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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: August 25, 2015

    The health plans marked with an asterisk (*) below are in negotiations for renewal in 2016.

    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)*
    Traditional Choice*
    US Access (HMO/POS)*

    Anthem Blue Cross
    Advantage PPO*
    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*
    BlueCard (Blue Cross Blue Shield PPO)*
    Blue Cross PPO (Prudent Buyer Plan Network)*
    Blue Cross Senior AdvantageCare Plan*
    Blue Cross Senior Classic (Plans A through L)*
    Blue Cross Senior Smart Choice Preferred & Plus Plans*
    CalPERS Traditional HMO*
    Direct Access HMO (Traditional HMO Network)*
    Federal Employee Program (FEP) EPO*
    Federal Employee Program (FEP) PPO*
    Geo Blue*
    Indemnity*
    Major Risk Medical Insurance Program (MRMIP)*
    Managed Care Services (MCS)*
    My Choice PPO*
    PERS Care*
    PERS Choice*
    Power Advantage HMO*
    Power CareAdvocate PPO*
    Power HealthFund PPO*
    Prudent Buyer HCO Managed Care Services*
    Smart Sense Plus*

    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 60 EPO/PPO
    Blue Shield Bronze HSA EPO/PPO
    Blue Shield Gold 80 EPO/PPO
    Blue Shield Life & 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 Silver 70 EPO/PPO
    Blue Shield Silver 73 EPO/PPO
    Blue Shield Silver 87 EPO/PPO
    Blue Shield Silver 94 EPO/PPO
    Blue Shield Spectrum PPO Plan
    Blue Shield Spectrum PPO Savings Plan
    Blue Shield $0 Cost Share EPO/PPO
    Federal Employee Program EPO
    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 and Vital Shield 2900 Plans

    Cigna
    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

    First Health/Coventry Health Care
    PPO

    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*
    HMO, Flex Funded
    HMO, for Large Group and Small Group
    Medicare COB & COB POS*
    PPO, for Individuals, Large Group, and Small Group
    PPO Individual and Family Plan Bronze
    PPO Individual and Family Plan Catastrophic
    PPO Individual and Family Plan Gold
    PPO Individual and Family Plan Platinum
    PPO Individual and Family Plan Silver
    PPO Small Business Health Options Program (SHOP)
    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

    Health Smart (formerly Interplan Health Group)
    Choice Care Network
    PPO

    Humana Medicare Advantage
    Humana Gold Plus (HMO)

    Multiplan
    Primary Network PPO

    Pacific Health Alliance
    PPO

    Private Healthcare Systems (PHCS)
    PPO

    Sutter Select
    EPO
    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
    PPO

    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 Platinum 90 EPO/PPO
    Blue Shield Gold 80 EPO/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 Bronze 60 EPO/PPO
    Blue Shield Bronze HSA EPO/PPO
    Blue Shield Minimum Coverage EPO/PPO
    Blue Shield $0 Cost Share EPO/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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