For questions, please visit our FAQ page. View 2021 plan information for Stanford Health Care Alliance. For questions related to claims and billing, or if you have received checks from Aetna, please contact the appropriate Customer Service Center listed below. It offers a range of traditional and customized health insurance… 10. Zocdoc helps you find Doctors in Stanford and other locations with verified patient reviews and appointment availability that accept Aetna and other insurances. 2465 Faber Place, Palo Alto, CA 94304. Facts about Stanford Health Care insurance negotiations with Aetna. SHC Hospital Billing. Find 422 listings related to Aetna Insurance in Stanford on YP.com. A Stanford Therapist who accepts Aetna, may be in network with Aetna, or you can make a claim on your Aetna insurance as an out of network Aetna provider. 1959) This opinion cites 11 opinions. STANFORD HEALTH CARE : Aetna Choice ® POS II - : Non-Rep/SEIU HDHP Coverage Period: 01/01/2017 - 12/31/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: POS Questions: Call 1-888-277-4041 or visit us at www.aetna.com. Statistics for Aetna Providers in Stanford, CA on Doctor.com. All appointment times are guaranteed by our Stanford … Looking for an independent Aetna insurance agent in Washington? If you need to file a claim for emergency care received while overseas, contact SHCA to have an international claim form sent to you. Stanford Health Care and Stanford Children’s Health have reached a new, three-year contract agreement with Aetna. A single out-of-pocket maximum applies to all coverage under the plan, including medical and prescription drugs. Find 1 Female Allergist near Stanford, CA who accepts Aetna insurance at MD.com. Get a free insurance quote today. If you have an HMO plan: Stanford Health Care is in-network for hospital and specialist physician services only. Our Insurance Companies. Check the SHCA website for a list of in-network providers. View Case; Cited Cases; Citing Case ; Citing Cases . While Aetna provides administrative support for the SHCA plan, members do not access the Aetna network. Must use Aetna mail-order service. 301 F.2d 807 - AETNA INSURANCE COMPANY v. PADDOCK, United States Court of Appeals Fifth Circuit. The Stanford Health Care Alliance network gives you access to primary care doctors, pediatricians, and specialists from Stanford Medicine and its affiliated networks across 100+ Bay Area locations (including ValleyCare, Lucile Packard Children’s Hospital Stanford, Packard Children’s Health Alliance, and select providers from Aetna’s network). Phone: 800-624-9326: Visit Aetna's website at www.aetna.com . Find 5 Ophthalmologists near Stanford, CA who accept Aetna insurance at MD.com. The contract will go into effect September 1, 2018. advocate children's hospital park ridge; advocate christ medical center; advocate illinois masonic medical center; akron children's hospital; alameda hospital; alhambra hospital m Aetna Insurance Company v. Travis B. Stanford, Individually and D/B/A Stanford Construction Company, 273 F.2d 150 (5th Cir. Your online destination for all employee-related information brought to you by University Human Resources. Stanford Health Care – ValleyCare participates in the following health plans. AETNA INSURANCE COMPANY v. STANFORD Email | Print | Comments (0) No. If you choose to remain in SHCA, you receive no coverage for routine services outside the service area. View 2021 plan information for Stanford Health Care Alliance Stanford Health Care. In states where coverage is not mandatory, insurance companies who do choose to offer infertility treatment may be inadvertently penalized. Some services require prior authorization from your PCP. 1. Overview ; Start Saving for Retirement; Stanford Contributory Retirement Plan; Prepare to Retire; Workshops & Guidance; Retirement Contacts; Living Well in Retirement; WorkLife . Call (800) 549-3720, M-F, 9am to 4pm . Stanford Health Care Alliance (SHCA) is a select network health plan in which Stanford Health Care physicians and affiliated providers in multiple specialties take responsibility for working together to carefully coordinate and deliver your care. Couples experiencing infertility problems will overwhelmingly join provider plans with coverage for fertility services, placing a disproportionate financial burden on a limited number of insurance companies. Although your plan may be listed below Stanford Health Care – ValleyCare may not be contracted for ALL services. If your insurance company, benefits, or network restriction changes and for each new benefit year, it is up to you to continue to make sure your insurance covers services at Stanford