A connected team for your best health
The care you need from the common to the complex
Convenient care where you live and work
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?
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?
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?