Palo Alto Foundation Medical Group
- Aetna Aetna Affordable Health Choices (Indemnity Plan) Aetna Choice POS
- Alignment Alignment Health Plan My Choice (Medicare Advantage PPO)
- Anthem Blue Cross of California Advantage HMO
- Blue Shield of California Active Choice PPO
- Cigna – Currently in 2023 Contract Negotiations Allegiance Benefit Plan Management
- Essence Healthcare Gold
- Health Net ELECT Open Access POS, Large and Small Group
- HealthSmart
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Does Palo Alto Medical Foundation take Medi-Cal?
I like Kaiser or the Palo Alto Medical Foundation. How does this procedure operate? – New Medi-Cal patients are not accepted by SCFHP’s Kaiser and Palo Alto Medical Foundation (PAMF) networks. You may be eligible to choose a primary care physician (PCP) from these networks if you satisfy the following criteria:
- Have medical care continuity needs, or
- Have been a Kaiser member in the preceding six months, or
- Received care from a PAMF PCP during the previous two years, or
- Receive care from Kaiser or PAMF.
Call SCFHP Customer Service at 1-800-260-2055 to pick Kaiser (TTY: 711 ). Even if you choose Kaiser during Medi-Cal enrollment and submitted your choice paperwork, you must contact SCFHP Customer Service. SCFHP will verify with Kaiser if you fulfill the eligibility requirements.
- If your choice of Kaiser is accepted, the change will take effect on the beginning of the next month.
- Even if Kaiser agrees to see you for an appointment, we cannot guarantee that services offered by Kaiser will be paid if your choice of Kaiser is not authorized.
- If you picked a Palo Alto Medical Foundation (PAMF) PCP when you enrolled in Medi-Cal and submitted your choice package, we will determine if you fulfill the eligibility requirements.
If you do so, your Palo Alto Medical Foundation coverage will begin on the first of the month following your enrollment. You will receive a SCFHP ID card containing your PCP’s details by mail. Requesting a Palo Alto Medical Foundation PCP is also possible by calling SCFHP Customer Service at 1-800-260-2055 (TTY: 711).
Sutter Health is ranked highest for Compensation and benefits, while Kaiser Permanente is rated highest for Compensation and benefits. Overall Score.
| Overall Rating | 4.1 | 3.9 |
|---|---|---|
| Work/life balance | 3.9 | 3.7 |
| Compensation and benefits | 4.3 | 4.0 |
| Job security and advancement | 3.8 | 3.5 |
| Management | 3.5 | 3.3 |
Does Stanford take coverage from Sutter Health?
Stanford Health Care joins Sutter Health | Aetna Network – Joint venture increases its provider network for companies and members in Northern California. SAN FRANCISCO, California – 26 March 2019 – Sutter Health | Aetna announced today that Stanford Health Care has joined the joint venture’s network of Northern California health care providers.
- The establishment of a second globally renowned health care system represents the most recent attempt by the organization to offer its members with access to the finest quality health care services available in Northern California.
- The addition of Stanford Health Care, with its physicians from across Stanford Medicine, to our high-quality network will not only expand the provider network for our plan sponsors and members, but also provide access to another highly ranked health care system,” said Sutter Health|Aetna CEO Steve Wigginton.
This addition will assist us in achieving our objective of creating a unique solution for Northern California companies and their workers, focusing on a superior customer experience and market-leading value. Stanford Health Care has served the Bay Area for almost six decades, demonstrating a dedication to health care.
As an educational institution, Stanford Health Care is at the forefront of the development of innovative treatments and therapies. This comprises recognized competence in fields like as cancer therapy, neurology, surgery, cardiovascular medicine, and organ transplantation, as well as the application of the most recent medical advances.
The Sutter Health | Aetna network will include Stanford Hospital in addition to more than 1,500 specialists and almost 200 primary care providers situated throughout the Bay Area, including clinicians from University Healthcare Alliance and ValleyCare Physicians Associates.
Wigginton stated, “We look forward to collaborating with Stanford Health Care as we continue to construct a highly linked network that is simple to use and comprehend for customers.” The Sutter Health | Aetna network now comprises two nationally renowned health care institutions and access to a Northern California network with 33 hospitals, more than 1,700 primary care providers, more than 9,400 specialists, 74 urgent care facilities, and 25 walk-in clinics.
