Palo Alto Foundation Medical Group
Health Plans
Aetna
Alignment
Anthem Blue Cross of California
Blue Shield of California
Chinese Community Health Plan
Cigna
Health Net
HealthSmart
Multiplan
Pacific Health Alliance
PHCS (Private Healthcare Systems, Inc.)
Provider Networks of America
Sutter Health Plan
TRICARE
UnitedHealthcare - Currently in Contract Negotiations
Valley Health Plan - Currently in Contract Negotiations
Accepted Aetna Plans
- Aetna Choice POS II
- Aetna Select EPO
- Aetna Select Open Access
- Aetna Signature Administrators (ASA)
- Aetna Student Health Program
- Health Fund HMO (aka HMO/HRA)
- Health Fund POS
- HMO
- HMO Deductible Plans
- Managed Choice POS
- National Advantage Plan (NAP)
- Open Access Elect Choice EPO
- Open Access Managed Choice POS
- Open Choice PPO
- Quality Point of Service (QPOS)
- Stanford University Faculty & Staff (SUFS) - Copay Plan - Open Access Aetna Select
- Stanford University Faculty & Staff (SUFS) ACA High Deductible Health Plan POS II (ACA HDHP-POS II)
- Stanford University Faculty & Staff (SUFS) High Deductible Health Plan POS II (HDHP POS II)
- Traditional Choice
Accepted Aetna Plans
- Aetna Choice POS II
- Aetna Select EPO
- Aetna Select Open Access
- Aetna Signature Administrators (ASA)
- Aetna Student Health Program
- Health Fund HMO (aka HMO/HRA)
- Health Fund POS
- HMO
- HMO Deductible Plans
- Managed Choice POS
- National Advantage Plan (NAP)
- Open Access Elect Choice EPO
- Open Access Managed Choice POS
- Open Choice PPO
- Quality Point of Service (QPOS)
- Stanford University Faculty & Staff (SUFS) - Copay Plan - Open Access Aetna Select
- Stanford University Faculty & Staff (SUFS) ACA High Deductible Health Plan POS II (ACA HDHP-POS II)
- Stanford University Faculty & Staff (SUFS) High Deductible Health Plan POS II (HDHP POS II)
- Traditional Choice
Accepted Alignment Plans
- Alignment Health Plan My Choice (Medicare Advantage PPO)
- Alignment Health Plan Sutter Advantage (Medicare Advantage HMO)
- Retiree Options (Medicare Advantage HMO)
- Retiree Options (Medicare Advantage PPO)
Accepted Anthem Blue Cross of California Plans
- Advantage HMO
- Advantage PPO (Tier 1)
- Anthem Blue Cross HMO Saver Small Group Plan
- 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 and Family EPO Bronze/Silver/Gold/Platinum - (Pathway-EPO)
- Anthem Blue Cross Individual and Family EPO Bronze/Silver/Gold/Platinum-Covered California (Pathway - EPO)
- Anthem Blue Cross Individual HMO (also sometimes known as California Care)
- Anthem Blue Cross Small Group HMO (also sometimes known as California Care)
- Anthem Bronze, Silver, Gold, Platinum EPO (Prudent Buyer Plan)
- Anthem High Performance Narrow Network
- Anthem Medicare Preferred PPO Medicare Advantage Plans for Group Retirees
- Behavioral Health Program
- BlueCard
- CareAdvocate PPO
- Direct Access
- Federal Employee Program (FEP) - PPO
- GeoBlue
- Indemnity
- Managed Care Services
- My Choice PPO
- SmartSense
- University of California Faculty Health Insurance PlanNote:
- Tier One Provider
Accepted Blue Shield of California Plans
- Active Choice PPO
- Administrative Services Only (ASO) - Self-Funded PPO
- Blue Shield - Shield Savings PPO Plan
- Blue Shield $0 Cost Share PPO (IFP)
- Blue Shield Access+ HMO CalPERS Limited Network
- Blue Shield Access+ HMO Plan
- Blue Shield Added Advantage POS (Point-Of-Service) PlanNote:
- PPO Benefit Level
- Blue Shield Bronze PPO (IFP & Small Group)
- Blue Shield CalPERS EPO
- Blue Shield CalPERS Medicare (PPO) Employer Group Medicare Advantage
- Blue Shield Gold PPO (IFP & Small Group)
