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Health Insurance Plans: Covered California and Individual-Family Plans

Covered California is the state’s health insurance marketplace where Californians can shop for health plans and access financial assistance if they qualify for it. Find out if you qualify for Covered California.

Please note that not all the health plans listed may be available in your specific area.

Learn more about the Covered California and Individual-Family Plans currently being offered.

2017 Plans

Cigna

Stanford Health Care is 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 this plan with the assistance of a licensed insurance broker, or through Cigna directly.

Have further questions? Email the Managed Care Department at managedcare@stanfordhealthcare.org

Health Net

If you have a HMO/HSP plan: Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care 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 Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.

*This plan is not available on the Covered California exchange. You would need to purchase this plan with the assistance of a licensed insurance broker, or through Health Net directly.

If you have an EPO plan: Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.

Have further questions? Email the Managed Care Department at managedcare@stanfordhealthcare.org

Kaiser

Kaiser HMO members must obtain 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 here at Stanford Health Care. You would not be able to select a Stanford Health Care physician as your primary care physician.

Have further questions? Email the Managed Care Department at managedcare@stanfordhealthcare.org

Valley Health Plan

Stanford Health Care is in-network for hospital and specialist physician services only. You would not be able to select a Stanford Health Care physician as your primary care physician.

In order to be seen at Stanford Health Care, your primary care physician would need to refer you and your medical group or health plan would need to authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.

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 this list of in-network plans, that means that Stanford Health Care 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

Learn More

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. Read the Covered California FAQs.