Health Insurance Plans

Stanford Health Care (SHC) contracts with various Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO).

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

Anthem Blue Cross Members: Please view www.StanfordAnthemFacts.com for the latest update regarding SHC's on-going contract renegotiation with Anthem Blue Cross.

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

Active for Calendar Year 2015 (Group Plans) 

Aetna
HMO (referral only), PPO, POS & EPO

Anthem Blue Cross 
HMO (referral only), PPO & EPO
(Please visit StanfordAnthemFacts.com)

Blue Shield of California
HMO (referral only), PPO, & POS

CIGNA 
*HMO, PPO, POS & OAP

Health Net
HMO (referral only), PPO, POS & EPO

HealthSmart (formerly Interplan) 
PPO, EPO & POS

Multiplan/PHCS/Beech Street 
PPO

United Health Care
HMO (referral only), POS, PPO & EPO

*Cigna HMO members may choose to select Stanford Health Care physicians as their primary care physician (PCP).

Individual and Covered California Plans Active for Calendar Year 2015

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, EPO, and HMO: Hospital services only, all physician services are out of network. 

Blue Shield of California
PPO and EPO: Hospital and physician services are in-network.

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

Health Net
EPO: Includes hospital and physician services in-network.

Valley Health 
HMO: Includes hospital and physician services 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:

Health insurance counseling

Health Insurance Counseling and Advocacy Program (HICAP) assists Santa Clara seniors with Medicare and other health insurance issues at The Health Library, Stanford Shopping Center. To arrange an appointment, please call the Council on Aging at 408-296-8290 or 1-800-200-0268.