Cardinal Care, administered by Health Net of California, features. Your insurance coverage determines your co-payment, co-insurance percentage, and annual deductible. Stanford Health Care Alliance (SHCA) Stanford care, with a copay, in a select local network. The cost at the time of care is dependent on where you receive your treatment. An Exclusive Provider Organization (EPO) plan, Cardinal Care lets you decide where to get medical care. Medical and Mental Health Benefits. Get your questions answered and find out all you need to know if you’re considering a switch to Medicare Advantage, including how to initiate enrollment in your new plan and when you’re eligible to do so. View 2021 plan information for the ACA Basic High-Deductible Health Plan See cost-sharing for all pharmacies and tiers. No matter your reason for purchasing your own health insurance, we have a plan that’s right for you, your family, and your budget. The goal is to study the differences between health insurance managed by private firms and the public sector, by comparing the experience of Medicare beneficiaries in Medicare Advantage plans with those in public Medicare. Stanford Health Care & Health Net PPO. Non-Network pharmacy: Member pays co-payment plus 25% of billed charges Cardinal Care is an annual enrollment insurance plan which includes coverage in summer quarter, whether the student is enrolled that quarter or not. To continue to this site and view the online form, click the link below. Stanford Health Care Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Students enrolled in Cardinal Care will be covered during leaves of absence, breaks, quarters Enrollment in Stanford Health Care Advantage depends on contract renewal. Vision care benefits are provided by Vision Service Provider (VSP) Vision Care using their Choice Network of providers. $0 … While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. Ask about your financial responsibility and how much you will be responsible to pay. The ACA Basic High-Deductible Health Plan works the same as the Healthcare + Savings plan, but has higher out-of-pocket costs. 1 Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nation’s largest dental benefits delivery systems, covering 33 million enrollees. Our Medicare Supplement Insurance (Medigap) plans can help pay some of the health care costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles. If you have questions, please contact the Vaden Health Center's Insurance Office at 650-723-2135 or submit a ServiceNow Ticket. Llame al 1-855-921-3777 (TTY: 711). Our Delta Dental plans provide a broad array of dental services, but like any policy, there are certain exclusions and limitations as well as amounts you must pay out-of-pocket. Your out-of-pocket costs will depend upon actual services that you receive, Stanford Health Care – ValleyCare's negotiated rates with your insurance plan and your insurance coverage. educates students to make meaningful contributions as citizens of a complex world. To continue, click on the link below. Total Number of Formulary Drugs: 3,207 drugs: Browse the Stanford Health Care Advantage - Platinum (HMO) Formulary: This plan has 6 drug tiers. Speak with one of our friendly and knowledgeable Medicare advisors1-855-921-3777 (TTY: 711)*. Yes, some additional gap coverage. for current Stanford Health Care Advantage members. Vaden Health Services is proud to be part of Student Affairs, which educates students to make meaningful contributions as citizens of a complex world. Whether you’re currently on Original Medicare, or with another Medicare Advantage plan and just not quite satisfied, Stanford Health Care Advantage is here to help. Stanford Health Care Advantage is an HMO plan with a Medicare contract. All Stanford Health Care Advantage plans include Part D drug coverage. Stanford's Advanced Practice Provider Fellowship Program offers fully-benefited, 12-month positions designed to provide post-graduate training to new Advanced Practice Providers (APPs) who wish to transition into specialty care and to experienced APPs who wish to transition to administration. *This plan is not available on the Covered California exchange. For more information, click here. Stanford University’s Health Care Resources. Stanford Health Care Advantage seeks approval from CA Department of Managed Health Care to convert from non-profit to for-profit organizations. If you are a current Stanford Health Care Advantage member, you may access the 2020 plan-year Member portal by clicking the '2020 Plan-Year Website' button at the top of this site and navigating to the Member Portal. View 2021 information for the Healthcare + Savings Plan Stanford Health Care – ValleyCare participates in the following health plans. With MyHealth, managing your care has never been easier. You must continue to … Administrative Fellowship Stanford Health Care invites you to develop your leadership abilities in this rewarding, project-based program. for agents and brokers representing Stanford Health Care Advantage. If you fail to select a contract dentist, Delta Dental will assign you to a facility near your home. Privacy Policy & Terms of Use |Medicare model complaint form | To continue to our Member Portal, click on the link below. Comprehensive, worldwide coverage, including medical and mental health care, hospitalization, emergency care, and most pharmaceuticals. You would need to purchase this plan with the assistance of a … Key question #2: What does the plan cover? Deductible: The amount you pay for covered health care services before your insurance plan starts to pay. You are about to leave the Stanford Health Care Advantage plan site and visit the Center for Medicare & Medicaid Services (CMS) website. You may visit any Stanford HealthCare Alliance network doctor or hospital. You may visit any Stanford HealthCare Alliance network doctor or hospital. Vision care is an important part of your overall health. Insure against the unexpected and cover immediate needs with Life Insurance, Health Insurance, Travel Insurance, and more. Stanford Health Care Advantage is an HMO Plan with a Medicare contract. If you fail to select a contract dentist, Delta Dental will assign you to a facility near your home. