James D. Spiegel, M.D.

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Accepted Health Plans

James D. Spiegel, M.D.

Below is a list of plans accepted by this doctor.

While we strive to keep this list up to date, it's always a good idea to check with your health plan to determine the specific details of your coverage, and to contact the doctor's office to verify acceptance of your particular plan.

Aetna

• Aetna Affordable Health Choices (Indemnity Plan)
• Aetna Choice POS
• Aetna Choice POS II
• Aetna Fixed Indemnity (Voluntary) Plan
• Aetna Fixed Indemnity (Voluntary) Plans
• Aetna Open Access Elect Choice
• Aetna Open Access Managed Choice
• Aetna Select EPO
• Aetna Signature Administrators
• Aetna Student Health Program
• Aetna Value Network (AVN) - only at San Mateo/Burlingame area locations
• Behavioral Health Network
• Choose and Save (also known as Aetna Performance Network)
• ELECT Choice EPO
• HMO
• HMO Deductible Plans
• Health Fund HMO
• Health Fund PPO
• Jackson Labs - Tier Two Provider
• Managed Choice POS
• Medicare Supplement
• Meritain Health EPO
• Meritain Health PPO
• NationCare
• National Advantage Plan (NAP)
• OA EPO
• OA EPO Network
• OA Managed POS
• OA POS II
• Open Choice PPO
• Premier Care Network Plus
• Quality Point of Service (QPOS)
• Select Open Access
• Traditional Choice
• US Access

Anthem Blue Cross of California

• Advantage HMO
• Advantage PPO (Tier 1)
• Anthem Blue Cross HMO Saver Small Group Plan - only at Mountain View/Sunnyvale, San Jose/Los Gatos area locations
• Anthem Blue Cross HMO, also sometimes known as California Care or Rural Cal Care (includes CalPERS Traditional HMO)
• Anthem Blue Cross HMO/POS (California Care Plus)
• Anthem Blue Cross Individual HMO (also sometimes known as California Care) - only at Mountain View/Sunnyvale, San Jose/Los Gatos area locations
• Anthem Blue Cross Small Group HMO (also sometimes known as California Care)
• Anthem Bronze EPO (Prudent Buyer Plan)
• Anthem Gold EPO (Prudent Buyer Plan)
• Anthem Platinum EPO (Prudent Buyer Plan)
• Anthem Silver EPO (Prudent Buyer Plan)
• Behavioral Health Program
• Blue Cross PPO (Prudent Buyer Plan, includes PERS Care and PERS Choice)
• Blue Cross Senior AdvantageCare Plan
• Blue Cross Senior Classic Plans; Classic A through L
• Blue Cross Senior Smart Choice, Preferred and Plus Plans
• BlueCard
• CalPERS EPO - Del Norte County
• CareAdvocate PPO
• Direct Access
• Enloe Medical Center
• Federal Employee Program (FEP) - PPO
• Geo Blue
• HP Enterprise Medicare Advantage Plan HMO
• Indemnity
• Managed Care Services
• My Choice PPO
• Smart Sense
• University of California Faculty Health Insurance Plan - Tier One Provider

Blue Shield of California - Currently in 2020 Contract Negotiations

• ASO Tiered Hospital Network Plan for Washington Hospital
• Administrative Services Only (ASO) - Self-Funded PPO
• Blue Shield $0 Cost Share PPO
• Blue Shield Access+ HMO Plan
• Blue Shield Access+ HMO/EPO CalPERS Limited Network
• Blue Shield Added Advantage POS (Point-Of-Service) Plan
• Blue Shield Bronze PPO
• Blue Shield Gold PPO
• Blue Shield Life and Health Insurance Company
• Blue Shield Medigap Medicare Supplement Plans
• Blue Shield Minimum Coverage PPO
• Blue Shield PPO Small Group
• Blue Shield Platinum PPO
• Blue Shield Silver PPO
• Blue Shield Spectrum PPO Plan
• Blue Shield Spectrum PPO Savings Plan
• BlueCard Plan
• Federal Employee Program - PPO
• Full Network PPO Plans
• Indemnity
• Shared Advantage - PPO/EPO and Shared Advantage Plus - PPO/EPO
• Shared Advantage PPO - Adventist Health - Tier Two Provider
• Shared Advantage PPO - Limited Tiered Network Plan for Valley Childrens Hospital
• Shared Advantage PPO - Tiered Network Plan for John Muir - Tier Two Provider
• Shared Advantage PPO - Tiered Network Plan for Marin General Hospital - Tier Two Provider
• Vital Shield 900 & Vital Shield 2900 Plans

