Patient Forms and Accepted insurance
Empowering Healthcare Providers with Tailored Services and Innovative Technologies
Patient Forms
The patient forms available on the Pacific Medical website are designed to streamline the onboarding process for new and returning patients. By providing these forms online, patients can conveniently fill out necessary information at their own pace before their visit. This includes essential details such as medical history, insurance information, and consent forms, ensuring that all relevant data is collected efficiently. The user-friendly interface allows for easy navigation, making it simple for patients to access and complete the required documents. This proactive approach not only saves time during appointments but also enhances the overall patient experience by facilitating smoother interactions with the healthcare team.
Accepted Insurance Plans
Pacific Medical contracts with over 1500 unique insurance plans. Contact the local facility with any insurance questions.
A
- Access to Healthcare Newtwork
- Action Healthcare Management
- AETNA-(California/Oregon/Alaska)
- Alaska Medicaid
- Allcare (California)
- Allcare Health Plan
- Alta Bates Medical Group (ABMG)
- Amerigroup
- Ancillary Care Services
- ASI Flex PPO
- Atrio Health Plans
- Atwater Federal Prison (California)
B
- Bay Valley Medical Group (BTMG)
- Beech Street Network
- Blue Cross and Blue Shield of California
- Blue Cross and Blue Shield of Montana (BCBSMT)
- Blue Cross and Blue Shield of Nevada
- Blue Cross of Hawaii (HMSA)
- Blue Cross of Idaho
- Blue Shield of California
- BPA (Nevada)
- BPS & BPS Access
- Brown & Toland Medical Group (BTMG) California
C
- California Children Services (CCS)
- California Health and Wellness Plan
- Care Oregon
- Carecentrix
- CDCR
- Cencal
- Central Valley Medical Group (California)
- Century Pacific
- CIGNA (DME only)
- CMISP
- Coastal TPA
- COIHS (Oregon)
- Columbia United Providers (CUP)
- Community Health Network (CHN)
- Community Health Plan of Wasington (CHPW)
- COMP/MED Consulting
- Contra Costa Health Plan (California)
- Coordinated Care (Washington)
- Corvel- CorCare PPO & Work Comp
- Coventry
- Cypress Care
D
- D.M.A.P. (Oregon Medicaid) AKA Oregon Health Plan (OHP)
- Department of Veterans Affairs
- Dept. of Labor & Industry (Washington)
- Dept. of Veteran Affairs
- Direct DME
- DOCS (Doctors of the Oregon Coast South)
- Doctors Hospital of Manteca
- DSHS (Washington)
E
- East County Medical Group (ECMG)
- Easy Choice Health Plan
- EBMS Select Care (Montana & Oregon)
- EHS (Fresno)
- Emanuel Medical Center
- Essence Healthcare (O&P only no DME)
F
- Family Care (Oregon)
- First Choice Health Network (Washington)
- First Health Services (Nevada)
G
- Golden State Physicians Medical Group
- Great West Insurance
H
- Health Care Direct (Oregon & Washington)
- Health Net
- Health Plan of San Joaquin
- Health Plan of San Mateo
- Healthsmart
- Herlong Federal Prision
- Hill Physicians Medical Group
- Humana Choice Network
- Humana Veterans
I
- Idaho Medicaid
- Idaho Physician Network (IPN)
- Injury Care of Nevada (ICON)
- Integrated Health Plan, Inc
- Intercommunity Health Plan (IHN)
- Intervalley Helath Plan
- Interwest/PHCO
- Intremed Cost Containment Services
J
- John Muir Health Network
K
- Kaiser
- Kaiser Work Comp
- Kern Health Care Network
- Kern Health Systems
L
- Lane Individual Practice Association
- Legacy Provider Network
- Lifewise
M
- Majoris Health Systems
- Managed Care Systems
- MDI- Government Healthcare Services
- Medi-Cal
- Medicare
- Mercy Healthcare
- Micron Health Partners Network
- MID Rouge
- Missoula County Employee Benefit Plan (MCEBP)
- Moda Health
- Modern Medical
- Molina Healthcare
- Molina of California
- Montana Medicaid
- Montana State Fund
- MTI/Medcomp USA
- Mymatrixx
N
- Naphcare
- Networks by Design
- Nevada Preferred
- New West Health Services
- North American Medical Management (NAMM)
- Northbay Healthcare Group (NBHG)
O
- Occunet
- One Call Care Management
- Oregon Health Plan (OHP)
- Oregon’s Health CO-OP
P
- Pacific Health Alliance PPO/EPO
- Pacific Medical Centers
- Pacific Source Health Plans
- Pacificare of California
- Pacificare of Oregon HMO
- Pacificare of Oregon PPO
- Pacificare of Washington HMO
- Pacificare of Washington PPO
- Palo Alto Med Foundation
- Partnership Health Plans
- Physical Rehabilitation Management Services (PRMS)
- Physician Hospital Community Organization (PHCO/Interwest)
- Physician’s Managed Care
- Pinnacle Claims
- PMG San Jose
- PMG Santa Cruz County
- PMSI
- Preferred Medical Claim Solutions
- Premier Provider network, Inc (PPNI)
- Priority Care Solutions
- Private Health Care Systems (PHCS)
- PRMS
- Procura Healthcare
- Progressive
- Prominence Health Care
- Providence Health & Services
- Providence Home Services Provider Network
R
- Regence Blue Cross/Blue Shield of Oregon
- Regence of Idaho
- Regence of Washington
- Rocky Mountain Health Network
S
- Samaritan Choice Plans
- San Joaquin Health Administrators (SJHA)
- san Ramon Regional Medical Center
- Santa Barbara Select IPA
- Santa Clara Count
- Seaview IPA
- Select Healthcare Network
- Sequoia Physician’s Network
- Single Source
- Soundpath Health
- Southeast Medical Services
- Specialty Health MCO
- Stanford Health
- Stanislaus County Partners in Health
- Stanislaus Foundation for Medical Care
- Sutter Central Valley Hospitals
- Sutter Gould Medical Group
- Sutter Health
T
- Three Rivers Provider Network (TRPN)
- Total Managed Care
- Trillium Community Health Plan
U
- Ultimate HME
- Uniform Medical Plan
- United Healthcare
- United Medical Equipment
- Universal Health Network
- University of California, Davis
- US Dept. of Labor
- US Family Healthplan
- USA Managed Care Organization
V
- Valley Health Plan
W
- Western Growers
- Western Physicians Alliance (WPA)
- WVP Health Authority