Whether you’re considering insurance through your employer or purchasing coverage on your own, we can help guide you through your different options so you can get the coverage you need.
Stanford Health Care is contracted with most major health insurance carriers. Coverage for your care at Stanford Health Care is determined by your insurance company and is based on the provisions of your specific plan.
To verify Stanford Health Care has in-network status for your plan, please look for your plan in the appropriate insurance category below. You may also want to contact your insurance provider directly to confirm Stanford Health Care's status. You may be asked for our group NPI or Tax ID.
Please click on any of the insurance types listed below to find out our status with each of these plans.
- Coverage Through Your Job
- Covered California and Individual-Family Plans
- TRICARE and TriWest
If you are a UHA patient, visit University HealthCare Alliance, dba Stanford Medicine Partners for insurance coverage.
If you or your child is a patient at Stanford Children's Health, visit Stanford Medicine Children's Health for insurance coverage.
If you are a Stanford Health Care Tri-Valley patient, visit Stanford Health Care Tri-Valley.
- Please be aware that visits with behavioral health professionals will be billed to your behavioral health/mental health insurance carrier.
- Your behavioral health insurance (also called mental health insurance) may be different than your medical insurance which covers your medical treatment.
Understanding behavioral health/mental health insurance benefits:
- Most insurance plans offer medical coverage and behavioral health/mental health coverage, however, they may not always access the same network of providers. Your behavioral health insurance may access a “carve out” network or third-party insurer.
- Your insurance plan network might have different provider or medical facility restrictions for behavioral health versus your medical care.
- As a result of the potential different network restrictions covered by your behavioral health/mental health plan, your insurance plan might cover your medical treatment at Stanford Health Care, but not cover behavioral health services at Stanford Health Care.
- This could be the case even if your behavioral health issues relate entirely to your medical treatment.
- When you are referred to Stanford Health Care behavioral health services, our benefits specialists will determine your behavioral health coverage and associated network of providers and will discuss with you any limitations prior to being scheduled for a New Patient Visit.
What if I don’t have coverage?
- If your behavioral health benefit plan will not allow you to be seen by a member of the behavioral health team, we encourage you to work with our Stanford Health Care social workers and your medical team to seek assistance in selecting a mental health provider who participates in your behavioral health network. You also have the option to seek services at Stanford Health Care outside of your behavioral health benefits as a self-payment status for which a patient financial counselor could further assist you in understanding those options.
If you do have behavioral health coverage for services at Stanford Health Care…
- Many patients may require short term behavioral health care during their active treatment period.
- Your specific care may require you to receive services more often, with additional follow up needed over time. We encourage you to take responsibility for understanding your ongoing benefit coverage; for example, the number of visits covered for counseling.
- If your insurance company, benefits, or network restriction changes and for each new benefit year, you are encouraged to continue to make sure your insurance covers services at Stanford Health Care.
- Our financial counselors and benefits specialists can help you to understand your insurance coverage as it pertains to seeking behavioral health care services at Stanford Health Care.
Financial Counseling is available to help you navigate the financial component of getting care at Stanford Health Care. As part of the Patient Access Services team, financial counselors are dedicated to serving as a resource to you and your family by:
- Explaining your insurance coverage and benefits
- Estimating your financial responsibility for services not covered by insurance
- Identifying possible ways for you to pay for your care if you do not have adequate funds or health insurance
- Helping you identify and obtain coverage for government programs, where available
- Addressing questions or concerns regarding your insurance coverage and financial assistance
Reach a financial counselor at 650-498-2900 (select option 2, then option 5) from Monday – Friday, 8:00 a.m. – 5:00 p.m. Financial counselors strive to make the financial concerns surrounding your care as stress free as possible, so you can focus on what is most important—your health.
Assess Your Coverage
Determine the extent of your coverage or any out-of-pocket costs before you receive care.
Contact: Financial Counseling
Phone: 650-498-2900 Option 2, then option 5
Mon. – Fri., 8 a.m. – 5 p.m.
Find out if your insurance carrier has pre-authorized a medical service before you receive care.
Contact: Financial Clearance
Toll Free: 1-877-291-7335