CalPERS Plans

If you have a HMO plan: Stanford Medicine Children’s Health is in-network for hospital, specialist physician services, and Primary Care Physician (PCP) services. Our 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 requested.

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

If you have a HMO plan: Stanford Medicine Children’s Health is in-network for hospital, specialist physician services, and Primary Care Physician (PCP) services. Our 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 requested.

If you have a PPO/EPO/POS plan: Stanford Medicine Children’s Health is 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 is in-network for hospital, specialist physician services, and Primary Care Physician (PCP) services. Our 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 requested.

Kaiser HMO members must obtain a referral from their Kaiser PCP or specialist physician and an authorization from their health plan for any services to be covered and considered in-network. Our PCPs do not participate in the Kaiser HMO network.