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Stanford Health Care Advantage is an HMO plan with a Medicare contract. access the enrollment option via the 2020 plan-year website. 1-855-921-3777 (TTY: 711)*. Get information on the doctor and which Health Insurance Plans are accepted. The 2021 Plan-Year Member Portal will be available on October 15, 2020. You are about to leave the PHP Advantage plan site and visit the PHP Health System website. The Stanford HealthCare Alliance ACO plan requires you designate a primary care provider to coordinate all of your care. Students can fulfill the health insurance requirement by purchasing one of the two coverage options listed below: Cardinal Care Coverage. Delta Dental for Stanford Health Care Advantage Members To enroll in this program, you must select a contract dentist in Santa Clara, San Mateo or Alameda counties. Find information on waiving coverage To enroll in a Stanford Health Care Advantage plan, you must have both Medicare Parts A and B and reside in the plan service area. Stanford University requires that all registered students carry adequate health insurance. View 2021 plan information for Stanford Health Care Alliance Use our mobile app navigation to get step-by-step directions to your appointments. This plan option meets the minimum essential coverage requirements under the federal health care reform, Affordable Care Act (ACA). To enroll in a Stanford Health Care Advantage plan, you must have both Medicare Parts A and B and reside in the plan service area. If you have a plan through a parent, for example, and that plan’s network is in your hometown, you may not be able to get the care you need in the Stanford area, or you may incur much higher costs to get that care. © Stanford University, Stanford, California 94305. Questions? Stanford University requires that all registered students carry adequate health insurance. The current Stanford Student Dependent Health Insurance Plan (PPO) includes in network access to Stanford Medical Center and to Palo A provision of the Patient Protection and Affordable Care Act (PPACA) of 2010 specifies that students may remain eligible for coverage under a parent’s employer-based health insurance plan until age 26. Together with our Aetna and SHCA partners, we’ve created the most comprehensive SHCA network to You may reach a messaging service on weekends from April 1 through September 30 and holidays. Insured individuals usually pay less when using an in-network provider, because those networks provide services at lower cost to the insurance … With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. Cardinal Care, administered by Health Net of California, features Comprehensive, worldwide coverage, including However, Stanford Health Care will accept referrals from some of the Covered California health plans. Among the many different types of payment medical providers support, your health care insurance can help reimburse what you paid or directly pay the provider itself. You must continue to … Call a Stanford Health Care Alliance (SHCA) Member Care Specialists who can help you choose a physician, schedule appointments, explain plan benefits, and answer claim and billing issues. Stanford Health Care Advantage is an HMO plan with a Medicare contract. Individual & Family Health Insurance. The annual cost of this coverage will be charged over three quarters of the academic year, i.e., in Autumn, Winter and Spring quarters. While at Stanford, your health care resources include: Care through Vaden Health Center under the Campus Health Service Fee ('Health Fee'): As a registered student, you have access to Vaden Health Center services during your academic career at Stanford. The Vaden Health Center offers health insurance for all students and their dependents 2. Otherwise, close this window to remain on the Stanford Health Care Advantage plan site. Otherwise, close this window to remain on the current site. Services by referral at Stanford Healthcare. Welcome to Health Net for Stanford University. This requirement can be met either through Cardinal Care, the university sponsored health insurance plan, or through an alternative insurance plan that has comparable benefits. Vision care benefits are provided by Vision Service Provider (VSP) Vision Care using their Choice Network of providers. The 2021 Plan-Year Member Portal will be available on October 15, 2020. Please check back then to start your enrollment. You are about to leave the Stanford Health Care Advantage plan site and visit our Member Portal – a website specifically created Compare Plans. If a member obtains routine care from an out-of-network provider without prior approval from Stanford Health Care Advantage, neither Medicare nor Stanford Health Care Advantage will be responsible for the costs. Stanford Health Care – ValleyCare participates in the following health plans. Make sure you understand your benefits and your health plan's requirements. Enrollment