CONTRACTED PAYOR LIST

COMMERCIAL PPO/HMO
PLANS

  • AETNA (including GEHA)
  • ANTHEM BLUE CROSS
  • BLUE SHIELD
  • CBA
  • CIGNA
  • HEALTH SMART/UFCW
  • HEALTHNET
  • HUMANA
  • MULTIPLAN
  • NETWORK BY DESIGN
  • SUTTER SELECT EPO/PPO
  • TRICARE/TRIWEST/CHAMPVA
  • UMR PPO
  • UNITED HEALTHCARE
  • WORKERS COMPENSATION PLANS (ALL)

STANISLAUS COUNTY PARTNERS IN HEALTH

  • STANISLAUS COUNTY
  • E&J Gallo
  • G3 Enterprises

MEDICARE ADVANTAGE PLANS

  • ANTHEM BLUE CROSS
  • BLUE SHIELD
  • BRAND NEW DAY
  • CAREMORE (OUTPATIENT ONLY)
  • CCA HEALTH PLAN (EXPECTED 5/1/23)
  • CENTRAL VALLEY PACE
  • HEALTHNET MEDICARE ADVANTAGE
  • HUMANA MEDICARE
  • SCAN HEALTH PLAN
  • UNITED HEALTHCARE MEDICARE ADVANTAGE
  • WELBE HEALTH (‘STOCKTON PACE’)
  • WELL CARE BY HEALTH NET


MEDI-CAL PLANS

  • CENTRAL CALIFORNIA ALLIANCE BY LOA (ELIGIBLE BY SPECIAL AUTHORIZATION) EXPECTED CONTRACT 5/1/23
  • HEALTHNET MEDI-CAL
  • SEQUOIA HEALTH PLAN
  • PRIME COMMUNITY CARE
  • HEALTH PLAN OF SAN JOAQUIN
  • TRADITIONAL MEDI-CAL

MEDICAL GROUP AFFILIATIONS(HMO)

  • ALLCARE (excluding Alignment for hospital services)
  • CVMG (C-SNP/MEDICARE ADVANTAGE PLANS)

CONTRACTED PAYOR LIST

  • ALLCARE (EXCLUDES SECURE HORIZONS AND HUMANA)
  • AETNA
  • ANTHEM BLUE CROSS
  • BLUE SHIELD
  • CAREMORE (OUTPATIENT ONLY)
  • CENTRAL CALIFORNIA ALLIANCE FOR HEALTH BY LOA (ELIGIBLE BY SPECIAL AUTHORIZATION) CONTRACT EXPECTED 5/1/23
  • HEALTH NET INCLUDING MEDI-CAL (INCLUDING SEQUOIA AND PRIME COMMUNITY CARE)
  • HEALTH PLAN OF SAN JOAQUIN
  • HUMANA
  • NETWORK BY DESIGN
  • ONE CALL MEDICAL
  • STANISLAUS FOUNDATION FOR MEDICAL CARE
  • TRICARE/TRIWEST/CHAMPVA
  • UNITED HEALTHCARE
  • WORKERS COMPENSATION PLANS (ALL)

STANISLAUS COUNTY PARTNERS IN HEALTH

  • STANISLAUS COUNTY
  • E&J Gallo
  • G3 Enterprises

If you have questions regarding a payor not listed, please contact our Business Office at 209-232-2511 or 209-232-2535