Stanford Hospital and Clinics - Managed Care Contracts

Stanford Hospital and Clinics (SHC) contracts with various Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO)

SHC participates in government programs such as Medicare and Medi-Cal.

For 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 Stanford Consumer Referral line at (800) 756-9000. Click the health plan name below to visit their website.

Active for Calendar Year 2014 (Non-Individual Plans)

Aetna
HMO (referral only), PPO, POS & EPO
  Health Net
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 Hospital and Clinics physicians as their primary care physician (PCP).

Individual and Covered California Plans Active for Calendar Year 2014

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 and HMO: Hospital services only, all physician services are out of network. SHC is not in-network with the EPO plan

Blue Shield of California
PPO only. SHC is not in-network with the EPO plan

Cigna (Not available for purchase through Covered California)
PPO plan includes hospital and physician services in-network.

Health Net
PPO only. SHC is not in-network with the HMO plan

Valley Health
HMO- 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@stanfordmed.org

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

Stanford Medicine Resources:

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