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.
QUESTIONS?
CALL MEMBER CARE SERVICES
1-855-345-7422
Key Plan Features
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.
- Many specialty services request a referral from your PCP, with a few exceptions such as behavioral health, well-woman, acupuncture and chiropractic care.
- Many PCPs and specialists offer virtual visits.
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.
While a PCP is not required, it is strongly recommended. 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.
Newly enrolling Stanford Health Care and Lucile Packard Children’s Hospital Stanford members will have a designated PCP based on location. Each family member should have a PCP. Your PCP 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 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.
You may self-refer, but many specialties request a referral from your PCP. Partnering with your PCP on specialty care is encouraged, as it coordinates your care to better meet your specific needs.
Services that don’t require a referral include behavioral health, well woman visits, physical therapy, chiropractic and acupuncture services.
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.