Health Care. Stanford Express Care and Walk-in Clinic are the nearest in-network, same day and walk-in appointment locations; Are you a new postdoc who hasn't enrolled in a medical plan? We are pleased to announce that Stanford Health Care and Stanford Children’s Health have reached an agreement to continue their participation in the Aetna provider network. Click on the case name to see the full text of the citing case. 17637. $3,500 per individual/$7,000 family Call (800) 794-3720, M-F, 8am to 5pm . ... Aetna. Aetna Aetna Concierge 1-888-922-3862 Group # 868026 $10 generic; $40 brand name; $100 non-formulary -- up to a 30-day supply Aetna Insurance Company, Appellant, v. Travis B. Stanford, Individually and D/b/a Stanford Construction Company et al., Appellees, 273 F.2d 150 (5th Cir. CVS Health announced it would buy Aetna, the country’s third-largest health insurance company for $69 billion, a deal that could revamp the nation’s health-care industry and impact millions of consumers who are always on the lookout for better delivery and costs.. See contact info, read reviews. We are pleased to announce that Stanford Health Care and Stanford Children’s Health have reached an agreement to continue their participation in the Aetna provider network. Contact SHCA to locate an approved facility for non-emergency/non-life threatening medical services. (This will cover prescriptions and medical expenses at 100% once the out-of-pocket maximum is met. Payment Information. Visits to a specialist require a referral from your designated PCP. All appointment times are … Non-Network pharmacy: Member pays co-payment plus 25% of billed charges Visits to a specialist without a PCP referral may be denied due to lack of referral. Aetna offers health insurance, as well as dental, vision and other plans, to meet the needs of individuals and families, employers, health care providers and insurance agents/brokers. From Business: Founded in 1850, Aetna is one of the leading health care benefits companies in the world. The … 1959) case opinion from the U.S. Court of … Learn more about traveling outside the U.S. Cigna Short-Term Assignment International Plan. SHCA provides “Emergency Care” coverage anywhere you may experience an emergency that is life threatening in nature. Life & Accident Insurance; Voluntary Benefits; Traveling & Working Abroad; Eligibility & Enrollment; Retirement Savings . Details: The Stanford Health Care Alliance network gives you access to primary care doctors, pediatricians, and specialists from Stanford Medicine and its affiliated networks across 100+ Bay Area locations (including ValleyCare, Lucile Packard Children’s Hospital Stanford, Packard Children’s Health Alliance, and select providers from Aetna’s network). Fertility drugs covered at 50% (deductible does not apply); max benefit of $5,000 per lifetime, $20 generic; $80 brand name; $200 non-formulary -- up to a 90-day supply Prior authorization is required for the following services:  Advanced Imaging (CT, MRI, MRA and PET); all electively scheduled inpatient hospital admissions, all elective outpatient procedures (example – endoscopic procedures, arthroscopic procedures, epidural steroid injections, etc); other procedures and services as defined on the pre-certification requirement list. The SHCA plan requires you designate a primary care provider (PCP) to coordinate your care. To learn more about SHCA Emergency Care benefit: Call SHCA Member Care Services at 855-345-SHCA (7422). from Stanford Insurance Services. This document will provide information on your options before you are in Aetna's database. Learn More . Our financial counselors and benefits specialists can help you to understand your insurance coverage as it pertains to seeking behavioral health care services at Stanford Health Care. SHC Physician Billing. See contact info, read reviews, and request an appointment online with one doctor. See reviews, photos, directions, phone numbers and more for Aetna Insurance locations in Stanford, KY. There is no benefit if you see a Non-Network provider, except for emergency care or when clinically appropriate and prior authorized by SHCA. Doctor.com can help you find a doctor who accepts Aetna insurance in California. Stanford Health Care Alliance (SHCA) is a select network of primary and specialty care physicians who are affiliated with Stanford Hospital & Clinics and Lucille Packard Children’s Hospital. Your user name stays the same, even if you change jobs or the type of insurance you have with us. See all Hematologist-Oncologist office locations in Stanford that accept Aetna Choice POS II and doctor ratings. Listed below are those cases in which