A connected team for your best health

Convenient care where you live and work

Contact Member Care Services (Monday – Friday, 6:30 a.m. – 7:00 p.m. Pacific Time):
1-855-345-7422

Frequently Asked Questions

Enrollment and Eligibility
How do I enroll?
Can I enroll if I'm a retiree?
Will I receive an ID card for my new plan? What if I need services before I receive my card?
Do I need to select a primary care physician (PCP) when I join?
How much does the premium cost? What are the copays and deductible?
Does my individual plan or other group coverage coordinate with Stanford Health Care Alliance?
Do I need to provide any documentation to enroll an adult dependent in my plan?
Doctors, Clinics and Hospitals
Does the plan cover emergency care?
What should I do for non-emergency care after hours, or when my primary care physician is unavailable? Are there urgent care options?
Do I have coverage when I’m traveling?
Are there other hospitals in the plan besides Stanford Hospital, Lucile Packard Children’s Hospital Stanford, or Stanford Health Care – ValleyCare
What if I need other care services, such as physical therapy or an MRI?
How do I qualify for Stanford Coordinated Care?
Are there services that require prior authorization (pre-certification)?
Do I need to select a personal doctor from the Stanford Health Care Alliance?
How do I switch my care from a doctor outside the plan to one who is in-network?
Medical Records
Am I able to go online and access medical records for all members of my plan?
I am switching doctors and want to bring my medical records with me. How can I do this?
Benefits
What is my prescription drug coverage?
Can I get mail-order prescriptions?
Does the plan offer preventive care?
Does the plan include vision care?
Does the plan work with a Flexible Spending Account (FSA)? What about a Health Savings Account (HSA)?
Is pregnancy and childbirth covered?

Have Questions or Need Help?

Our Member Care Services can help:

  • Find a doctor, clinic, urgent care center or hospital
  • Answer questions about the plan and how it works

1-855-345-SHCA (7422)  (Monday - Friday   6:30 a.m. - 7 p.m.)

Submit a request or question

CONTACT US