Individual and Covered California Plans

Not all of these health plans may not be available in your specific county. For further information, please contact Covered California or a licensed insurance broker to determine if any of these plans are available for purchase in your region.

Please view your plan for more information.

2024 Covered California FAQs

2024 plans

Blue Shield Trio HMO Kaiser HMO
Valley Health Plan All Other Individual/Covered California Employer Plans

Blue Shield Trio HMO

Physician services may be covered but must be authorized by the Trio HMO member’s selected medical group. Certain Primary Care Physicians (PCPs) are contracted through John Muir Physicians Network, Hill Physicians Medical Group, Santa Clara County IPA (SCCIPA), and Brown and Toland Medical Group.

View the 2024 Blue Shield Trio Participating PCPs availability that are in-network with each medical group.

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

Kaiser HMO members must get 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. You would not be able to select a Stanford Medicine Children’s Health physician as your Primary Care Physician/general pediatrician.

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.

Valley Health Plan

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)

Last First
Ahmed, MD Amina
Cirone, MD Molly
Chadarevian-Zorian, MD Rita
Del Signore, MD Claire
Drucker, MD Bryan
Griswold, MD Jenny
Hayashi, MD Tomomi
Hays, MD Tobias
Hughes, MD Marybeth
Kapoor, MD Jerina
Li, MD Anqi
Li, MD Virginia
Varamini, MD Nadereh
Varma, MD Mekhla

All other individual/Covered California plans

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

Learn more

For further information, please contact Covered California or a licensed insurance broker to determine if any of these plans are available for purchase in your region. Read the Covered California FAQs.