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    The list below shows which health plans and products are accepted by the physicians in Sutter Gould Medical Foundation, affiliated with the Sutter Health network. Please note that not all Sutter doctors or hospitals accept all of these plans.

    Please note that Sutter Health, on behalf of our network of providers, is currently in negotiations with several health plans to renew our contracts for 2017. Those health plans include Blue Shield, Care1st, Chinese Community Health Plan, Cigna and Health Net. We hope to successfully complete these renewals by the end of 2016 to avoid any disruptions in care and in the availability of the Sutter Health network. Please check with your health plan if you have questions about coverage or specific products offered.

    Aetna

    • Aetna Affordable Health Choices (Indemnity Plan)
    • Aetna Choice POS
    • Aetna Choice POS II
    • Aetna Open Access Elect Choice
    • Aetna Open Access Managed Choice
    • Aetna Savings Plus - only at San Mateo/Burlingame area locations
    • Aetna Select EPO
    • Aetna Signature Administrators
    • Aetna Student Health Program
    • Aetna Value Network (AVN) - only at San Mateo/Burlingame area locations
    • Aexcel (also known as Aetna Performance Network)
    • Aexcel Plus (also known as Aetna Performance Network)
    • Behavioral Health Program
    • Choose and Save (also known as Aetna Performance Network)
    • ELECT Choice EPO
    • Health Fund HMO
    • Health Fund PPO
    • HMO
    • HMO Deductible Plans
    • Managed Choice POS
    • Medicare Supplement
    • National Advantage Plan (NAP)
    • Open Access Select
    • Open Choice PPO
    • Quality Point of Service (QPOS)
    • Savings Plus Narrow Network Product
    • Stanford Healthcare (SHC)
    • 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)
    • Behavioral Health Program
    • Blue Cross Individual HMO (also sometimes known as California Care)
    • Blue Cross Large Group HMO (also sometimes known as California Care or Rural Cal Care)
    • Blue Cross Plus (POS)
    • 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
    • Blue Cross Small Group HMO (also sometimes known as California Care)
    • BlueCard
    • CalPERS EPO - Del Norte County
    • Direct Access
    • Enloe Medical Center
    • Federal Employee Program (FEP) - EPO
    • Federal Employee Program (FEP) - PPO
    • Geo Blue
    • Indemnity
    • Major Risk Medical Insurance Program (MRMIP)
    • Managed Care Services
    • Medi-Cal Assistance Program (formerly AIM)
    • MediBlue Plus (previously known as Blue Cross Senior Secure - Medicare Advantage Choice HMO Plan)
    • My Choice PPO
    • Power CareAdvocate PPO
    • Power HealthFund PPO
    • Smart Sense Plus

    Blue Shield of California

    • Basic PPO Plans (Bronze) (Covered California)
    • Blue Shield $0 Cost Share EPO/PPO
    • Blue Shield 65 Plus (Medicare Advantage HMO Plans)
    • Blue Shield Access+ CCSF Plan
    • Blue Shield Access+ HMO Plan
    • Blue Shield Access+ HMO Plan for Individuals and Families
    • Blue Shield Access+ HMO/EPO CalPERS Limited Network
    • Blue Shield Added Advantage POS (Point-Of-Service) Plan
    • Blue Shield Bronze 5550 PPO
    • Blue Shield Bronze 60 EPO/PPO
    • Blue Shield Bronze 60 HSA EPO/PPO
    • Blue Shield Gold 80 EPO/PPO
    • Blue Shield Life and Health Insurance Company
    • Blue Shield Medigap Medicare Supplement Plans
    • Blue Shield Minimum Coverage EPO/PPO
    • Blue Shield Net Value HMO CalPERS Limited Network
    • Blue Shield Platinum 90 EPO/PPO
    • Blue Shield PPO (SHOP)
    • Blue Shield SHOP PPO
    • Blue Shield Silver 1850 PPO
    • Blue Shield Silver 3750 PPO
    • Blue Shield Silver 70 EPO/PPO
    • Blue Shield Silver 73 EPO/PPO
    • Blue Shield Silver 87 EPO/PPO
    • Blue Shield Silver 94 EPO/PPO
    • Blue Shield Silver Seven 3750 PPO
    • Blue Shield Spectrum PPO Plan
    • Blue Shield Spectrum PPO Savings Plan
    • Blue Shield UC Care Tiered Network Plan for University of California
    • BlueCard Plan
    • Enhanced PPO Plans (Silver) (Covered California)
    • Federal Employee Program - PPO
    • Get Covered PPO Plans (Catastrophic)
    • Indemnity
    • Local Access + HMO
    • Major Risk Medical Insurance Program (MRMIP)
    • Preferred PPO Plans (Gold) (Covered California)
    • Shared Advantage - PPO ASO and Shared Advantage Plus - PPO ASO
    • Shared Advantage ASO - Tiered Network Plan for John Muir
    • Shared Advantage PPO ASO - Adventist
    • Shared Advantage PPO ASO - Tiered Network Plan for Alameda Hospital
    • Stanford EPO - Self-Funded ASO
    • Ultimate PPO Plans (Platinum) (Covered California)
    • Vital Shield 900 & Vital Shield 2900 Plans

    Care1st

    • Care1st Advantage Optimum Plan
    • Care1st AdvantageOptimum Plan
    • Coordinated Choice Plan (HMO)