in Stanford Health Care Advantage depends on contract renewal. Although your plan may be listed below Stanford Health Care – ValleyCare may not be contracted for ALL services. You have chosen Stanford Health Care Advantage. Learn more about Vaden services and what kinds of appointments are available, Make an appointment on the VadenPatient portal, Stanford University requires that all registered students carry adequate health insurance. Details Drug Coverage for the Stanford Health Care Advantage Stanford Health Care Advantage - Platinum H2986-001 (HMO) in California. For more information see the Cardinal Care Overview. Cardinal Care, administered by Health Net of California, features Comprehensive, worldwide coverage, including To continue to this site, click on the link below. Otherwise, close this window to remain on the current site. To enroll in a Stanford Health Care Advantage plan, you must have both Medicare Parts A and B and reside in the plan service area. Plan Coverage. Contact us at https://stanford.service-now.com/student_services, Photo Credits: Linda A. Cicero / Stanford News Service. Cardinal Care's medical benefits are administered by Health Net of California. Students who are covered under Cardinal Care will sufficiently satisfy the three categories of coverage listed above. Each plan differs substantially in terms of insurers, insured population, premiums, and benefits packages. Find out if a Stanford Health Care Advantage (HMO) plan is right for you. Stanford Health Care Alliance Blue Shield EPO Blue Shield Healthcare + Savings Plan Blue Shield ACA Basic High Deductible Health Plan Kaiser Permanente HMO (California) Close Window Stanford HealthCare Alliance Plan - Group # 868025 Stanford Health Care has tried to provide as much information as possible regarding how they interact with other insurance in California for individual and family plans. With Stanford Medicine at its core, Stanford Health Care Alliance has always given you access to world-class specialty care, evidence-based medicine, leading edge clinical trials and more. The Alumni Insurance Program is a benefit from your Stanford Alumni Association, offering a diverse portfolio of insurance products to meet the needs of alumni and their families. Our plan options are designed to give you peace of mind knowing you can live life covered with: Affordable monthly premiums. It will deal with equilibrium in insurance markets with risk variation and will also deal with various Make appointments and message your primary and specialty physicians. Enrollment for the 2021 plan year begins October 15, 2020. Otherwise, close this window to remain on the current site. To verify Stanford Health Care has in-network status for your plan, please look for your plan in the appropriate insurance category below. All Stanford Health Care Advantage plans include Part D drug coverage. Vaden Health Services is proud to be part of. Co-insurance: The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible. The policy year is September 1 through August 31. Important COVID-19 Information: How Stanford Health Care Advantage is Helping Members, By Phone The policy covers pre-existing conditions. Coverage for your care at Stanford Health Care is determined by your insurance company and is based on the provisions of your specific plan. Benefits information above is provided anonymously by current and former Stanford Health Care employees, and may include a summary provided by the employer. Enrollment in Stanford Health Care Advantage depends on contract renewal. Enrollment in a Stanford Health Care Advantage plan may be limited to specific times of the year. Call Toll Free: It's a Health Maintenance Organization (HMO) health plan. When you’re new to Medicare, navigating all of the different options and figuring out the best one for you can be overwhelming. Call your health insurance provider to confirm that Sanford Health is a contracted provider of services for your plan. Stanford Medicine delivers unparalleled care for each patient’s unique needs. We remain committed to offering you the most affordable and comprehensive medical plan in 2021. You’re about to leave the Stanford Health Care Advantage plan site and visit our Provider Portal – a website specifically created 1. Each plan differs substantially in terms of insurers, insured population, premiums, and benefits packages. Our multidisciplinary approach to health care coordinates expertise with the most advanced technology for the best possible outcomes. We're proud to provide plans designed to help you be your healthiest. *8 a.m. to 8 p.m., seven days a week. The Stanford Health Care Alliance uses leading-edge technology to expand and deliver all its services, including telehealth and coordination of medical records, insurance, and authorizations. We are currently making improvements in order to provide a better service for you. Otherwise, close this window to remain on the Stanford Health Care Advantage website. Administrative Fellows enjoy projects in areas such as strategic planning, clinical operations, ambulatory care, digital solutions, network development, facilities planning, performance improvement, and patient experience. Health Plan Type: Local HMO: Maximum Out-of-Pocket Limit for Parts A & B (MOOP): $5,250: Additional Gap Coverage? Please consult your insurance carrier's benefit plan for details of coverage by service. Stanford Health Care Advantage - Gold (HMO) H2986-002 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Stanford Health Care Advantage available to residents in California. Find an SHCA Network