Stanford Health Care accepts most major commercial health plans that employers offer their employees.
Some employers choose to offer “narrow” networks that have limited options in their network. You should always check with your employer’s benefit department or your health plan to determine if there are any unique or narrow networks within your coverage.
Stanford Health Care accepts the following employer-sponsored group plans.
If you have an HMO 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 or specialist must refer you and your medical group or health plan must authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
If you have an HMO plan: Stanford Health Care accepts Anthem members for hospital and specialist physician services. Stanford Primary Care Physicians may not be selected as a PCP for Anthem HMO plans.
In order to be seen at Stanford Health Care, your primary care physician or specialist must refer you and your medical group or health plan must authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.
If you have an HMO 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 or specialist must refer you and your medical group or health plan must authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.
Stanford Health Care and its physicians are in-network with out of state Blue Cross/Blue Shield plans, as long as the plan uses the nationwide network of providers. This is known as the Blue Card network. Most employer sponsored group plans will include this network, especially if they have employees located in multiple states. Please contact your health plan or your employer to inquire about access to this network.
If you have an HMO 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 must refer you and your medical group or health plan must authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.
If you have an HMO 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 or your specialist physician must refer you and your medical group or health plan must authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
This is a health plan offered by Stanford University to Stanford University students. It is an EPO plan, and Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.
If you have an HMO plan: Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.
In order to be seen at Stanford Health Care, your primary care physician or your specialist physician must refer you and your medical group or health plan must authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS/OAP plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
If you have an HMO 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 or your specialist physician must refer you and your medical group or health plan must authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
Kaiser 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 at Stanford Health Care. You would not be able to select a Stanford Health Care physician as your primary care physician.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.
Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.
Stanford Health Care is in-network for all hospital and physician services for EPO Plus and PPO plans. This includes specialist and Primary Care Physician services. Standard prior authorizations apply as required by Sutter Select.
If you have an HMO 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.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for most hospital and physician services, including specialty and primary care physician services. United Health Care offers plans with a narrow network and UHC limits the providers that may participate in the product. The CORE product is an example of a PPO plan that has a narrow network - Stanford hospital is considered in-network and Stanford physician services are considered out-of-network. Refer to your employer or United Health Care to determine if your plan has a narrow network of providers.
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 must refer you and your medical group or health plan must authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If your health plan is not included on the list of in-network plans, that means that Stanford Health Care most likely does not have a contract with your plan. You can email the Managed Care Department for confirmation:
managedcare@stanfordhealthcare.org
Patient Rights and Protections
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.
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