Insurance and networks
The plans, hospitals and physician networks we work with
Benchmark Health Group holds direct contracts with Southern California hospital systems, physician networks and health plans. If you tell us the plan name, we will tell you plainly whether we can serve you and which of our providers fits.
- Medicare Part A and B, and Medicare Advantage plans.
- Medi-Cal, including managed Medi-Cal and dual-eligible beneficiaries.
- HMO and commercial plans, capitated and fee-for-service, including WellCare and Aetna.
- Kaiser Permanente members cannot be accepted for any of our service lines.
Helpful to have when you call
The plan name on the card
The insurer and the plan name, for example a Medicare Advantage plan rather than just Medicare.
Which kind of care is needed
Nursing or therapy at home, hospice, or a residential facility. Different providers, different rules.
The city or county
We serve Los Angeles, Orange, Riverside, San Bernardino and Ventura counties.
The hospital, if there was a stay
If it is one of the systems below, authorisation is usually quicker.
Plan types
What we accept, by plan type
Medicare Part A and B
Traditional Medicare. Home health under Medicare is physician-ordered intermittent skilled care for patients who meet the eligibility criteria.
Medicare Advantage
Accepted, including plans that require prior authorisation. Tell us the plan name and we will confirm it before anything begins.
Medi-Cal
Accepted, including managed Medi-Cal plans and dual-eligible beneficiaries who have both Medicare and Medi-Cal.
HMO and commercial
Accepted through our IPA and MSO contracts, on both capitated and fee-for-service arrangements.
Named plans
WellCare and Aetna among others. The list changes, so it is always worth asking rather than assuming.
Private pay
Available at our congregate living facilities, Saint Mariam Congregate and Best Quality Living. Our home health line is billed to insurance, not private pay.
One exclusion, stated up front. We are not able to accept Kaiser Permanente members. If you are a Kaiser member, calling us will not help, and we would rather tell you that now than after a referral.
Hospital systems
Where we hold direct contracts
A direct contract usually means authorisation moves faster after a discharge, because the relationship and the paperwork already exist.
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
Independent hospitals
- Valley Presbyterian Hospital
- Hollywood Presbyterian Medical Center
You are also free to choose your own home health agency at discharge, whatever list you are handed.
Physician networks and clinics
IPA, MSO and clinic partners
Much of our referral volume comes through physician networks rather than hospitals. If your doctor belongs to one of these, the path to care is usually short.
IPAs and medical groups
- Preferred IPA
- Health Care LA IPA
- Angeles IPA
- Noble IPA
- Regent Medical Group
- Global Care Medical Group
Community clinic partners
- Venice Family Clinic
- St. John's Community Health
These partnerships matter most for dual-eligible and Medi-Cal patients, who are often hardest to place elsewhere.
By service line
How billing works for each of our providers
Home health
Bright Horizon Home Health. Billed to Medicare, Medicare Advantage, Medi-Cal or the commercial plan. Requires a physician order; our own physician can write it. No private pay on this line.
Hospice
Saint Mariam Hospice Services. Usually the Medicare Hospice Benefit, which typically pays in full for care, medications and equipment related to the hospice diagnosis. Medi-Cal and managed plans also accepted.
Congregate living
Saint Mariam Congregate and Best Quality Living. Billed through the health plan where applicable, the Medi-Cal HCBA waiver in some cases, or private pay.
Not sure which one you need? Most people are not, and that is fine. One call to (818) 818-6293 reaches an admissions team that covers all four providers, and we will tell you which fits, or that none of them does.
Questions we get
Insurance questions, answered plainly
My plan is not on this list
The list is not exhaustive and contracts change. Call with the plan name rather than assuming we cannot help.
Do you accept Kaiser?
No. Kaiser Permanente members cannot be accepted for home health, hospice or congregate living.
Do I need a referral from my doctor?
Not for home health. Medicare requires a physician order, and Benchmark has its own physician who can write it and complete the required face-to-face encounter.
Must I use the agency the hospital suggests?
No. Medicare patients may choose any participating provider. You can name Benchmark at discharge.
What about dual-eligible patients?
Accepted. Patients with both Medicare and Medi-Cal are a group we actively serve rather than avoid.
Will you tell me if you cannot help?
Yes. We would rather point you elsewhere on the first call than waste a week of yours.
Ask about your plan
Tell us the plan name and we will call you back
Faster by phone: (818) 818-6293. Please do not include medical details or member ID numbers in the form.
