Insurance Information

We contract with various Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO). We also participate in government programs such as Medicare, Medi-Cal, and TriCare

2015 Covered California FAQs (PDF)

2016 Covered California FAQs - Coming Soon

For enrollment questions about Covered California, please visit their website or call 1-800-300-1506.

Always check with your health plan to confirm participation. For assistance choosing a physician, please call the Physician Referral Line at (888) 275-5724. Click the health plan name below to visit their website.

Active for Calendar Year 2016 (Group Plans)

Aetna
HMO (by referral only), PPO, POS & EPO		 HealthNet
HMO (referral only), PPO, POS & EPO
Anthem Blue Cross
HMO (referral only), PPO & EPO		 HealthSmart (formerly Interplan)
PPO, EPO & POS
Blue Shield of California
HMO (referral only), PPO & POS		 Multiplan/PHCS/Beech Street
PPO
CIGNA
*HMO, PPO, POS & OAP		 United Health Care
HMO (referral only), POS, PPO & EPO

Cigna HMO members may choose select Stanford Children's Health physicians as their primary care physician (PCP).

*Health Plan of San Mateo and Valley Health Plan members may choose select Stanford Children's Health physicians as their primary care physician (PCP) upon approval from the health plan.

Individual and Covered California Plans Active for Calendar Year 2016

We are contracted and in-network with the following individual  plans available for purchase directly from health plans or through the Covered California Exchange

Anthem Blue Cross
PPO, HMO, and EPO: Hospital services only, all physician services are out of network.

Cigna (Not available for purchase through Covered California)
PPO: Physician and hospital services are in-network

Health Net
PPO and EPO: Physician and hospital services are in-network.

United Health Care
PPO and EPO: Hospital services only, all physician services are out of network

Valley Health
HMO: Physician and hospital services are in-network for specialty services only

Please contact your health plan directly to confirm your eligibility

If you have any questions please contact the Managed Care Department at (650) 724-1460 or at managedcare@stanfordhealthcare.org

During high volume call times during the year, such as the Open Enrollment period, it is advised to email your question, as it will be answered more quickly

Other helpful Web sites for information on health insurance and  managed care are: