Providence Little Company of Mary Insurance Plans accepted

What Health Insurance Is Accepted by Providence Little Company of Mary?

If Providence Little Company of Mary is important to you, don’t choose a health plan based only on the insurance company’s name. The exact plan, network, medical group, doctor and hospital can matter.

Providence Little Company of Mary has medical centers in
- Torrance and
- San Pedro.
Providence — Current Insurance Accepted lists commercial, Medicare and Covered California plans for its Los Angeles County facilities, including Little Company of Mary.
Important: Providence warns that not every health plan or medical group contracts with every Providence hospital.
- My web page — Find Your Doctor Before You Enroll

Covered California & Individual Health Plans

Providence’s current Los Angeles County insurance page lists the following Covered California plans:

Anthem Blue Cross — Pathway HMO
Blue Shield of California — Trio HMO
Blue Shield of California — PPO
Health Net — Ambetter PPO

Don’t stop at the company name. Before enrolling, verify that your exact Little Company of Mary hospital, doctor and medical group participate in the particular plan and network you are considering.

Employer & Group Health Plans

Providence’s current Los Angeles County commercial insurance list includes:

Aetna
Anthem
Blue Shield of California
Cigna
Community Care Network / First Health
First Health / Coventry
Health Net
MultiPlan — including Admar, Beech Street and PHCS
TRICARE
UnitedHealthcare
US Family Health Plan — a TRICARE Prime option

An employer plan can still have different HMO, PPO, EPO, POS, medical group and network arrangements. Seeing the insurance company on Providence’s list is a good starting point, but it is not a substitute for checking the exact employer plan.

Original Medicare (Part A & Part B) + Medigap

My web page — What Medicare Part A & Part B Cover
With Original Medicare, Medicare says you can generally use any doctor or hospital that takes Medicare anywhere in the United States.
- Medicare.gov — Compare Original Medicare & Medicare Advantage
  - Our Webpage to compare Medi Gap and Medicare Advantage MAPD
- Verify if your doctor and hospital accept Medicare
My web page — California Medicare Supplement / Medigap Plans
- A Medicare Supplement does not create an HMO-style provider network. It’s more of a PPO! It helps pay certain costs left by Original Medicare for Medicare-covered services.

Before scheduled care, verify that the hospital and the individual physicians involved accept Medicare. Hospital participation does not necessarily tell you how every physician involved in your care bills Medicare.

Medicare Advantage — Check the Exact Plan & Medical Group

Providence’s current Los Angeles County Medicare list includes, these plans that we represent:

Anthem Medicare Advantage — Providence specifies Facey and Axminster only.
Blue Shield Medicare Advantage
SCAN Medicare Advantage

This is a good example of why the medical group can be just as important as the insurance company. A Medicare Advantage card with the correct company name does not automatically mean that every Providence doctor, medical group or Little Company of Mary facility is in-network.

Mandatory Federal Disclaimer

“We do not offer every plan available in your area. Currently we represent four organizations which offer [insert number of plans] products in your area.
Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.” 42 CFR §422.2267

What does this required CMS disclaimer mean?
- The statement above refers to the Medicare Advantage plans I am contracted and authorized to sell.
- I can also use Medicare.gov's Plan Compare tools, Integrity Broker only resource and the plans public website to research other Medicare plans available in your area.
- I can provide information about those options, although I can only enroll you in plans I am authorized to represent.

Medi-Cal

Providence states that it participates in California’s Medi-Cal program. However, Medi-Cal access can depend on Medi Cal managed care plan, medical group, doctor and facility.

Providence — Insurance Accepted & Medi-Cal Information
California DHCS — Medi-Cal
Before making an appointment, verify your exact Medi-Cal managed care plan and assigned medical group.

Before You Enroll — Verify the Whole Chain

If Providence Little Company of Mary is important to you, I recommend checking more than whether someone says, “We take Blue Shield,” “We take Anthem,” or “We take Medicare.”

1. Insurance company — Is the carrier accepted?
2. Exact plan name — HMO, PPO, EPO, Medicare Advantage, Covered California or employer plan?
3. Provider network — Which network does that exact plan use?
4. Medical group or IPA — Especially important with HMO and Medicare Advantage coverage.
5. Primary care doctor — Is the doctor in the exact network and accepting new patients?
6. Specialists — Are the specialists you need included?
7. Hospital — Verify the specific Providence Little Company of Mary campus you want to use.

I also recommend saving or printing your provider-directory results before enrolling. Provider networks can change, and the exact doctor, location and medical group matter.

Providence