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.
Please check with your health plan if you have questions about coverage and network providers for specific products.
Aetna - Currently in Contract Negotiations. Contract Expires June 30, 2023
- Aetna Affordable Health Choices (Indemnity Plan)
- Aetna Choice POS
- Aetna Choice POS II
- Aetna Open Access Elect Choice
- Aetna Select EPO
- Aetna Select Open Access
- Aetna Signature Administrators
- Aetna Student Health Program
- Aetna Value Network HMO (AVN)
only at San Mateo/Burlingame area locations
- ELECT Choice EPO
- Health Fund HMO
- Health Fund PPO
- HMO
- HMO Deductible Plans
- Managed Choice POS
- Medicare Supplement
- Meritain Health EPO
- Meritain Health PPO
- OA EPO (Open Access Elect Choice EPO)
- OA Managed Choice POS
- Open Choice PPO
- Quality Point of Service (QPOS)
- Traditional Choice
- US Access
Alignment
- Alignment Health Plan My Choice (Medicare Advantage PPO)
- Alignment Health Plan Sutter Advantage (Medicare Advantage HMO)
- Retiree Options (Medicare Advantage HMO)
Effective January 1, 2022
- Retiree Options (Medicare Advantage PPO)
Effective January 1, 2022
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 Pathway EPO and Pathway X EPO (Individual and Family)
Effective 01/01/2022
- 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 High Performance Narrow Network
- Anthem Medicare Preferred PPO Medicare Advantage Plans for Group Retirees (includes CalPERS)
- Anthem Platinum EPO (Prudent Buyer Plan)
- Anthem Silver EPO (Prudent Buyer Plan)
- Behavioral Health Program
- Blue Cross PPO (Prudent Buyer Plan, includes PERS Platinum previously known as PERS Care/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
- Empire Mediblue Freedom PPO
- Enloe Medical Center
- Federal Employee Program (FEP) - PPO
- Geo Blue
- Indemnity
- Managed Care Services
- My Choice PPO
- Smart Sense
- University of California Faculty Health Insurance Plan
Tier One Provider
Blue Shield of California
- Active Choice PPO
- Administrative Services Only (ASO) - Self-Funded PPO
- Blue Shield $0 Cost Share PPO
- Blue Shield - Shield Savings PPO Plan
- 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 CalPERS Medicare (PPO) Employer Group Medicare Advantage
- Blue Shield Gold PPO
- Blue Shield Inspire (Medicare Advantage HMO)
only at San Mateo/Burlingame area locations
- Blue Shield Life and Health Insurance Company
- Blue Shield Medicare (PPO) Employer Group Medicare Advantage
- Blue Shield Medigap Medicare Supplement Plans
- Blue Shield Minimum Coverage PPO
- Blue Shield of California PPO/EPO (aka Full Network PPO/EPO)
- Blue Shield Platinum PPO
- Blue Shield PPO Small Group
- Blue Shield Silver PPO
- Blue Shield Spectrum PPO Plan
- BlueCard Plan
- Federal Employee Program - PPO
FEP accesses Anthem Blue Cross for Hospital Providers
- Indemnity
- Shared Advantage - PPO/EPO and Shared Advantage Plus - PPO/EPO
- 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)
Essence Healthcare
- Gold
Alameda/Mountain View/Sunnyvale/San Jose/Los Gatos area locations only
- Platinum
Alameda/Mountain View/Sunnyvale/San Jose/Los Gatos area locations only
Health Net
- ELECT Open Access POS, Large and Small Group
- ELECT POS, Large and Small Group
- Health Net HMO: Large Group (101+ employees) & Small Group (2-100 employees)
- Health Net PPO
- HMO - Flex Funded
- 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
- Seniority Plus (Employer HMO) - Medicare Advantage all Employer --Sponsored plans
- VADEN EPO
- WellCare No Premium
Santa Clara County - Effective 01/01/2023
- WellCare Patriot Giveback HMO
- WellCare Premium Ultra HMO
Alameda County Only
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
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 Healthcare Options Medigap Policy (Supplement Program)
- AARP Medicare Complete Assure Plan (HMO)
- AARP Medicare Complete Secure Horizon (HMO)
- AARP Medicare Complete Secure Horizon (HMO) Employer Group
- AARP Medicare Complete Secure Horizons Focus (HMO)
only at San Mateo/Burlingame area locations
- AARP Medicare Complete Secure Horizons Plan 1 (HMO)
- 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
- UnitedHealthcare Choice (non-tiered)
- UnitedHealthcare Choice Plus (non-tiered)
- UnitedHealthcare Global Affiliate
- UnitedHealthcare Group Medicare Advantage PPO (includes CalPERS)
- UnitedHealthcare Nexus ACO OA
- UnitedHealthcare Nexus ACO R - Tiered Benefit Program
participating at Tier 2
- UnitedHealthcare Options PPO
- UnitedHealthcare Select and Select Plus (PPO)
- US Behavioral Health Plan, California
Valley Health Plan
- Commercial HMO
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