    Chinese Community Health Plan

    • Amber Plan
    • Bronze 60 HMO (including Covered CA for Individual & Famililes)
    • Bronze 60 HMO (including Covered CA for Small Group )
    • Gold 80 HMO (including Covered CA for Individual & Famililes)
    • Gold 80 HMO (including Covered CA for Small Group)
    • Jade Plan
    • Minimum Coverage HMO (including Covered CA for Individual & Famililes)
    • Opal Plan 25/50
    • Platinum 90 HMO (including Covered CA for Individual & Famililes)
    • Platinum 90 HMO (including Covered CA for Small Group)
    • Ruby Plan
    • Ruby Plan 10/20/40
    • Senior Program (HMO)
    • Senior Select Program (SMO) SNP
    • Silver 70 HMO (including Covered CA for Individual & Famililes)
    • Silver 70 HMO (including Covered CA for Small Group)
    • Silver 73 HMO (including Covered CA for Individual & Famililes)
    • Silver 87 HMO (including Covered CA for Individual & Famililes)
    • Silver 94 HMO (including Covered CA for Individual & Famililes)

    CIGNA

    • Allegiance Benefit Plan Management
    • CIGNA Care Program (CCP)
    • CIGNA Global Health Advantage (PPO)
    • CIGNA International Plan
    • Commercial HMO/POS
    • EPO Plan
    • Great-West Open Access Product
    • Great-West Point-Of-Service (POS)
    • Great-West Preferred Provider Organization (PPO)
    • Indemnity Plan
    • Network HMO/POS
    • Network Open Access (HMO)
    • Network Open Access (PPO)
    • Open Access Plus (PPO)
    • Point of Service Open Access (HMO)
    • Preferred Provider Organization (PPO)

    Health Net

    • ELECT Open Access POS, Large and Small Group
    • ELECT POS, Large and Small Group
    • EPO (El Camino Hospital Employees)
    • Health Net Blue & Gold HMO
    • Health Net Healthy Heart HMO
    • Health Net Healthy Heart HMO (Non-participating for Brown & Toland Health Services Members)
    • Health Net HMO: Large Group (51+ employees) & Small Group (2-50 employees)
    • Health Net Individual and Family Plan (IFP) PPO Bronze
    • Health Net Individual and Family Plan (IFP) PPO Minimum Coverage
    • Health Net Individual and Family Plan (IFP) PPO?Gold
    • 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 Complete
    • Health Net Seniority Plus Complete (Non-participating for Brown & Toland Health Services Members)
    • Health Net Seniority Plus Green
    • Health Net Seniority Plus Green (Non-participating for Brown & Toland Health Services Members)
    • Health Net Seniority Plus Ruby
    • Health Net Seniority Plus Ruby (Non-participating for Brown & Toland Health Services Members)
    • 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 Advantage all Employer --Sponsored plans (Non-participating for Brown & Toland Health Services Members)
    • Medicare COB
    • Medicare COB Commercial HMO
    • Medicare COB Commercial HMO (Non-participating for Brown & Toland Health Services Members)
    • Medicare COB Commercial POS
    • Medicare COB Commercial POS (Non-participating for Brown & Toland Health Services Members)
    • PPO for Small Business Health Options Program (SHOP)/Covered California
    • Primary Exclusive Provider Organization (PEPO)
    • Salud HMO Plus
    • 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

    Humana

    • Medicare Gold Plus (HMO)

    Humana Medicare Advantage

    • Humana Gold Plus (HMO) - only at Santa Cruz area locations

    Magellan Health Services

    • Medicare Advantage
    • Pinnancle Network
    • Summit Network

    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

    SCAN Health Plan

    • Medicare Advantage HMO

    Sutter Health Plus

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

    Sutter Senior Care

    • Medicare

    SutterSelect

    • EPO
    • EPO Plus
    • PPO

    TRICARE

    • Extended Care Option (ECHO)
    • Extra
    • Prime
    • Prime Remote
    • Reserve Select
    • Standard

    UnitedHealthcare

    • AARP HealthCare Options Medigap Policy
    • AARP Medicare Complete HMO
    • AARP MediCare Complete Secure Horizon (HMO) Employer Group
    • AARP MediCare Complete Secure Horizon (HMO) Plan ID: 070, 028, 029
    • AARP MediCare Complete Secure Horizons Plan 1 (HMO) Plan ID: 089, 036
    • AARP MediCare Complete Secure Horizons Plan 2 (HMO) Plan ID: 146, 147, 148
    • Definity Health
    • Health Plan of Nevada (HMO)
    • Sierra Health and Life (PPO)
    • Signature Freedom (SDHP)
    • Signature Independence (Indemnity)
    • Signature Options (PPO)
    • Signature POS
    • Signature Value (HMO)
    • Signature Value Access (EPO)
    • Signature Value Alliance HMO (includes CalPERS & AON Exchange)
    • Signature Value Alliance HMO Product, includes CalPERS and AON Exchange
    • Signature Value HMO
    • Signature Value Select Hospital HMO
    • United Indemnity Plan
    • United Managed Indemnity Plan
    • UnitedHealthcare Choice
    • UnitedHealthcare Choice (non-tiered)
    • UnitedHealthcare Choice Plus
    • UnitedHealthcare Choice Plus (non-tiered)
    • UnitedHealthcare EPO
    • UnitedHealthcare Group Medicare Advantage (HMO)
    • UnitedHealthcare Group Medicare Advantage PPO
    • UnitedHealthcare Options PPO
    • UnitedHealthcare POS
    • UnitedHealthcare Select and Select Plus (PPO)
    • US Behavioral Health Plan, California

    Valley Health Plan

    • Commercial HMO

    We strive to keep this information as complete and current as possible. To confirm your particular health plan or product is accepted, please contact your health plan.

    If you are an HMO member and interested in specialists available by referral in your HMO network, please contact your primary care physician directly.
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