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:

As of February 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 PlanPlan 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
www.coastalmgmt.com
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)
www.blueshieldca.com/bsca/bsc/wcm/connect/sites/sites_content_en/medicare/home
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
(Santa Clara County)

Insurance PlanPlan 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 February 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)