Please Note
The list below shows which health plans and products are accepted by the physicians at this Medical Group, affiliated with the Sutter Health network.
While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. It is important to note that not all of the Sutter Health network of providers necessarily participate in all of a health plan's products or networks.
Sutter Health, on behalf of our network of providers, is currently in negotiations with the following health plans to renew our contracts for 2019:
- Anthem Blue Cross
- Health Net Medicare Advantage
- Humana Medicare Advantage
Please check with your health plan if you have questions about coverage and network providers for specific products.
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
- Health Fund HMO
- Health Fund PPO
- HMO
- HMO Deductible Plans
- Jackson Labs
Tier Two Provider
- Managed Choice POS
- Medicare Supplement
- National Advantage Plan (NAP)
- NationCare
- Open Access Select
- Open Choice PPO
- Quality Point of Service (QPOS)
- Stanford Healthcare (SHC)
Tier Two Provider
- 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
- Administrative Services Only (ASO) - Self-Funded PPO
- ASO Tiered Hospital Network Plan for Washington Hospital
- 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 Platinum PPO
- Blue Shield PPO Small Group
- 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 Children?s 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
- Allegiance Benefit Plan Management
- Cigna Care Network
- CIGNA Global Health Advantage (PPO)
- CIGNA International Plan
- 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
- Health Net Healthy Heart HMO
- Health Net HMO: Large Group (101+ employees) & Small Group (2-100 employees)
- 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
- Health Net UC Blue & Gold HMO
only at San Mateo/Burlingame area locations
- HMO - Flex Funded
- 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
- Salud HMO Plus Large/Custom Group
- SELECT three-tier POS and SELECT two-tier POS, Large and Small 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
Only in Alameda County locations
- Platinum
Only in Alameda County locations
Sutter Health Plus
- Individual and Family Plan HMO
- Large and Small Group HMO
SutterSelect
- EPO
- EPO Plus
- PPO
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)
- 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)
- US Behavioral Health Plan, California
Valley Health Plan
- Commercial HMO
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