- Blue Shield Inspire (Medicare Advantage HMO)Note:
- only at San Mateo/Burlingame area locations
- Blue Shield Life and Health Insurance Company
- Blue Shield Medicare (PPO) Employer Group Medicare Advantage
- Blue Shield Minimum Coverage PPO (IFP)
- Blue Shield of California PPO/EPO (aka Full Network PPO/EPO)
- Blue Shield Platinum PPO (IFP & Small Group)
- Blue Shield Silver PPO (IFP & Small Group)
- Blue Shield Spectrum PPO Plan
- BlueCard Plan
- Federal Employee Program - PPONote:
- FEP accesses Anthem Blue Cross for Hospital Providers
- Indemnity
- PERS Platinum PPO
- Shared Advantage - PPO/EPO and Shared Advantage Plus - PPO/EPO
- Vital Shield 900 & Vital Shield 2900 Plans
Accepted Chinese Community Health Plan Plans
- Active Choice- PPO Silver
- Amber 50 HMO Silver
- American Indian/Alaskan Native (Covered CA for Individual & Families)
- Bronze 60 HDHP HMO (including Covered CA for Individual & Families)
- Bronze 60 HMO (including Covered CA for Individual & Families)
- Gold 80 HMO (including Covered CA for Individual & Families)
- Jade 15 HMO Platinum
- Minimum Coverage HMO (including Covered CA for Individual & Families)
- Opal 25 HMO Gold
- Opal 50 HMO Silver
- Platinum 90 HMO (including Covered CA for Individual & Families)
- Ruby 10 HMO Platinum
- Ruby 20 HMO Platinum
- Ruby 40 HMO Platinum
- Senior Program (HMO)
- Senior Value Program (HMO)
- Silver 70 HMO (including Covered CA for Individual & Families)
- Silver 73 HMO (including Covered CA for Individual & Families)
- Silver 87 HMO (including Covered CA for Individual & Families)
- Silver 94 HMO (including Covered CA for Individual & Families)
Accepted Cigna Plans
- Allegiance Benefit Plan Management
- 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)
Accepted Health Net Plans
- 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
- 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
- WellCare Low Premium
- WellCare No Premium
Accepted HealthSmart Plans
- HealthSmart Preferred Provider OrganizationNote:
- confirm provider participation with your Employee Benefits Department or health plan
Accepted Multiplan Plans
- PPONote:
- confirm provider participation with your Employee Benefits Department or health plan
Accepted Pacific Health Alliance Plans
- PPONote:
- confirm provider participation with your Employee Benefits Department or health plan
Accepted PHCS (Private Healthcare Systems, Inc.) Plans
- PPONote:
- confirm provider participation with your Employee Benefits Department or health plan
Accepted Provider Networks of America Plans
- PPO
Accepted Sutter Health Plan Plans
- Individual and Family Plan HMO
- Large and Small Group HMO
Accepted TRICARE Plans
- Extended Care Option (ECHO)
- Prime
- Prime Remote
- Reserve Select
- Retired Reserve
- Select (formerly TRICARE Standard and TRICARE Extra)
- Young Adult
Accepted UnitedHealthcare - Currently in Contract Negotiations Plans
- 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)
- Surest
- United Global Affiliate Indemnity Plan
- United Indemnity Plan
- United Managed Indemnity Plan
- UnitedHealthcare Choice (non-tiered)
- UnitedHealthcare Choice Plus (non-tiered)
- UnitedHealthcare Group Medicare Advantage (HMO)
- UnitedHealthcare Group Medicare Advantage PPO (includes CalPERS)
- UnitedHealthcare Nexus ACO OA
- UnitedHealthcare Nexus ACO R - Tiered Benefit ProgramNote:
- participating at Tier 2
- UnitedHealthcare Options PPO
- UnitedHealthcare Select and Select Plus (PPO)
- US Behavioral Health Plan, California
Accepted Valley Health Plan - Currently in Contract Negotiations Plans
- Classic Commercial HMO Plan only