Insurance & Payers Accepted

Your coverage is probably already accepted

Benchmark Health Group holds direct contracts with major Southern California hospital systems, IPA networks, and health plans across all four of our care companies. One call confirms your benefits — no paperwork on your end.

Medicare  ·  Medicare Advantage  ·  Medi-Cal  ·  HMO & commercial plans

Plan types we accept

Coverage varies by company and by county. If your plan is not listed, call us — we verify benefits directly with the payer and tell you plainly whether we can serve you.

Medicare
Part A & B

Traditional Medicare covers home health, hospice, and skilled nursing benefits across our companies.

Medicare
Advantage

Contracted with major MA plans through our IPA and MSO network in all five counties.

Medi-Cal

Including managed Medi-Cal plans, with support for dual-eligible beneficiaries.

HMO &
commercial

Capitated and fee-for-service arrangements with regional health plans and clinics.

Not sure what your plan covers?

Most families do not know which benefit applies — and they should not have to. Give us the patient name and the plan, and a care coordinator verifies eligibility directly with the payer.

  • We contact the payer — you do not chase authorizations
  • Same business day response in most cases
  • If we are out of network, we say so and refer you elsewhere
  • No cost and no obligation to verify

Check your coverage

(818) 818-6293

Speak with a care coordinator

Send a referral instead

Please do not send member ID numbers, dates of birth, or medical details by email or web form. A coordinator collects those securely by phone.

Contracted hospital systems

Direct contracts mean faster authorizations and a smoother discharge from hospital to home or facility care.

Dignity Health

  • California Hospital Medical Center
  • Glendale Memorial Hospital
  • Northridge Hospital Medical Center
  • St. Mary Medical Center
  • St. Bernardine Medical Center

AHMC Healthcare

  • Garfield Medical Center
  • Monterey Park Hospital
  • San Gabriel Valley Medical Center
  • Greater El Monte Community Hospital

Valley Presbyterian

  • Capitated plan arrangements
  • Direct discharge referrals

Hollywood Presbyterian

  • Direct discharge referrals
  • Post-acute continuity of care

Physician networks & clinic partners

We accept referrals through IPA and MSO networks across Los Angeles, Ventura, San Bernardino, Riverside, and Orange counties.

IPA & MSO networks
Preferred IPA Global Care Medical Group Health Care LA IPA Angeles IPA Noble IPA Regent Medical Group
Community clinic partners
Venice Family Clinic St. John’s Community Health

Network participation differs by company and by county. Call (818) 818-6293 and we will confirm which of our four providers is contracted with your specific plan.

Coverage by company

Each of our four providers bills a different benefit. You do not need to know which one — that is what a care coordinator is for.

Encino

Bright Horizon
Home Health

Skilled nursing and physical, occupational, and speech therapy delivered in the home. Medicare-certified agency.

Accepted
  • Medicare Part A & B
  • Medicare Advantage
  • Medi-Cal
  • HMO & commercial
Winnetka

Saint Mariam
Hospice

End-of-life care with comfort and dignity. Joint Commission accredited.

Accepted
  • Medicare hospice benefit
  • Medicare Advantage
  • Medi-Cal
Sylmar

Saint Mariam
Congregate

Round-the-clock skilled nursing for adults with catastrophic injuries.

Accepted
  • Medi-Cal HCBA waiver
  • Medi-Cal
  • HMO & commercial
  • Capitated plans
  • Private pay
Northridge

Best Quality
Living

Round-the-clock skilled nursing and residential care for complex needs.

Accepted
  • Medi-Cal HCBA waiver
  • Medi-Cal
  • HMO & commercial
  • Capitated plans
  • Private pay

Insurance questions, answered

Will Medicare cover home health at no cost to me?

For patients who meet Medicare criteria — a physician order, a skilled need, and homebound status — covered home health visits are generally paid in full by Medicare, with no coinsurance for the visits themselves. Durable medical equipment is billed separately. We confirm your eligibility before care begins.

What does the Medicare hospice benefit include?

It covers the hospice care team, medications and supplies related to the terminal diagnosis, medical equipment, and bereavement support. Room and board at a residence or facility is generally not included, except for short-term respite or inpatient care.

My plan is not on your list. Can you still help?

Very often, yes. Many health plans reach us indirectly through an IPA or MSO we already contract with, so your plan name may not appear here even though we can serve you. One call settles it.

Do you accept Medi-Cal only patients?

Yes. Several of our companies accept Medi-Cal, including managed Medi-Cal plans, and we serve dual-eligible patients who carry both Medicare and Medi-Cal.

How long does verification take?

Usually the same business day. If the payer is slow to respond, we tell you where things stand rather than leaving you waiting.

Does Medicare pay for room and board in a care facility?

No. Medicare does not cover room and board at Saint Mariam Congregate or Best Quality Living. Those costs are covered by the Medi-Cal HCBA waiver or by private pay. Tell us your situation and we will explain which applies.

Do I need a doctor’s order before you can start?

Home health and hospice both require physician certification. If you do not have an order yet, we coordinate directly with the physician or the discharging hospital to obtain one.

Let us check your benefits

One phone call tells you what is covered, which of our companies can serve you, and when care can start. No cost, no obligation.

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