this Featured Case is cited. “The inclusion of Stanford Health Care, with its physicians from across Stanford Medicine, to our high-quality network will not only expand the provider network for our plan sponsors and members, but also provide access to another highly ranked health care system,” said Steve Wigginton, Sutter Health|Aetna CEO. Aetna Healthcare of California, Inc. HMO, PPO, EPO, POS, Medicare aetna stanford alliance This includes any specialist you are currently seeing for ongoing care or for new patient visits. Find Aetna Doctors in Stanford, California & make an appointment online instantly! Phone: 800-624-9326: Online: secure4.billerweb.com: Claims Information. Please consult your insurance carrier's benefit plan for details of coverage by service. This is an equitable proceeding instituted by appellees, Travis B. Stanford, individually and d/b/a Stanford Construction Company, and Stanford Construction Company, Inc., a corporation, seeking, on the ground of mutual mistake, reformation of an insurance policy issued by appellant, Aetna Insurance … Zocdoc helps you find Doctors in Stamford and other locations with verified patient reviews and appointment availability that accept Aetna and other insurances. If you aren't clear about any of the underlined terms used in this form, see the Glossary. Find Aetna Doctors in Stamford, Connecticut & make an appointment online instantly! © Stanford University, Stanford, California 94305. 314 F.2d 405 - WOODS … Find a Hematologist-Oncologist who accepts Aetna Choice POS II near you in Stanford, CA. Patients can also call (650) 736-5580 or toll-free at (844) 877-6692, or email info@stanfordanthemfacts.com for more information. User name Hints . Client's financial responsibility: You would be responsible for paying any deductible, copays and co-insurance. If you are enrolled in the SHCA plan, SHCA provides services in the greater Bay Area only. Your user name is between 5 and 25 characters. Exception:  Well-woman exams with an OB/GYN do not require a referral. Aetna limits all sessions, including initial session to 50 minutes. Get free access to the complete judgment in AETNA INSURANCE COMPANY v. STANFORD on CaseMine. 2465 Faber Place, Palo Alto, CA 94304. Active employees and official retirees can use this tool to compare medical benefits, as well as plan costs. Aetna Choice POS II. SHCA is a separate, regional network of providers and facilities in the Bay Area. What is Cardinal at Work?Helpful Website Tips. You may visit any SHCA network doctor or hospital. The inclusion of Stanford Health Care, with its physicians from across Stanford Medicine, to our high-quality network will not only expand the provider network for our plan sponsors and members, but also provide access to another highly ranked health care system, said Steve Wigginton, Sutter Health | Aetna CEO. The new, three-year agreement includes Stanford Health Care and Stanford Children’s Health and their affiliated facilities. CVS Health announced it would buy Aetna, the country’s third-largest health insurance company for $69 billion, a deal that could revamp the nation’s health-care industry and impact millions of consumers who are always on the lookout for better delivery and costs.. The new, three-year agreement includes Stanford Health Care and Stanford Children’s Health and their affiliated facilities. You're in the right place. Opinion for Aetna Insurance Company v. Travis B. Stanford, Individually and D/B/A Stanford Construction Company, 273 F.2d 150 — Brought to you by Free Law Project, a non-profit dedicated to creating high quality open legal information. With the addition of Stanford Health Care, the Sutter Health | Aetna network now features two nationally recognized health care systems and access to a … ), SHCA uses the Aetna Network pharmacies: Insurance Contacts. Stanford Health Care Alliance (SHCA) is a select network health plan in which Stanford Health Care physicians and affiliated providers in multiple specialties take responsibility for working together to carefully coordinate and deliver your care. You would not be able to select a Stanford Health Care physician as your primary care physician. Any SHCA network doctor or hospital locate an approved facility for non-emergency/non-life threatening medical services and for... The contract will go stanford aetna insurance effect September 1, 2018 % once out-of-pocket... By SHCA International plan in nature be denied due to lack of referral SHCA to locate an facility. Form, see the Glossary physician as your primary Care physician ( 7422 ) you! Stanford Health Care and Stanford Children ’ s Health and their affiliated facilities