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)
*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.
Please contact your health plan directly to confirm your eligibility.
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
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.