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This document serves as an enrollment application for Non-Physicians to join the UCSF Medical Group and includes sections for personal information, credentialing questions, and attestation of qualifications.
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How to fill out ucsf medical group health

How to fill out UCSF Medical Group Health Plan Enrollment for Non-Physicians
01
Obtain the UCSF Medical Group Health Plan Enrollment form from the official UCSF website or HR department.
02
Read the instructions carefully before beginning to fill out the form.
03
Fill in your personal details, including your name, address, date of birth, and employee ID number.
04
Select the appropriate health plan option from the provided choices.
05
Include information about any dependents you wish to enroll, including their names, dates of birth, and relationships to you.
06
Provide any required supporting documentation, such as proof of dependents if enrolling them.
07
Sign and date the form to certify that all information is accurate.
08
Submit the completed form to the HR department or designated office as instructed.
Who needs UCSF Medical Group Health Plan Enrollment for Non-Physicians?
01
Any non-physician employee of UCSF Medical Group who wishes to enroll in a health plan for themselves and/or their dependents needs to complete the UCSF Medical Group Health Plan Enrollment form.
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People Also Ask about
What type of organization is UCSF?
The University of California, San Francisco (UCSF) is a public land-grant research university in San Francisco, California, United States. It is part of the University of California system and is dedicated entirely to health science and life science. It conducts research and teaching in medical and biological sciences.
Is UCSF HMO or PPO?
Health Insurance HEALTH PLANTYPE UC Residents & Fellows HMO plan (administered by Anthem Blue Cross) HMO UCSF Residents & Fellows (administered by Anthem Blue Cross) PPO UCSF Student Health Insurance Plan (administered by Anthem Blue Cross) PPO United Healthcare EPO130 more rows
How can you tell the difference between an HMO and a PPO?
Choosing between an HMO or a PPO health plan doesn't have to be complicated. The main differences between the two are the size of the healthcare provider network, the flexibility of coverage or payment assistance for doctors in network vs out of network, and the monthly payment.
How to become a new patient at UCSF?
We welcome patients from all walks of life and backgrounds, and we ensure that every patient receives innovative, conscientious and high-quality care. If you're a new patient and you'd like to make an appointment with a UCSF primary care provider, call us at (844) 727-8273, Monday - Friday, 8:30 a.m. - 3:30 p.m.
What kind of hospital is UCSF?
UCSF Medical Center at the University of California, San Francisco (UCSF), is a 600-bed academic medical center that serves as both a tertiary and quaternary referral center and a community hospital.
How much is UCSF student health insurance?
The annual premium for the 2025-26 academic year is $10,860 however some programs premium will vary based on the period of coverage. See the 2025-26 Coverage Period and Premium table. For a complete list of fees assigned to your program go the UCSF Registrar Fees' page.
Does UCSF accept San Francisco health Plan?
We accept most insurance plans: Medi-Care. Medi-Cal, SF Health Plan, and Anthem Blue Cross Medi-Cal plans.
Does UCSF accept HMO?
We are also in-network for many commercial PPO, HMO, and EPO plans.
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What is UCSF Medical Group Health Plan Enrollment for Non-Physicians?
UCSF Medical Group Health Plan Enrollment for Non-Physicians is a program designed to provide health insurance coverage options for non-physician staff members of the UCSF Medical Group.
Who is required to file UCSF Medical Group Health Plan Enrollment for Non-Physicians?
All non-physician employees of the UCSF Medical Group who wish to enroll in the health plan are required to fill out the enrollment form.
How to fill out UCSF Medical Group Health Plan Enrollment for Non-Physicians?
To fill out the UCSF Medical Group Health Plan Enrollment form, follow the instructions provided on the form, ensuring that you provide all necessary personal information and select your preferred health plan options.
What is the purpose of UCSF Medical Group Health Plan Enrollment for Non-Physicians?
The purpose is to facilitate access to health insurance for non-physician staff, ensuring they receive necessary medical benefits and protection.
What information must be reported on UCSF Medical Group Health Plan Enrollment for Non-Physicians?
The enrollment form requires reporting personal identification details, health plan choices, dependent information, and any previous coverage details.
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