Provider Please leave a message, and your call will be returned the next business day. Download your free Medicare Advantage info kit or request a copy in the mail. The Affordable Care Act has also meant, however, higher costs for established health care plans, such as Cardinal Care. Welcome to Health Net for Stanford University. This includes specialist and primary care physician services. If you’re approaching Medicare eligibility and have questions, we’ve got answers. High deductible plan, no fixed copays in nationwide network, with access to an HSA. Enrollment in Stanford Health Care Advantage depends on contract renewal. Stanford Health Care Advantage is an HMO plan with a Medicare contract. This requirement can be met either through Cardinal Care, the university sponsored health insurance plan, or through an alternative insurance plan that has comparable benefits. Find an SHCA Network Provider You have chosen Stanford Health Care Advantage. All Stanford Health Care Advantage plans include Part D drug coverage. Why do students need to have health insurance before enrolling at Stanford? for providers in the Stanford Health Care Advantage network or those interested in joining our provider network. Many students need coverage for their families. Frequently Asked Questions About Insurance and the Health Fee, https://stanford.service-now.com/student_services, Frequently Asked Questions About Insurance. Compare Health Insurance Rates in Stanford, CA. For accommodations of persons with special needs at meetings, call 1-855-921-3777 (TTY: 711). MyHealth will be back soon. Enrollment in Stanford Health Care Advantage depends on contract renewal. Aetna Healthcare of California, Inc. HMO, PPO, EPO, POS, Medicare Aetna Healthcare of California, Inc. HMO, PPO, EPO, POS, Medicare See All Plans Below Every year, Medicare evaluates plans based on a 5-star rating system. Dimensions to be compared include services provided, costs and health outcomes. Stanford Health Care and Lucile Packard Children’s Hospital Stanford each received an Environmental Excellence Award from Practice Greenhealth, a nonprofit organization that promotes sustainability in the health care industry. Some services require prior authorization from your primary care physician. Refers to providers or health care facilities that are part of a health plan’s network of providers with which it has negotiated a discount. Stanford Health Care Alliance (SHCA) Member Services: (855) 345-SHCA (7422) Group #109047. Stanford University requires that all registered students carry adequate health insurance. You share the costs of some benefits (medical, dental and vision), and Stanford Health Care – ValleyCare provides other benefits at no cost to you (life, accidental death and dismemberment). Explore Our Medicare Supplement Plan Options & Enroll . Stanford Health Care is in-network for all hospital and physician services. AbstractThis chapter will deal with the actual and efficient functioning of health insurance in settings where risk (expected value) of medical spending or insurance benefits varies across individuals at a given point in time or over time for a given individual. Stanford Hospital And Clinics in STANFORD, CALIFORNIA accepts Health Insurance Plans from . The university pays for a larger share if you use in-network providers and facilities. You’re about to leave the Stanford Health Care Advantage plan site and visit our Producer Portal – a website specifically created To continue to our Provider Portal, click on the link below. Help us fight fraud, waste & abuse | Legal Notice, Copyright ©2021 Stanford Health Care Advantage. This is the only plan available through Stanford that works in conjunction with an HSA with a university contribution that can be used toward your out-of-pocket deductible costs. You may go to any vision care provider, but when you use a VSP provider, you pay a copayment at the time of service and do not have to file a claim. Learn more about Stanford Health Care Advantage plans at one of our free Medicare seminars. To learn more about the plans so you can choose the one that's right for you: Compare plans and costs. We're proud to provide plans designed to help you be your healthiest. Advanced Practice Provider (APP) Fellowship Program. You can choose from one of the following options: You may go to any vision care provider, but when you use a VSP provider, you pay a copayment at the time of service and do not have to file a claim. It includes a prescription drug plan. To enroll in a Stanford Health Care Advantage plan, you must have both Medicare Parts A and B and reside in the plan service area. You must continue to pay your Medicare Part B premium. High deductible plan, no fixed copays in nationwide network, with access to an HSA. Stanford Health Care Alliance (SHCA) is a select network health plan in which Stanford Health Care physicians and affiliated providers in multiple specialties take responsibility for working together to carefully coordinate and deliver your care. Stanford Health Care Advantage - Gold is a Medicare Advantage plan, from Stanford Health Care Advantage, that's available to beneficiaries living in Santa Clara County, California. Health insurance is a type of insurance that helps cover costs of expensive health, surgical, and medical costs. Stanford Health Care Alliance (SHCA) Member Services: (855) 345-SHCA (7422) Group #109047. Please consult your insurance carrier's benefit plan for details of coverage by service. Vision care is an important part of your overall health. 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