On April 1, 2019, all Sutter Health | Aetna joint venture members will have access to Stanford Health Care services. By 1 April, our provider listing will include Stanford Health Care network providers. Concerning Sutter Health | Aetna Sutter Health | Aetna is a joint venture that combines the clinical quality of Sutter Health with Aetna’s premier health plan experience, cutting-edge data, analytics, and health information technology, as well as shared care management capabilities.
- This joint venture intends to provide members with a distinct, individualized experience and is intended to increase efficiency and reduce the cost of care, resulting in more accessibility.
- Visit www.sutterhealthaetna.com to learn more.
- The administration of health benefit plans is performed by Sutter Health and Aetna Administrative Services LLC.
Sutter Health | Aetna is the brand name for Sutter Health and Aetna Administrative Services LLC’s goods and services. Sutter Health | Aetna is affiliated with Sutter Health, Aetna Life Insurance Company, and their respective affiliates (Aetna). Sutter Health | Aetna receives management services from Aetna.
Does Sutter belong to the Anthem Blue Cross?
How does this affect Anthem members with HMO plans who got a letter suggesting they will be transferred to a non-Sutter primary care physician on April 1? Anthem Blue Cross is happy with the successful renewal of our contracts? with Sutter Health as of April 1 Consequently, Sutter Health will continue to participate in the Anthem Blue Cross HMO network, and your enrollment with your primary care provider will not change.
- If you joined with a new medical group after receiving the original letter and desire to re-enroll with Sutter Health or another medical group, or if you have any other queries, please call the toll-free number on your existing Anthem Blue Cross identification card.
- If you have more questions or concerns regarding your provider network, please contact the Department of Managed Health Care at 1-888-HMO-2219, a TDD number for the deaf and hard of hearing at 1-877-688-9891, or at www.hmohelp.ca.gov.
How does this affect members of Medi-Cal who were transferred to non-Sutter primary care physicians? Any Medi-Cal member who was moved to a non-Sutter primary care physician and desires to switch back to a Sutter physician may call the toll-free number located on the back of their Anthem Blue Cross identification card.
Options for Medi-Cal HMO or Managed Medi-Cal Plans Hospital and physician services are covered by Medi-Cal Fee-For-Service at Stanford Health Care. Stanford Health Care is solely in-network for hospital and physician specialized services.
Does UCSF take Medi-Cal?
Accepted insurance plans include Medicare. Medi-Cal plans from SF Health Plan and Anthem Blue Cross. Plans offered by Anthem Blue Cross Covered California (ACA)
Options for Medi-Cal HMO or Managed Medi-Cal Plans Hospital and physician services are covered by Medi-Cal Fee-For-Service at Stanford Health Care. Stanford Health Care is solely in-network for hospital and physician specialized services.
Are all hospitals covered by Medi-Cal?
Get the Care You Need – Here are some ways you may get the care you need while your application for Medi-Cal is being processed: Community Health Centers & Clinics: Federally Qualified Health Centers are another option for receiving medical treatment.
Find the nearest medical center. Your county’s human services organization may be able to assist you in locating a physician or a list of physicians in your region. Use our County Office List to find the closest offices to you. You can discover a dental provider using the “Find a Dentist” link on the Medi-Cal Dental website or by calling 1-800-322-6384.
As stated previously, if you have an emergency and cannot find a doctor immediately, you can visit the emergency department of any hospital. If you present your BIC to the emergency department personnel, Medi-Cal will pay for your treatment. When your Medi-Cal application has been approved, you will be able to join a managed care health plan.
You can find a physician on the websites of these Medi-Cal managed care health programs until then. Click your county’s name to view the plans that serve your region. Call the physician’s office to confirm that they take Medi-Cal FFS. If they do not, you should call another physician listed on the website for the Medi-Cal Managed Care Health Plan Directory.
Health Care Options is a DHCS initiative that provides information to assist you in making decisions on Medi-Cal benefits and how to obtain them. Visit the Health Care Options website for assistance in locating a physician or dentist, as well as details about Medi-Cal managed care health and dental insurance.
- If you need a prescription filled, you can contact local pharmacies to determine if they take Medi-Cal.
- Please visit the Pharmacy Benefits Frequently Asked Questions webpage for further information.
- Public Hospitals: Some jurisdictions offer hospital treatment through a public hospital system.
- Visit the Safety Net Institute Members homepage to determine which counties and hospitals participate in this initiative.
Local health care providers are included in the Yellow Pages. Medi-Cal will only reimburse providers that are enrolled as Medi-Cal health care providers for your service. Ask the provider whether they accept Medi-Cal FFS prior to scheduling an appointment.