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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: October 24, 2014

    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

    Please note that Sutter Health, on behalf of Sutter Maternity and Surgery Center, is currently in negotiations with Blue Shield to renew our contract for 2015. We hope to successfully complete these renewals by the end of 2014 to avoid any disruption in care; however, it is important to note that not all of the Sutter Health network of providers participate in all of the Health Plan's products or networks. Please check with your health plan directly if you have questions about benefits and or a specific product or provider network.

    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 Basic PPO/EPO Plans (Bronze)
    Blue Shield Enhanced Full HMO for SHOP (Silver)
    Blue Shield Enhanced PPO/EPO Plans (Silver)
    Blue Shield Get Covered PPO/EPO Plans (Catastrophic)
    Blue Shield Life & Health Insurance Company
    Blue Shield Medigap Medicare Supplement Plans
    Blue Shield Net Value HMO CalPERS Limited Network
    Blue Shield PPO (SHOP)
    Blue Shield Preferred Full HMO for SHOP (Gold)
    Blue Shield Preferred PPO/EPO Plans (Gold)
    Blue Shield Spectrum PPO Plan
    Blue Shield Ultimate Full HMO for SHOP (Platinum)
    Blue Shield Ultimate PPO/EPO Plans (Platinum)
    Blue Spectrum PPO Savings Plan
    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 Program (CCP)
    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

    Coastal Healthcare Administrators
    PPO

    First Health/Coventry Health Care
    PPO

    Health Net

    Please note that Sutter Health, on behalf of Sutter Maternity and Surgery Center, is currently in negotiations with Health Net to renew our contract for 2015. We hope to successfully complete these renewals by the end of 2014 to avoid any disruption in care; however, it is important to note that not all of the Sutter Health network of providers participate in all of the Health Plan's products or networks. Please check with your health plan directly if you have questions about benefits and or a specific product or provider network.

    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 Bronze
    PPO Catastrophic
    PPO Gold
    PPO Platinum
    PPO Silver
    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 Green
    Seniority Plus Ruby
    Vaden EPO

    Humana Medicare Advantage
    Humana Gold Plus (HMO)

    Interplan Health Group (Health Smart)
    Choice Care Network
    PPO

    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

    Please note that Sutter Health, on behalf of Sutter Maternity and Surgery Center, is currently in negotiations with United Healthcare to renew our contract for HMO and PPO products for 2015. We hope to successfully complete these renewals by the end of 2014 to avoid any disruptions in care; however, it is important to note that not all of the Sutter Health network of providers participate in all of the Health Plan's products or networks. Please check with your health plan directly if you have questions about benefits or a specific product or provider network. Medicare Advantage is renewed for 2015.

    AARP MedicareComplete SecureHorizons HMO (Renewed for 2015)
    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
    United Healthcare Choice Plus
    United Healthcare EPO
    United Healthcare Group Medicare Advantage (HMO) (Renewed for 2015)
    United Healthcare MedicareComplete (HMO) (Renewed for 2015)
    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


    Blue Shield Basic PPO/EPO Plans (Bronze)
    Blue Shield Enhanced Full HMO for SHOP (Silver)
    Blue Shield Enhanced PPO/EPO Plans (Silver)
    Blue Shield Get Covered PPO/EPO Plans (Catastrophic)
    Blue Shield PPO (SHOP)
    Blue Shield Preferred Full HMO for SHOP (Gold)
    Blue Shield Preferred PPO/EPO Plans (Gold)
    Blue Shield Ultimate Full HMO for SHOP (Platinum)
    Blue Shield Ultimate PPO/EPO Plans (Platinum)
    Health Net PPO Bronze
    Health Net PPO Catastrophic
    Health Net PPO Gold
    Health Net PPO Platinum
    Health Net PPO Silver

    Covered California is this state's Health Benefit Exchange. For more information on 2014 and 2015 plans offered in your zip code, please visit www.CoveredCA.com, or call 800-300-1506. 2015 Open Enrollment is November 15, 2014 to February 15, 2015.

    SMSC participates in Blue Shield's Covered California Individual & Family Plans (IFP) and Small Business Health Options Program (SHOP) Plans. For IFP, we understand that Blue Shield has excluded some zip codes within Santa Cruz County from participating in the Covered California products. For more information, please contact Blue Shield, or call (888) 568-3560.

    SMSC participates in Health Net's Covered California Individual & Family Plans (IFP) and Small Business Health Options Program (SHOP) Plans. For more information, please contact Health Net, or call (877) 527-8409.

    Attention Health Net Covered California members: Sutter Maternity and Surgery Center will not be participating in the Health Net Covered California PureCare individual and family plan network in 2015.

    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.


    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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