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    Participating Health Plans

    The following health plans are accepted by Sutter Maternity & Surgery Center. 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 23, 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
    • 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)
    Aetna Choice POS
    Aetna Choice II POS
    Aetna Open Access Elect Choice (EPO)
    Aetna Open Access Managed Choice (POS/PPO)
    Aetna Select EPO
    Aetna Signature Administrators (PPO)
    Aetna Student Health Program
    Aexcel & Aexcel Plus
    Elect Choice EPO
    Health Fund HMO
    Health Fund PPO
    HMO
    HMO Deductible Plans
    Managed Choice POS (POS/PPO)
    National Advantage Plan (NAP)
    Open Access Select (EPO)
    Open Choice PPO
    Quality Point of Service (QPOS)
    Stanford Healthcare (SHC) Tier 2
    Traditional Choice
    US Access (HMO/POS)

    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 1)
    UC Care PPO (Tier 1)

    Blue Shield
    BlueCard (Blue Cross Blue Shield PPO)
    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 Point of Service (POS)
    Blue Shield Bronze PPO
    Blue Shield Gold PPO
    Blue Shield Life & Health Insurance Company
    Blue Shield Medigap Medicare Supplement Plans
    Blue Shield Minimum Coverage PPO
    Blue Shield Net Value HMO CalPERS Limited Network
    Blue Shield Platinum PPO
    Blue Shield PPO Small Group
    Blue Shield Silver PPO
    Blue Shield Spectrum PPO Plan
    Blue Shield Spectrum PPO Savings Plan
    Blue Shield $0 Cost Share PPO
    Federal Employee Program PPO
    Indemnity
    Major Risk Medical Insurance Program (MRMIP)
    Shared Advantage & Shared Advantage Plus PPO - ASO
    Stanford University EPO - ASO
    UC Care PPO (Tier 1)
    Vital Shield 900 Plans
    Vital Shield 2900 Plans

    Cigna
    Allegiance Benefit Plan Management
    Cigna Care Network
    Commercial HMO/POS
    EPO
    Great-West Open Access
    Great-West Point of Service (POS)
    Great-West Preferred Provider Organization (PPO)
    Great-West Worker's Compensation
    Indemnity
    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)
    Safeway Plan
    Worker's Compensation

    Health Net
    Elect Open Access POS, for Large Group and Small Group
    Elect POS, Large Group and Small Group
    EPO (El Camino Hospital Employees)
    Healthy Heart HMO
    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)
    HMO, Flex Funded
    HMO, for Large Group and Small Group
    Medicare COB & COB POS
    Salud HMO Plus Large/Custom Group
    Select POS (two and three tier), for Large Group and Small Group
    Seniority Plus (Medicare Advantage HMO) (employer-sponsored)
    Seniority Plus Complete
    Seniority Plus Green
    Seniority Plus Ruby
    Vaden EPO

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

    Humana Medicare Advantage
    Humana Gold Plus (HMO)
    Effective 1/1/17, Humana will no longer be offering their Gold Plus (HMO) for individuals plan in Santa Cruz

    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 Select
    EPO
    EPO Plus
    PPO

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

    United Healthcare
    AARP MedicareComplete SecureHorizons HMO
    CORE (Premium Designation Program)
    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
    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 (PPO)
    United Indemnity Plan
    United Managed Indemnity Plan

    Valley Health Plan
    Commercial HMO

    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.

    Health Net PPO Small Business Health Options Program (SHOP)
    Blue Shield PPO Small Group
    Blue Shield Platinum PPO
    Blue Shield Gold PPO
    Blue Shield Silver PPO
    Blue Shield Bronze PPO
    Blue Shield Minimum Coverage PPO
    Blue Shield $0 Cost Share PPO

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

    Additional Information


    We make every effort to keep this list as accurate as we can for our 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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