Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with certain health conditions. Find out if you qualify for Medicare.
There are two standard ways to receive Medicare benefits:
- Traditional Medicare, also known as Medicare Fee-For-Service.
- Medicare Advantage HMO: This is provided by a third-party insurance company like AARP, Blue Cross, United Health Care, Health Net, etc.
If you are unsure what plan you have or what is best to choose, you should contact the non-profit advocacy group HICAP. They will be able to answer more of your questions regarding Medicare and guide you through the Medicare enrollment process.
Stanford Health Care Tri-Valley accepts Medicare Fee-For-Service for all hospital and physician services.
Stanford Health Care Tri-Valley is in-network for hospital services with the health plans listed below. Please note your plan design may require your assigned Primary Care Physician or specialist physician to initiate a referral and/or seek an authorization from the health plan or medical group for services at Stanford Health Care Tri-Valley.
- Aetna
- Anthem
- Health Net
- Kaiser
- Prime Health Services
- United Healthcare
Stanford Health Care Tri-Valley accepts all Medi-Gap plans.
Medi-Connect is a program for people that coordinate Medicare and Medi-Cal benefits through one health plan.
If you keep your Medicare and Medi-Cal separate, Stanford Health Care Tri-Valley does accept the traditional Medicare Fee-For-Service plan for all services.
For more information, please visit Medi-Connect.
Stanford Health Care Tri-Valley physicians are in-network with Prime Health Services. Your assigned PCP/Medical Group must refer and authorize treatment at Stanford Health Care Tri-Valley.
Stanford Health Care Tri-Valley physicians are in-network with United. Your assigned PCP/Medical Group must refer and authorize treatment at Stanford Health Care Tri-Valley.
Stanford Health Care Tri-Valley physicians are in-network with HealthNet. Your assigned PCP/Medical Group must refer and authorize treatment at Stanford Health Care Tri-Valley.
Stanford Health Care Tri-Valley physicians are in-network with Kaiser. Your assigned PCP/Medical Group must refer and authorize treatment at Stanford Health Care Tri-Valley.
Stanford Health Care Tri-Valley physicians are in-network with Aetna. Your assigned PCP/Medical Group must refer and authorize treatment at Stanford Health Care Tri-Valley.
Stanford Health Care Tri-Valley physicians are in-network with Anthem. Your assigned PCP/Medical Group must refer and authorize treatment at Stanford Health Care Tri-Valley.
Patient Rights and Protections
Assess Your Coverage
Determine the extent of your coverage or any out-of-pocket costs before you receive care.
Contact: Financial Counseling
Phone: 925-534-6457
Mon – Fri: 8:00 a.m. – 5:30 p.m.
Sat – Sun: 7:30 a.m. - 4:00 p.m.
Insurance Pre-Authorization
Find out if your insurance carrier has pre-authorized a medical service before you receive care.
Contact: Financial Clearance
Phone: 650-724-4445
Toll Free: 1-877-291-7335