General Services Insurance Information
Our hospitals are contracted service providers with private health insurance plans, several Medicare Advantage plans and a number of insurance companies who cover mental health services.
El Camino Health is also a participating provider with:
- Covered California plans
- Medicare – www.medicare.gov
- Medi-Cal (State of California) www.medi-cal.ca.gov
- Medi-Cal HMO
As of October 1, 2024, El Camino Health contracts with the health-insurance plans listed below. Please note that the plans are subject to change.
Physicians who participate in your care, including anesthesiologists and radiologists, will bill you separately for their respected services. Some services may not be covered under your insurance policy; however, final payment of the bill is the patient's responsibility. If you have any questions about the insurance plans El Camino Health is contracted with, please call our financial counselors at 650-988-8275. Note - some plans require prior authorizations from your doctor or from the health plan.
Contracted Health Plans | |
|---|---|
| Insurance Plan | Plan Type |
| Aetna www.aetna.com/individuals-families.html | EPO HMO PPO Northern California Preferred EPO Northern California Preferred PPO Sutter Health |
| Anthem Blue Cross of California www.anthem.com | AIM EPO HMO EPO Federal Employees Program (FEP) Healthy Families Medi-Cal HMO PPO High Performance Network (HPN) |
| Beech Street www.beechstreet.com/beechplus/IPLU | PPO |
| Blue Cross Out-Of-State plans www.bcbs.com | |
| Blue Shield of California www.blueshieldca.com www.fepblue.org | High Performance Network EPO HMO POS PPO Federal Employees Program (FEP) |
| Blue Shield Out-Of-State Plans www.bcbs.com | |
| Cigna www.cigna.com | HMO PPO Connected Care (Intel) |
| Coastal Healthcare Administrators https://coastalmgmt.com/index.html | PPO |
| Connected Care – Intel (Cigna) www.connectedcarehealth.com | PPO |
| Coventry Health Care www.coventrywcs.com | PPO |
| First Health www.firsthealth.com | PPO |
| Health Management Network (HMN) www.HMA-Inc.com | PPO |
| Health Net www.healthnet.com | HMO POS PPO SmartCare HMO |
| HealthSmart www.healthsmart.com | PPO |
| MultiPlan, Inc. www.multiplan.us | PPO |
| Pacific Health Alliance www.pacifichealthalliance.com | PPO |
| Private Healthcare Systems (PHCS) www.multiplan.us | PPO |
| Santa Clara Family Health Plan www.scfhp.com | Medi-Cal Healthy Kids HMO |
| Sutter Health Aetna www.sutterhealthaetna.com | Managed Choice Elect Choice |
| Sutter Health Plus www.sutterhealthplus.org | HMO |
| SutterSelect www.sutterselect.tpa.com | PPO |
| UnitedHealthcare - HMO www.uhcprovider.com/ | SignatureValue HMO SignatureValue Advantage HMO SignatureValue Alliance HMO |
| UnitedHealthcare - PPO www.myuhc.com | Core Core Essential EPO POS PPO Navigate Navigate Balanced Navigate Plus Select Select Plus Surest |
| Valley Health Plan www.valleyhealthplan.org | HMO (Classic and Preferred) Covered California/Individual Family Plan Managed Medi-Cal HMO |
Medicare Advantage Plans |
|---|
Insurance Plan |
| AARP MedicareComplete Offered by UnitedHealthcare https://www.healthsafe-id.com/ |
| Aetna Medicare Advantage Aetna Medicare Direct |
| Alignment Health Plan www.alignmenthealthplan.com |
| Anthem Blue Cross www.anthem.com Includes Dual Advantage |
| Blue Shield of California www.blueshieldca.com/medicare |
| Blue Shield of California Promise Medicare Health Plan (Lithotripsy only) https://www.blueshieldca.com/en/medicare |
| Carelon Health (formerly known as CareMore Health Plan) www.carelonhealth.com/ |
| Central Health Medicare Plan www.centralhealthplan.com |
| Commonwealth Care Alliance www.commonwealthcarealliance.org/ca/ |
| Essence Healthcare (formerly known as Stanford Health Care Advantage) www.essencehealthcare.com |
| Health Net Medicare Advantage https://wellcare.healthnetcalifornia.com |
| Humana Medicare Advantage www.humana.com |
| Santa Clara Family Health Plan www.scfhp.com Includes DualConnect HMO (D-SNP) |
| SCAN Health Plan www.scanhealthplan.com |
| Secure Horizons - Offered by UnitedHealthcare See AARP Medicare Complete |
| Medicare Coverage Options from UnitedHealthcare (uhc.com) www.uhc.com/medicare/ |
Covered California | www.coveredca.com | |
|---|---|
| Insurance Plan | Plan Type |
| Anthem Blue Cross www.anthem.com | HMO PPO EPO |
| Blue Shield of California www.blueshieldca.com | HMO PPO EPO |
| Health Net www.healthnet.com | EPO PPO PureCare HSP |
| Valley Health Plan www.valleyhealthplan.org | HMO Individual Family Plan (IFP) |
Medi-Cal HMO |
|---|
Insurance Plan |
| Anthem Blue Cross |
| Santa Clara Family Health Plan |
| Valley Health Plan www.valleyhealthplan.org |
Mental Health Insurance Information
El Camino Health contracts with the following mental health insurance plans as of October 1, 2024. Note – plans are subject to change without notice.
Coverage for mental health services varies by each health plan. Some plans have a "carve out" for mental health benefits, which means these services are covered by a separate organization which you need to contact directly. For example, Health Net HMO members usually access MHN, a Health Net subsidiary. Check your insurance ID card, and contact your insurance carrier to determine if your mental health benefits are carved out to another organization.
When you receive mental health services at El Camino Health, please be aware that you'll receive a separate bill for doctor's fees – psychiatrist fees are separate from hospital-program fees.
If you're unsure if your health plan covers mental-health services, call 650-988-8275 and speak to a financial counselor who can help determine your coverage.
Mental Health Insurance |
|---|
Insurance Plan |
| Aetna Behavioral Health www.aetna.com/individuals-families/mental-emotional-health.html |
| Anthem Blue Cross Behavioral Health www.anthem.com |
| Cigna Behavioral Health my.cigna.com/web/public/guest |
| Magellan Health Services www.magellanhealth.com |
| Managed Health Network (MHN) www.mhn.com |
| United Behavioral Health United Behavioral Health* (*This link will send you to Live and Work Well -Optum) |