Individual and Covered California Plans
Not all of these health plans may not be available in your specific county. For further information, please contact Covered California or a licensed insurance broker to determine if any of these plans are available for purchase in your region.
Please view your plan for more information.
2017 Plans
| Cigna | Kaiser HMO |
| Health Net | Valley Health Plan |
| All Other Individual/Covered California Employer Plans | |
Cigna
Stanford Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services with their PPO and EPO plans. This includes specialist and primary care/general pediatrician physician services.*
*These plans are not available on the Covered California exchange. You would need to purchase one of these plans with the assistance of a licensed insurance broker, or through Cigna directly.
What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.
Have further questions? Email the Managed Care Department at managedcare@stanfordhealthcare.org
Health Net
If you have a HMO/HSP plan: Stanford Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services. However, you can only select a primary care physician that is located in Santa Clara County.
If you have a PPO plan: Stanford Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.*
*This plan is not available on the Covered California exchange. You must purchase this plan with the assistance of a licensed insurance broker, or through HealthNet directly.
If you have an EPO plan: Stanford Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.
What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.
Have further questions? Email the Managed Care Department at managedcare@stanfordhealthcare.org
Kaiser
Kaiser HMO members must get a referral from their Kaiser primary care or specialist physician and an authorization from their health plan for any services to be covered and considered in-network at Stanford Children’s Health. You would not be able to select a Stanford Children’s Health physician as your primary care physician/general pediatrician.
What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.
Have further questions? Email the Managed Care Department at managedcare@stanfordhealthcare.org
Valley Health Plan
Stanford Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital and specialist physician services only. You would not be able to select a Stanford Children’s Health physician as your primary care physician/general pediatrician. In order to be seen at Stanford Children’s Health, your primary care physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Children’s Health physicians.
What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.
Have further questions? Email the Managed Care Department at managedcare@stanfordhealthcare.org
All Other Individual/Covered California Plans
If your health plan is not included on the list of in-network plans, that means that Stanford Children’s Health does not have a contract with your plan. You can email the Managed Care Department for confirmation.
Have further questions? Email the Managed Care Department at managedcare@stanfordhealthcare.org
