Health Plans We Accept
Last Updated: April 8, 2013
Click here for Medicare Plans
Please note, if you pick a physician who is a member of the Mills-Peninsula Division of PAMF, your specialty care, laboratory and radiology services will be provided by physicians in the Mills-Peninsula network. This network includes specialist physicians in San Bruno, Millbrae, Burlingame, Foster City and San Mateo.
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
Aetna Value Network (AVN) (only at San Mateo/Burlingame area locations)
Aexcel & Aexcel Plus
Behavioral Health Program (only at Palo Alto, East Bay & Redwood City area locations)
Elect Choice EPO
HMO
Health Fund HMO
Health Fund PPO
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
Behavioral Health Program (only at Palo Alto, East Bay & Redwood City areas)
BlueCard (Blue Cross Blue Shield PPO)
Blue Cross HMO (California Care)
Blue Cross HMO/POS (California Care Plus)
Blue Cross PPO (Prudent Buyer Plan) includes PERS Care & PERS Choice
Blue Cross Individual HMO (only at Mountain View/Sunnyvale area locations)
Blue Cross Small Group HMO (only at Mountain View/Sunnyvale area locations)
Federal Employee Program (FEP) PPO
Indemnity
Managed Care Services (MCS)
My Choice PPO
Power Care Advocate PPO
Power Health Fund PPO
Blue Shield
BlueCard (Blue Cross Blue Shield PPO)
Blue Shield Access+ CCSF Plan
Blue Shield Access+ HMO Plan
Blue Shield Access+ HMO for Individuals and Families
Blue Shield Access+ HMO/EPO CalPERS Limited Network
Blue Shield Added Advantage Point of Service (POS)
Blue Shield Life & Health Insurance Company
Blue Shield Spectrum PPO Plan
Blue Shield Spectrum PPO Savings Plan
Federal Employee Program PPO
Indemnity
Shared Advantage & Shared Advantage Plus PPO - ASO
Stanford University EPO - ASO
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)
Indemnity
Network HMO/POS
Open Access Plus (PPO)
Preferred Provider Organization (PPO)
Coastal Healthcare Administrators
PPO
First Health/Coventry Health Care
PPO
Health Net
ASO PPO
Blue & Gold HMO (only at San Mateo/Burlingame area locations)
Elect Open Access POS, for Large and Small Group
Elect Open Access POS, for Individual Members
Elect POS, for Large and Small Group
EPO
HMO, Flex Funded
HMO, for Individual Members
HMO, for Large Group and Small Group
Managed Health Network (MHN) (only at Palo Alto, East Bay, Redwood City area locations)
PPO
Quick Net PPO, for Individual Members
Salud HMO Plus
Select (two and three tier) POS for Large Group and Small Group
Seniority Plus (Medicare Advantage HMO) - Medicare Advantage Plan Info
Vaden EPO
Health Net Seniority Plus - Medicare Advantage Plan Info
Healthy Heart HMO
Healthy Heart Plan 1
Healthy Heart Plan 2
Seniority Plus Green
Seniority Plus Ruby
Interplan Health Group (Health Smart)
PPO
Multiplan
PPO
Pacific Health Alliance
PPO
Pre-Existing Condition Insurance Plan
Pre-Existing Condition Insurance Plan (PCIP)
Sutter Select
EPO
PPO
TriCare
United Healthcare
AARP MedicareComplete (HMO) (only at Mountain View/Sunnyvale, San Jose/Los Gatos, San Mateo/Burlingame area locations) - Medicare Advantage Plan Info
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
United Healthcare Choice
United Healthcare Choice Plus
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
United Healthcare Select and Select Plus (PPO)
United Indemnity Plan
United Managed Indemnity Plan
United Healthcare Group Medicare Advantage (HMO) (only at Mountain View/Sunnyvale, San Jose/Los Gatos, San Mateo/Burlingame area locations) - Medicare Advantage Plan Info
United Healthcare MedicareComplete (HMO) (only at Mountain View/Sunnyvale, San Jose/Los Gatos, San Mateo/Burlingame area locations) - Medicare Advantage Plan Info
Valley Health Plan
Commercial HMO
Viant/Beech Street
PPO
Psychiatry & Behavioral Health Plans
(only at Palo Alto, East Bay & Redwood City areas)
Aetna Behavioral Health Program
Anthem Blue Cross Behavioral Health Program
Health Net Managed Health Network (MHN)
Coverage for psychiatric and behavioral health services varies by health plan. Some plans have a "carve-out" for mental health care, meaning services are covered by a separate organization that the patient must contact directly.
Medicare Advantage Plans
PAMF currently participates in the following Medicare Advantage plans:
Health Net Medicare Advantage Products
- Healthy Heart HMO
- Healthy Heart Plan 1
- Healthy Heart Plan 2
- Seniority Plus Green
- Seniority Plus Ruby
United Healthcare Medicare Advantage Products
- AARP MedicareComplete (HMO) (participating only at Mountain View/Sunnyvale, San Jose/Los Gatos, San Mateo/Burlingame area locations)
- United Healthcare Group Medicare Advantage (HMO) (participating only at Mountain View/Sunnyvale, San Jose/Los Gatos, San Mateo/Burlingame area locations)
- United Healthcare MedicareComplete (HMO) (participating only at Mountain View/Sunnyvale, San Jose/Los Gatos, San Mateo/Burlingame area locations)
NOTE: United Healthcare will continue to offer the employer group (retirees) plans in Santa Cruz County. If you are a Santa Cruz County patient with United Healthcare Medicare Solutions and you revert to traditional Medicare, you can keep your current provider(s).
PAMF also participates in Medicare A & B and Medicare Supplement ("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 October 15 to December 7. For more information, visit www.medicare.gov, or call 1-800-MEDICARE (1-800-633-4227).
Additional Information
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. Please check with your health plan if you have any questions about coverage or specific products offered.
You can obtain the most accurate and timely information by calling your health plan or employer's benefits department and confirming your coverage level when choosing a PAMF physician.
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.
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