Note: 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: January 12, 2010

Psychiatry & Behavioral Health Participating Health Plans Only:

Aetna Behavioral Health Program
Anthem Blue Cross Behavioral Health Program
Health Net Managed Health Network (MHN)

All Other Medical Services

Aetna

Behavioral Health Program (only at Palo Alto, East Bay & Redwood City areas)
Choice POS
Choice II POS
Elect Choice POS
HMO
Health Fund
Health Fund HMO
Managed Choice POS
National Advantage Plan (NAP)
Open Access Elect Choice
Open Access Managed Choice
Open Choice
Quality Point of Service (QPOS)
Traditional Choice
USAccess

Anthem Blue Cross

Behavioral Health Program (only at Palo Alto, East Bay & Redwood City areas)
Blue Card
California Care HMO
California Care Plus HMO/POS
Freedom Blue Regional PPO (RPPO)
HMO
Individual HMO (only at Mountain View/Sunnyvale area)
Power Care Advocate PPO
Power Health Fund PPO
PPO (Prudent Buyer Plan)
Small Group HMO (only at Mountain View/Sunnyvale area)

Blue Shield

Access+ HMO
Access+ HMO for Individuals and Families
Access+ HMO/EPO CalPers
Added Advantage Point of Service (POS)
Blue Card
PPO
Point of Service (POS) Options
Shield Spectrum PPO
Shield Spectrum PPO Savings

Cigna

Commercial HMO/POS
EPO
Network HMO/POS
Open Access Plus
Preferred Provider Organization (PPO)

Coventry Health Care

PPO

First Health

PPO

Physicians Foundation for Medical Care (PFMC)

PPO

Great-West Healthcare

HMO
Open Access
Point of Service (POS)
Preferred Provider Organization (PPO)

Health Net

Elect Open Access POS, Large and Small Group
Elect Open Access POS, for Individual Members
Elect POS, Large and Small Group
HMO, Flex Funded
HMO, for Individual Members
HMO, Large Group and Small Group
Managed Health Network (MHN) (only at Palo Alto, East Bay, Redwood City areas)
Optimizer HMO
Options PPO or PPO
PPO Plus
Quick Net PPO
Select POS, Large Group and Small Group

Health Net Seniority Plus

HMO

Interplan Health Group

PPO

Multiplan

PPO

PacifiCare

Signature Elite (formerly Signature Options PPO)
Signature Freedom
Signature Independence
Signature POS
Signature Value HMO
Signature Value Access EPO
Signature Value Advantage HMO

Secure Horizons (only at Mountain View/Sunnyvale & Santa Cruz areas)

HMO

SutterSelect

EPO
PPO

United Healthcare

Choice
Choice Plus
Definity Health
EPO
Options PPO
POS
Select
Select POS

Viant

PPO

Special note for POS, PPO, and indemnity plans not listed:

You always have a choice of seeing a physician who is not listed in the PPO or POS directory. A copay and/or deductible may apply. Consult your benefits summary for details.

Special note for Medicare Advantage Plans

PAMF currently participates in the following Medicare Advantage Plans:

• Anthem Blue Cross Freedom Blue Regional PPO (RPPO)
  
• Health Net Seniority Plus (HMO)
  
• Secure Horizon’s (HMO) – For patients seen in our Cupertino, Mountain View, Santa Clara, Sunnyvale and Santa Cruz County locations.

PAMF also participates in hundreds of Medicare Supplement (or "Medi-Gap") insurance plans. However, at this time, PAMF does not participate in Medicare Advantage Private Fee-For-Service (PFFS) plans. The open enrollment period for Medicare Advantage plans is November 15 to December 31. For more information, visit www.medicare.gov, or call 1-800-MEDICARE (1-800-633-4227).

Additional Information

• Your health plan may have a specific process for seeing a specialist. Many health plans require your primary care physician to refer you to a specialist, while others allow you to self-refer. Before making an appointment with a specialist, please check with your health plan to ensure the visit will be covered.
  
  
• We make every effort to keep this list as accurate as we can for our larger health plans. Even so, it is possible that not every health plan and circumstance is addressed here. You can obtain the most accurate and timely information by calling your health plan or employer benefits department and confirming your coverage level when choosing a PAMF physician.
  
  
• Some examples of health plans for which we are not a preferred provider are: BCE/Emergis, CCN, and PHCS. This list is not intended to be all-inclusive.
  
  
• The employer list can change at any time, patients should confirm with their employer's administrator if PAMF is a preferred provider for their employer.

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