Welcome to your SHCA Plan
With Stanford Medicine at its core, Stanford Health Care Alliance has always given you access to world-class specialty care, evidence-based medicine, leading edge clinical trials and more.
Key Plan Features
Stanford University Faculty & Staff, Stanford Health Care and Lucile Packard Children’s Hospital Stanford
A personal doctor as your advocate for the best care
You’ll have a primary care physician (PCP) to act as your dedicated personal doctor. Your PCP will get to know you, your health goals and medical history, and will make sure your care is well coordinated.
- Each family member may select a different PCP and you can change PCPs at any time.
- Your Stanford Health Care Alliance ID card will list the PCP for each family member enrolled.
Navigation for specialty services
Your PCP will serve as your personal navigator and refer you to specialty network providers when you need additional care or medical services. This ensures that you get precisely the right care, from precisely the right doctor.
- Visits to a specialist will need to be directed by a primary care referral, with a few exceptions such as behavioral health, well-woman, acupuncture and chiropractic care.
- Many PCPs and specialists offer virtual visits.
FIND A PRIMARY CARE PROVIDER (PCP)
During open enrollment, newly enrolling Stanford University Faculty & Staff employees will be asked to select a PCP for each enrolling family member. If a PCP is not chosen, one will be assigned.
Newly enrolling members from Stanford Health Care and Lucile Packard Children’s Hospital Stanford will have a PCP assigned based on the member’s location.
You may change or update your PCP selection any time after January 1st.
We look forward to providing you a world-class coordinated care experience.
A primary care physician specializes in diagnosing, treating and preventing a wide variety of conditions, and is focused on preventive care and screenings to ensure your health conditions are diagnosed early. Developing a relationship with your PCP extends beyond preventive care. It allows for consistency and familiarity with a caregiver who knows you and can coordinate with the specialists to meet your specific needs.
There is ever-increasing evidence of the health-promoting benefits of primary care, including better care coordination, understanding of the “whole” person/patient, and improved preventive care. Having a personal doctor to act as your dedicated care advocate can improve your health. Your doctor will get to know you, your health goals and medical history, and will serve as a central touchpoint to make sure that your care is well coordinated.
Yes, newly enrolling Stanford University Faculty & Staff members will need to select a personal physician. You can either select a PCP during open enrollment, or one will be assigned to you based on your location. Newly enrolling Stanford Health Care and Lucile Packard Children’s Hospital Stanford members will have a PCP assigned to them based on location. Each family member will need to have a PCP.
By choosing a Stanford Health Care Alliance physician as your personal doctor, you have a dedicated care partner – one who is connected to an entire team of experts and specialists with shared expertise and commitment to the leading edge care you’ve come to expect from Stanford. Your personal doctor will collaborate and consult with other providers for all your care needs – from routine to specialty care.
You can search the Stanford Health Care Alliance provider directory for a PCP, or you can call Stanford Member Care Services at 1-855-345-7422 for assistance selecting a personal doctor. You have the option to choose from hundreds of Stanford Medicine PCPs located at 100+ clinics throughout the Bay Area. We have also partnered with several physician organizations that are part of the network, including Affinity Medical Group, Brown & Toland Physicians (in San Francisco) and Washington Township Medical Foundation.
PCPs include pediatricians, internal medicine and family medicine doctors. Additionally, you may be able to choose certain OB/GYN doctors who have elected to be designated as a PCP – the provider directory will note this where applicable.
Yes, you can change your PCP at any time after January 1st by calling Member Care Services at 1-855-345-7422,
Monday – Friday, 6:30 a.m. – 7:00 p.m.
Your PCP will coordinate your care, including referrals to specialists. The referral process is a well-established process, in which your PCP can authorize multiple specialty visits for ongoing needs. You can access some services without a referral, including behavior health, well-woman visits, physical therapy, chiropractic and acupuncture services. Be sure to check with your doctor or Member Care Services before self-referring.
Yes, many hospitals across the Bay Area currently participate in the plan, including El Camino, Good Samaritan, Sequoia, Washington, Alta Bates Summit, and California Pacific Medical Center hospitals. To find in-network hospitals, you can search the provider directory or call Member Care Services at 1-855-345-7422.