Employer Sponsored Group Plan

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for many HMO plans. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.  In order to be seen at Stanford Medicine Children’s Health, your PCP must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for many PPO/EPO/POS plans. This includes specialist and primary care/general pediatrician physician services.

Anthem offers plans with a narrow network and in such cases, limits the providers that are allowed to participate in the product/network.

Whether your plan is HMO, PPO/EPO or POS, for the most accurate information and to verify if Stanford Medicine Children’s is in network with your specific plan, please call the Anthem member services department (phone number is on the back of your ID card).

When calling Anthem, it may be helpful to reference Stanford Tax ID numbers in your verification process:

• Stanford Children’s Health (Physicians) 26-0089066
• Lucile Packard Children’s Hospital Stanford  77-0003859

Stanford Medicine Children’s is not in network for any Covered California or Individual and Family Plans.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health and its physicians are in-network with out of state Blue Cross/Blue Shield plans, as long as the plan utilizes the nationwide network of providers. This is known as the Blue Card network. Most employer sponsored plans will include this network, especially if they have employees located in multiple states. Please contact your health plan or your employer to inquire about access to this network.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan:Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

This is a health plan offered by Stanford University to Stanford University students. It is an EPO plan, and Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services. In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health physicians.

If you have a PPO/EPO/POS OAP plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Kaiser HMO members must obtain a referral from their Kaiser primary care or specialist physician and an authorization from their health plan for any services to be covered and considered in-network at Stanford Medicine Children’s Health. Our Primary Care Physicians do not participate in the Kaiser HMO network.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health and Lucile Packard Children’s Hospital Stanford are in-network for hospital and specialist physician services. Sutter Health HMO members must get a referral from their Primary Care Physician and an authorization from their health plan for any services to be covered and considered in-network at Stanford Medicine Children’s Health. Certain Stanford Medicine Children’s Health pediatricians through affiliation with select medical groups may be selected as Primary Care Physicians. Please check your health plan website for Primary Care Physician availability.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If you have a HMO plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital, specialist physician services, and Primary Care Physician services. Our Primary Care Physicians (PCPs) are affiliated with various medical groups within your health plan network. Please check your health plan website or contact your health plan to select a medical group in order to choose your PCP.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health specialist physicians.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for all hospital and physician services. This includes specialist and primary care/general pediatrician physician services. United Health Care offers plans with a narrow network and in such cases, limits the providers that are allowed to participate in the product/network. The CORE product is an example of a PPO plan that has a narrow network. Lucile Packard Children’s Hospital is considered in-network but Stanford Medicine Children’s Health physicians are considered out-of-network. Refer to your employer or United Health Care to determine if your plan has a narrow network of providers.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health and Lucile Packard Children's Hospital Stanford are in-network for hospital and specialist physician services only. Certain Stanford Medicine Children’s Health pediatricians through affiliation with Santa Clara County IPA (SCCIPA) may be selected as Primary Care Physicians.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group (SCCIPA), or health plan must authorize all services provided at Lucile Packard Children's Hospital Stanford or by Stanford Medicine Children’s Health physicians.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

The following Primary Care Physicians (PCPs) are contracted through Santa Clara County IPA (SCCIPA)

If your health plan is not included on the list of in-network plans, that means that Stanford Medicine Children’s Health most likely does not have a contract with your plan.