Health Plan SearchPalo Alto Medical Foundation/Mills Peninsula Site

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 Value Network HMO (AVN)
only at San Mateo/Burlingame area locations
Health Fund HMO
Health Fund PPO
HMO
HMO Deductible Plans
Medicare Supplement
Quality Point of Service (QPOS)
US Access

Alignment

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)

Anthem Blue Cross of California

Advantage HMO
Advantage PPO (Tier 1)
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 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
San Mateo County Only
Platinum
San Mateo County 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
Health Net UC Blue & Gold HMO
only at San Mateo/Burlingame area locations
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
Effective 01/01/2023
WellCare Patriot Giveback HMO
WellCare Premium Ultra HMO

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 Secure Horizon (HMO)
AARP Medicare Secure Horizon (HMO) Employer Group
AARP Medicare Secure Horizon 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 Global Affiliate Indemnity Plan
United Indemnity Plan
United Managed Indemnity Plan
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