Blue Shield Medicare Advantage
  • United Healthcare Services Inc. (PacifiCare)

International Health
  • Best Doctors
  • Calvo's SelectCare Health Plans
  • Grupo Nacional Provincial S.A
  • ING Comercial America
  • National Healthcare Solutions Inc.
  • Seguros Atlas S.A.

COVERAGE THROUGH COVERED CALIFORNIA INSURANCE EXCHANGE:

The following Covered California plans provide in-network coverage for care provided by Kerlan-Jobe physicians:

  • Blue Cross
    • EPO X Pathway (On Exchange)
      • Bronze Catastrophic
      • Silver Essential
      • Gold Preferred
      • Platinum Premium
    • EPO Pathway (Off Exchange)
      • Bronze Catastrophic
      • Silver Essential
      • Gold Preferred
      • Platinum Premium
  • HealthNet
    • Bronze PPO Plan
    • Catastrophic PPO Plan (available only to people under age 30)
    • Tribal PPO Plan (Tribal members, limited to only Native Americans and Alaska Natives)

PLEASE NOTE – Some health insurance companies offer plans both within and outside of the exchange, so compare carefully. Individual plans purchased through an insurance broker or insurance company directly – that is, outside the Covered California exchange – may or may not include in-network coverage for care from Kerlan-Jobe physicians. Please consult your member handbook for your plan’s terms and conditions relating to in-network and/or out-of-network benefits.


If your insurance carrier is not listed above, we suggest you call your insurance company and verify your benefits. While we are happy to see you and participate in your orthopaedic care, we also want to also make sure that you understand the benefits available to you under your insurance before entering treatment.

* NOTE: Please be reminded that participation does not necessarily guarantee payment. Benefits are subject to plan limitations and exclusions, as well as member eligibility at the time of service. Referrals from Primary Care Physicians must be presented at the time of service.