Graduate Medical Education offers Anthem Blue Cross medical, Anthem Blue
Cross dental, Vision Services Plan (VSP) vision, Standard life, and
Standard long-term disability insurance to House Officers. The House
Officer's spouse, dependent children or domestic same or opposite sex
partner are also eligible for enrollment in the medical, dental and
vision plans. There is no premium charge to the house officer for the
cost of enrollment in medical, dental and vision plans either for
him/herself, for a spouse, dependent children or domestic same or
opposite sex partner. There is no premium charge to the house officer
for enrollment in either the life or disability plans.
Please note that initial enrollment and enrollment changes to your
health benefits are not automatic. An enrollment process must be
followed within the time frames established by the carriers. Once
enrolled, your benefits will automatically continue until the
termination of your training. Please view our Benefits Brochure for more
Open Enrollment occurs every year for the entire month of June. Changes
made to plans during Open Enrollment will be effective on July 1st.
Please allow the insurance carriers some time to receive the data and
process the changes. Log on to the enrollment website at
https://benefits.plansource.com to make your elections. If you cannot
access the link or are having trouble with the site, please contact GME.
Online Insurance Enrollment
Newly employed House Officers (including returning trainees from a break
of service) will have 31 days to make elections. There are no
exceptions to this thirty-one day eligibility period, barring documented
physical or mental incapacity that would prevent you from completing
the enrollment process.
Please note that your initial enrollment will take 2-3 weeks processing
time. While your insurance coverage begins on your first day of
training, you will not be active in the system for 2-3 weeks following
online enrollment. If you need to seek medical care prior to enrollment
processing, you will need to pay out of pocket or ask to be billed. Once
you receive your insurance cards, please contact the insurance carrier
to file for a reimbursement.
Insurance enrollment is completed online by logging into PlanSource and
using these instructions. If you cannot access the link or are
having trouble with the site, please contact GME.
You may only add dependents to your insurance plans during the open
enrollment period which occurs in the month of June of every year, or,
the thirty-one day period following a qualifying event.* A qualifying
event may be the birth of a child, marriage, adoption, the six-month
anniversary of a domestic partnership, loss of insurance coverage, etc.
Please note, you may need to send in certification of the qualifying
event, such as an Affidavit of Domestic Partnership, a copy of your
marriage certificate, or an official letter from your (or your
dependent's) insurance carrier or benefits office of termination of
insurance coverage. There are no exceptions to this thirty-one day
eligibility period, barring documented physical or mental incapacity
that would prevent you from completing the enrollment change.
To add or delete a dependent, or to change your name or address, please
visit our Online Enrollment Website.
* For Anthem Blue Cross Dental and Vision Services Plan (VSP) Insurance,
you may enroll your child at any point during the year up to their
If you have not received your insurance card, please contact the
Insurance Carrier directly to verify enrollment and order a replacement
card. You will only receive insurance cards from Anthem Blue Cross for
medical and dental. To print out an Anthem Blue Cross temporary ID card
for immediate use, go to http://www.anthem.com/ca.
If you wish to see a doctor but do not have an insurance card, you will
need your social security number and the following Group Numbers:
- Anthem Blue Cross PPO - #1230CA
- Anthem Blue Cross HMO - #57J13A
- Anthem Dental Complete - # 182415
- Vision Services Plan - #12170630-0003-0003
Detailed Plan Description
For a summary of benefits, including a breakdown of covered services and
co-payment amounts, please refer to the Benefits Brochure. Please print
or save the following Certificates of Coverage for your records:
Locating a Provider
The following faculty physicians have volunteered to be listed as eager
to provide primary care to UCSD House Officers: UCSD Primary Care
Physicians for House Officers
If you have incurred charges for covered services before your insurance
was processed, but after the effective start date of your coverage, you
may receive a reimbursement for those charges. Please be sure to save
all receipts of payments and/or any billing statements. Please contact
the insurance carrier directly for Reimbursement Claim Forms.
The GME office can only provide information on the payment status of
your insurance premiums. For all billing disputes, please contact the
insurance carrier directly. Please always make sure to verify the
coverage of any medical services before seeking medical care.
If you have questions about medical charges, please:
- Review the Certificates of Coverage (see above under heading
"Detailed Plan Description").
- Call the Financial or Billing department. The contact information
should be located on your bill. Clarify any charges incurred.
- Many problems are caused by the billing office incorrectly
coding your medical services. Any errors can be corrected by your
doctor's financial or billing department.
- If the charges were incurred in error, please contact the Insurance
Carrier directly to resolve your dispute.
- You may need to fill out a reimbursement claim form or your
doctor's office may need to resubmit the bill.
- If you were charged correctly, please pay the bill promptly. You
may also contact the Insurance Carrier for an explanation of why the
services were not covered.