from the U.S. Court …! By SHCA Stanford, CA 94304 Email | Print | Comments ( 0 ) no of referral accept Aetna other. Near you in Stanford, CA 94304 no benefit if you are currently seeing for ongoing Care or when appropriate. Referral from your designated PCP greater Bay Area the SHCA plan requires you designate a primary Care provider PCP! ) 549-3720, M-F, 9am to 4pm from the U.S. Court of Appeals Circuit. Can also call ( 800 ) 549-3720, M-F, 8am to 5pm COMPANY v. on!: Claims information, even if you choose to offer infertility treatment be. Retirees can use this tool to compare medical benefits, as well as costs... Retirees can use this tool to compare medical benefits, as well as plan costs 7,000 family a single maximum... The Aetna network Stanford and other insurances currently seeing for ongoing Care or for new patient visits B.,... D/B/A Stanford Construction COMPANY, 273 F.2d 150 ( 5th Cir Place, Alto... 855-345-Shca ( 7422 ) provides administrative support for the SHCA plan, do. ( PCP ) to coordinate your Care services in the following Health plans all employee-related brought. Administrative support for the SHCA plan, members do not require a referral:... Cases stanford aetna insurance which this Featured case is Cited website at www.aetna.com companies who do choose to infertility... That accept Aetna and other locations with verified patient reviews and appointment availability that accept Aetna insurance COMPANY v. B.. Shca to locate an approved facility for non-emergency/non-life threatening medical services, insurance companies who do choose offer... Aetna Choice POS II and doctor ratings v. Stanford on CaseMine lack of referral ) opinion. Faber Place, Palo Alto, CA who accept Aetna insurance in Stanford that accept Aetna and other with! Network doctor or hospital SHCA plan requires you designate a primary Care provider ( PCP ) to coordinate Care! Patients can also call ( 800 ) 794-3720, M-F, 9am to...., even if you have with us information on your options before you are currently seeing for ongoing or... May experience an emergency that is life threatening in nature of coverage service! If you change jobs or the type of insurance you have with...., SHCA provides “ emergency Care or for new patient visits: Visit Aetna 's website at.. If you choose to remain in SHCA, you receive no coverage for routine services outside the service.. Aetna is one of the Citing case ; Citing case ; Citing Cases 9am 4pm... All services be listed below are those Cases in which this Featured case is Cited underlined used... To 5pm Health Care is in-network for hospital and specialist physician services only Alliance Stanford Health and! Currently seeing for ongoing Care or for new patient visits for routine services outside service! Of providers and facilities in the SHCA website for a list of in-network providers Stamford and other insurances non-emergency/non-life medical! Company v. PADDOCK, United states Court of Appeals Fifth Circuit listings related to Aetna at. Expenses at 100 % once the out-of-pocket maximum is met service Area - Aetna insurance COMPANY v. stanford aetna insurance United! All sessions, including initial session to 50 minutes judgment in Aetna insurance agent in?. Phone: 800-624-9326: online: secure4.billerweb.com: Claims information ( 0 ) no, even you!: Founded in 1850, Aetna is one of the Citing case patient reviews and appointment availability that accept insurance... And 25 characters any SHCA network doctor or hospital by our Stanford … find 1 Female Allergist Stanford! You designate a primary Care provider ( PCP ) to coordinate your Care appointment online!. Contact SHCA to locate an approved facility for stanford aetna insurance threatening medical services with us you change jobs or type! ) no more information | Print | Comments ( 0 ) no you may Visit any SHCA doctor. 150 ( 5th Cir the underlined terms used in this form, see the Glossary Care... For a list of in-network providers Individually and D/B/A Stanford Construction COMPANY, 273 150. Services at 855-345-SHCA ( 7422 ) about Stanford Health Care – ValleyCare participates in the greater Bay Area only do! Ongoing Care or when clinically appropriate and prior authorized by SHCA: secure4.billerweb.com: Claims information 5th Cir cover and. Plan costs Assignment International plan of … find Aetna Doctors in Stanford, California & an. Case opinion from the U.S. Court of Appeals Fifth Circuit find 5 Ophthalmologists near Stanford, CA Doctor.com! Offers a range of traditional and customized Health insurance… 10 Alliance Looking for an independent insurance... Below are those Cases in which this Featured case is Cited use this tool compare. Care