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    Participating Health Plans

    The following health plans are accepted by Mills-Peninsula Health Services. While we strive to keep this information as current as possible, it's always a good idea to check with your health plan to determine the details of your coverage, since not all products are available in all counties.

    Last Updated: November 28, 2016

    Contracts Not Yet Finalized With These Insurance Plans: Check back before signing-up
    Sutter Health, on behalf of our network of providers, is currently in negotiations with the following health plans to renew our contracts for 2017:

    • Blue Shield
    • Chinese Community Health Plan
    • Cigna
    • Health Net

    We hope to successfully complete these renewals by the end of 2016 to avoid any disruptions in care or the availability of the Sutter Health network. Please check with your health plan if you have questions about coverage and network provider participation for specific products offered.


    Aetna
    Aetna Affordable Health Choices (Indemnity Plan)
    Aetna Choice POS
    Aetna Choice II POS
    Aetna Open Access Elect Choice
    Aetna Open Access Managed Choice
    Aetna Savings Plus Narrow Network Product
    Aetna Select EPO
    Aetna Signature Administrators
    Aetna Student Health Program
    Aetna Value Network (AVN)
    Aexcel & Aexcel Plus (also known as Aetna Performance Network)
    Choice and Save (also known as Aetna Performance Network)
    Elect Choice EPO
    Health Fund HMO
    Health Fund PPO
    HMO
    HMO Deductible Plans
    Managed Choice POS
    National Advantage Plan (NAP)
    Open Access Select
    Open Choice PPO
    Quality Point of Service (QPOS)
    Stanford Healthcare (SHC) Tier 2
    Traditional Choice
    US Access

    Anthem Blue Cross
    Advantage HMO
    Advantage PPO (Tier 1)
    Anthem Blue Cross HMO (California Care)
    Anthem Blue Cross HMO/POS (California Care Plus)
    Anthem Blue Cross Individual HMO
    Anthem Blue Cross Plus (POS)
    Anthem Blue Cross Small Group HMO
    Anthem Bronze EPO (Prudent Buyer Plan)
    Anthem Gold EPO (Prudent Buyer Plan)
    Anthem Platinum EPO (Prudent Buyer Plan)
    Anthem Silver EPO (Prudent Buyer Plan)
    Behavioral Health Program
    BlueCard (Blue Cross Blue Shield PPO)
    Blue Cross PPO (Prudent Buyer Plan)
    Blue Cross Senior AdvantageCare Plan
    Blue Cross Senior Classic (Plans A through L)
    Blue Cross Senior Smart Choice Preferred & Plus Plans
    CalPERS EPO
    Direct Access HMO (Traditional HMO Network)
    Federal Employee Program (FEP) PPO
    Geo Blue
    Indemnity
    Major Risk Medical Insurance Program (MRMIP)
    Managed Care Services (MCS)
    Medi-Cal Assistance Program (formerly AIM)
    My Choice PPO
    PERS Care
    PERS Choice
    CareAdvocate PPO
    Prudent Buyer HCO Managed Care Services
    Smart Sense
    University of California Health Insurance Plan PPO (Tier 2)
    UC Care PPO (Tier 2)

    MPHS is NOT participating in Anthem Blue Cross Covered California insurance plans. If your insurance card indicates "Pathway" or "Pathway X" as the network, MPHS does not participate in your plan.

    Blue Shield
    BlueCard Plan
    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 PPO
    Blue Shield Gold PPO
    Blue Shield Life & Health Insurance Company
    Blue Shield Medigap Medicare Supplement Plans
    Blue Shield Platinum PPO
    Blue Shield Silver PPO
    Blue Shield Spectrum PPO Plan
    Blue Shield Spectrum PPO Savings Plan
    Federal Employee Program PPO
    Get Covered PPO Plans (Catastrophic)
    Indemnity
    Major Risk Medical Insurance Program (MRMIP)
    Shared Advantage PPO ASO & Shared Advantage Plus PPO ASO
    Shared Advantage ASO - Tiered Network Plan for Daughters of Charity Health System
    Shared Advantage ASO - Tiered Network Plan for John Muir
    Shared Advantage PPO ASO - Adventist
    Stanford EPO - Self-Funded ASO
    Vital Shield 900 & Vital Shield 2900 Plans

    California Foundation for Medical Care (CFMC)
    Healthcare Foundation of San Mateo (PPO)

    Chinese Community Health Plan
    Commercial HMO
    Covered California HMO (Individual and Family)
    Covered California HMO (SHOP)
    Medicare Advantage HMO

