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 (PDF)
Blue Shield FAQs (PDF)
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, EPO, and HMO/HSP: 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:
- California Patient's Guide
- California Department of Managed Health Care
- Covered California - 1-800-300-1506