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. 

2018 Plans

2018 Covered California FAQs

Blue Shield Trio HMO

Stanford Health Care is in-network for hospital services. Your assigned medical group (John Muir, Hill Physicians, Sequoia Physicians, SCCIPA, or PMG- Santa Cruz) must refer and authorize all services provided by Stanford Health Care specialists. 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

Health Net PPO

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.

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

Kaiser HMO

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 HMO

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.

The Managed Care Department can be reached by emailing managedcare@stanfordhealthcare.org or by calling 650-724-1460.

QUICKLINKS

Billing

Financial Assistance

Financial Counseling

Insurance Resources

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
Mon. – Fri., 7 a.m. – 7 p.m.


Insurance Pre-Authorization

Find out if your insurance carrier has pre-authorized a medical service before you receive care. 

Contact: Financial Clearance
Phone: 650-724-4445

Toll Free: 1-877-291-7335