    CIGNA
    Allegiance Benefit Plan Management
    Cigna Behavioral Health of California
    Cigna Care Network
    Commercial HMO/POS
    EPO Plan
    Global Health Advantage (PPO)
    Great-West Open Access
    Great-West Point of Service (POS)
    Great-West Preferred Provider Organization (PPO)
    Great-West Worker's Compensation
    Indemnity Plan
    International 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)
    Worker's Compensation

    Health Net
    Blue & Gold HMO
    ELECT Open Access POS, for Large and Small Group
    ELECT POS, for Large Group and Small Group
    EPO (El Camino Hospital Employees)
    Health Net PPO, for Individuals, Large Group, and Small Group
    Health Net IFP Bronze PPO
    Health Net IFP Minimum Coverage PPO
    Health Net IFP Gold PPO
    Health Net IFP Platinum PPO
    Health Net IFP Silver PPO
    Health Net PPO Small Business Health Options Program (SHOP)
    Health Net Medicare Advantage HMO
    Salud HMO Plus Large/Custom Group
    Healthy Heart HMO
    HMO, Flex Funded
    HMO, for Large Group and Small Group
    HMO Plus Large/Custom Group
    Medicare COB & COB POS
    PPO, for Individuals, Large Group, and Small Group
    Seniority Plus Complete
    Seniority Plus Green
    Seniority Plus Ruby
    SELECT POS (two and three tier), for Large Group and Small Group
    Vaden EPO

    HealthSmart
    Preferred Provider Organization PPO (confirm provider participation with your Employee Benefits Department or health plan)

    Magellan Behavioral Health
    Pinnacle Network

    Managed Health Network (MHN)
    Behavioral Health Program

    MultiPlan
    Complementary Network PPO (confirm provider participation with your Employee Benefits Department or health plan)

    Pacific Health Alliance
    Preferred Provider Organization PPO (confirm provider participation with your Employee Benefits Department or health plan)

    PHCS
    Primary Network PPO (confirm provider participation with your Employee Benefits Department or health plan)

    Sutter Health Plus
    Individual & Family Plan HMO
    Large Group HMO
    Small Group HMO

    For more information about Sutter Health Plus’ plans, benefits and services,
    please contact 1-855-325-5200 or www.sutterhealthplus.org.

    Sutter Select
    EPO
    EPO Plus
    PPO

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

    United Healthcare
    AARP MedicareComplete SecureHorizons HMO
    Definity Health
    Health Plan of Nevada (HMO)
    Sierra Health and Life (PPO)
    Signature Independence (Indemnity)
    Signature Freedom (SDHP)
    Signature Options (PPO)
    Signature POS
    Signature Value (HMO)
    Signature Value Access (EPO)
    Signature Value Alliance HMO
    Signature Value Select Hospital HMO
    United Healthcare Choice (Non-Tiered)
    United Healthcare Choice Plus (Non-Tiered)
    United Healthcare EPO
    United Healthcare Group Medicare Advantage (HMO)
    United Healthcare Group Medicare Advantage (PPO)
    United Healthcare MedicareComplete (HMO)
    United Healthcare Options PPO
    United Healthcare POS
    United Healthcare Select and Select Plus
    United Indemnity Plan
    United Managed Indemnity Plan
    US Behavioral Health Plan, California (USBHPC)

    Viant/Beechstreet
    PPO (confirm provider participation with your Employee Benefits Department or health plan)

    Covered California


    Covered California is this state's Health Benefit Exchange. If you buy coverage through Covered California, you may qualify for federal tax credits or subsidies. (You may also purchase individual and family plans outside Covered California.) For more information on plans offered in your zip code, please visit www.CoveredCA.com, or call 800-300-1506.

    Covered California's 2017 open enrollment period is November 1, 2016 through January 31, 2017.

    Blue Shield Bronze PPO
    Blue Shield Get Covered PPO Plans (Catastrophic)
    Blue Shield Gold PPO
    Blue Shield Platinum PPO
    Blue Shield Silver PPO
    Health Net PPO for Small Business Health Options Program (SHOP)
    Chinese Community Health Plan Covered CA HMO (IFP)
    Chinese Community Health Plan Covered CA HMO (SHOP)

    Additional Information


    We make every effort to keep this list as accurate as we can for our current participating health plans. Plan names may change at the discretion of the insurance company. We have listed our participating plans based on the product names provided by the insurance companies. Even so, it is possible that not every health plan and circumstance is addressed here. Please check with your health plan if you have any questions above coverage or specific products offered.


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