CIGNA - Currently in 2020 Contract Negotiations

• Allegiance Benefit Plan Management
• CIGNA Global Health Advantage (PPO)
• CIGNA International Plan
• Cigna Care Network
• Commercial HMO/POS
• EPO Plan
• Indemnity Plan
• Network HMO/POS
• Open Access Plus (PPO)
• Preferred Provider Organization (PPO)

First Health

• PPO - confirm provider participation with your Employee Benefits Department or health plan

Health Net

• ELECT Open Access POS, Large and Small Group
• ELECT POS, Large and Small Group
• HMO - Flex Funded
• Health Net HMO: Large Group (101+ employees) & Small Group (2-100 employees)
• Health Net Healthy Heart HMO
• Health Net Individual and Family Plan (IFP) PPO Bronze
• Health Net Individual and Family Plan (IFP) PPO Gold
• Health Net Individual and Family Plan (IFP) PPO Minimum Coverage
• Health Net Individual and Family Plan (IFP) PPO Platinum
• Health Net Individual and Family Plan (IFP) PPO Silver
• Health Net PPO
• Health Net Seniority Plus Green
• Health Net Seniority Plus Ruby
• Managed Health Network (MHN)
• Medicare Advantage all Employer --Sponsored plans
• Medicare COB Commercial HMO
• Medicare COB Commercial POS
• PPO for Small Business Health Options Program (SHOP)/Covered California
• SELECT three-tier POS and SELECT two-tier POS, Large and Small Group
• Salud HMO Plus Large/Custom Group
• VADEN EPO

HealthSmart

• HealthSmart Preferred Provider Organization - confirm provider participation with your Employee Benefits Department or health plan

Multiplan

• PPO - confirm provider participation with your Employee Benefits Department or health plan

Pacific Health Alliance

• PPO - confirm provider participation with your Employee Benefits Department or health plan

PHCS (Private Healthcare Systems, Inc.)

• PPO - confirm provider participation with your Employee Benefits Department or health plan

Stanford Health Care Advantage

• Gold
• Platinum

Sutter Health - Aetna

• PPO and EPO Plans

Sutter Health Plus

• Individual and Family Plan HMO
• Large and Small Group HMO

TRICARE

• Extended Care Option (ECHO)
• Prime
• Prime Remote
• Reserve Select
• Retired Reserve
• Select (formerly TRICARE Standard and TRICARE Extra)
• Young Adult

UnitedHealthcare

• AARP Medicare Complete Secure Horizon (HMO)
• AARP Medicare Complete Secure Horizon (HMO) Employer Group
• AARP Medicare Complete Secure Horizons Plan 1 (HMO)
• AARP Medicare Complete Secure Horizons Plan 2(HMO) - only at San Mateo/Burlingame area locations
• Definity Health
• Health Plan of Nevada (HMO)
• Sierra Health and Life (PPO)
• Signature Freedom (SDHP)
• Signature Independence (Indemnity)
• Signature Value (HMO)
• Signature Value Alliance HMO (includes CalPERS & AON Exchange)
• US Behavioral Health Plan, California
• United Indemnity Plan
• United Managed Indemnity Plan
• UnitedHealthcare Choice (non-tiered)
• UnitedHealthcare Choice Plus (non-tiered)
• UnitedHealthcare Group Medicare Advantage PPO
• UnitedHealthcare Nexus ACO OA
• UnitedHealthcare Nexus ACO R - Tiered Benefit Program - participating at Tier 2
• UnitedHealthcare Options PPO
• UnitedHealthcare POS
• UnitedHealthcare Select and Select Plus (PPO)

Valley Health Plan - Contract Expires on June 30, 2019

• Commercial HMO