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    Health Plans

    We've Got You Covered


    The following health plans are accepted at Sutter Pacific Medical Foundation.

    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 2018:
    • Health Net
    • United HealthCare
    We hope to successfully complete these renewals by the end of 2017.

    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 Open Access Elect Choice
    • Aetna Open Access Managed Choice
    • Aetna Select EPO
    • Aetna Signature Administrators
    • Aetna Student Health Program
    • Aetna Value Network (AVN)
    • Aexcel (also known as Aetna Performance Network)
    • Aexcel Plus (also known as Aetna Performance 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)
    • 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
    • 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)
    • 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
    • Direct Access
    • Enloe Medical Center
    • Federal Employee Program (FEP) - PPO
    • Geo Blue
    • Indemnity
    • Major Risk Medical Insurance Program (MRMIP)
    • Managed Care Services
    • Medi-Cal Assistance Program (formerly AIM)
    • My Choice PPO
    • Power CareAdvocate PPO
    • Power HealthFund PPO
    • Smart Sense Plus

    Blue Shield of California

    • ASO Tiered Hospital Network Plan for Washington Hospital
    • Blue Shield Access+ HMO Plan
    • 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 ASO and Shared Advantage Plus - PPO ASO
    • Shared Advantage PPO - Adventist Health - Tier Two Provider
    • Shared Advantage PPO - Tiered Network Plan for John Muir - Tier Two Provider
    • Shared Advantage PPO - Tiered Network Plan for Marin General Hospital
    • Vital Shield 900 & Vital Shield 2900 Plans

    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 Global Health Advantage (PPO)
    • CIGNA International Plan
    • Commercial HMO/POS
    • EPO Plan
    • 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
    • Health Net Healthy Heart HMO
    • Health Net Healthy Heart HMO (Non-participating for Brown & Toland Health Services Members)
    • Health Net HMO: Large Group (101+ employees) & Small Group (2-100 employees)
    • Health Net PPO
    • 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
    • HMO - Flex Funded
    • Medicare Advantage all Employer --Sponsored plans
    • Medicare Advantage all Employer --Sponsored plans (Non-participating for Brown & Toland Health Services Members)
    • 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
    • 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

    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

    Sutter Health Plus

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

    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 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)
    • 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 Select Hospital HMO
    • United Indemnity Plan
    • United Managed Indemnity Plan
    • UnitedHealthcare Choice
    • UnitedHealthcare Choice Plus
    • UnitedHealthcare EPO
    • UnitedHealthcare Group Medicare Advantage PPO
    • UnitedHealthcare Options PPO
    • UnitedHealthcare POS
    • UnitedHealthcare Select and Select Plus (PPO)
    • US Behavioral Health Plan, California

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