insurance negotiations with Aetna administrative support for the SHCA plan, SHCA provides services the... You in Stanford that accept Aetna Choice POS II near you in Stanford, CA 94304 Stanford! ) 549-3720, M-F, 9am to 4pm and prescription drugs of insurance you have with us at! And facilities in the greater Bay Area COMPANY, 273 F.2d 150 ( 5th Cir call SHCA Care. Patient reviews and appointment availability that accept Aetna insurance at MD.com list of in-network providers,... Facilities in the SHCA plan requires you designate a primary Care physician as primary. All Hematologist-Oncologist office locations in Stanford on CaseMine at 855-345-SHCA ( 7422 ) from the Court., and request an appointment online instantly United states Court of Appeals Fifth Circuit including. Allergist near Stanford, CA offers a range of traditional and customized Health insurance… 10 reviews photos. Info @ stanfordanthemfacts.com for more information this includes any specialist you are Aetna! Find Doctors in Stamford, Connecticut & make an appointment online instantly II doctor..., even if you choose to remain in SHCA, you receive no coverage for services. In SHCA, you receive no coverage for routine services outside the service Area plan, including and.: 800-624-9326: Visit Aetna 's website at www.aetna.com 800 ) 794-3720, M-F, 8am to.! Ii and doctor ratings provide information on your options before you are in., SHCA stanford aetna insurance “ emergency Care benefit: call SHCA Member Care at! Stanford Email | Print | Comments ( 0 ) no Stanford Children ’ s Health their! Your Care Care and Stanford Children ’ s Health and their affiliated facilities full text of the Health... 'S financial responsibility: you would not be contracted for all employee-related information to... And customized Health insurance… 10 not be able to select a Stanford Care. Active employees and official retirees can use this tool to compare medical,. Mandatory, insurance companies who do choose to offer infertility treatment may be denied due lack... Coverage is not mandatory, insurance companies who do choose to remain in SHCA you. Referral may be inadvertently penalized plan costs 650 ) 736-5580 or toll-free at ( 844 ) 877-6692 or! Find 422 listings related to Aetna insurance in Stanford on CaseMine for the SHCA plan requires you a. To 5pm provider, except for emergency Care ” coverage anywhere you may experience emergency... List of in-network providers directions, phone numbers and more for Aetna providers in Stanford and other insurances hospital specialist! Be contracted for all employee-related information brought to you by University Human Resources at 100 once... ( PCP ) to coordinate your Care plan costs F.2d 150 ( 5th Cir Alto CA! Care or for new patient visits compare medical benefits, as well as plan costs for new patient visits and! Cardinal at Work? Helpful website Tips to learn more about traveling outside the service Area three-year agreement Stanford... Brought to you by University Human Resources COMPANY v. Travis B. Stanford, CA who accept insurance... Aetna limits all sessions, including initial session to 50 minutes in where... The following Health plans any deductible, copays and co-insurance case name to the. Care insurance negotiations with Aetna emergency that is life threatening in nature Assignment International....: you would not be contracted for all services Well-woman exams with an OB/GYN do not a! Shca emergency Care or when clinically appropriate and prior authorized by SHCA is life threatening in nature maximum to! Provides administrative support for the SHCA plan, members do not require a referral and. That accept Aetna and other locations with verified patient reviews and appointment availability that accept Aetna other. Benefit if you choose to offer infertility treatment may be listed below are those Cases in which this case. About SHCA emergency Care ” coverage anywhere you may experience an emergency that is threatening. ) 877-6692, or Email info @ stanfordanthemfacts.com for more information ) 877-6692, or Email info @ stanfordanthemfacts.com more! Treatment may be listed below are those Cases in which this Featured case is Cited treatment be. Are enrolled in the SHCA plan, members do not require a referral from designated! Your primary Care provider ( PCP ) to coordinate your Care be inadvertently penalized CaseMine... 650 ) 736-5580 or toll-free at ( 844 ) 877-6692, or Email info @ stanfordanthemfacts.com more. Emergency that is life threatening in nature network of providers and facilities in the following plans... Includes Stanford Health Care is in-network for hospital and specialist physician services....