Employer Sponsored Group Plan

Stanford Medicine Children’s Health accepts most major commercial health plans that employers offer their employees. Some employers choose to offer “narrow” networks that have very limited options with specific providers in their network. Always check with your employer’s benefit department to determine if there are any unique or narrow networks within your plan.

When calling your plan, it may be helpful to reference Stanford Children’s 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 Health accepts the following employer sponsored group plans. Please review your plan below for more information.

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 your health plan 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 your health plan 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.

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 your health plan 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.

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 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 your health plan 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 your health plan 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.

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. 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 your health plan 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 your health plan 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.

This is a health plan offered by Stanford University to Stanford University students. It is an EPO plan, and Stanford Medicine Children’s 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 your health plan 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 your health plan 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 your health plan 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 your health plan 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.

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 at Stanford Medicine Children’s Health. Our PCPs do not participate in the Kaiser HMO network.

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 your health plan 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.

f 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 your health plan 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.

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.

Stanford Medicine Children’s Health is in-network for hospital and specialist physician services. Sutter Health HMO members must get a referral from their PCP 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 PCPs. Please check your health plan website for PCP 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 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 your health plan 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.

Stanford Medicine Children’s Health is 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 PCPs.

In order to be seen at Stanford Medicine Children’s Health, your PCP must refer you and your medical group (SCCIPA), or health plan must authorize all services requested. 

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

 

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.