Find Aetna Doctors in Stanford, California & make an appointment online instantly! ), SHCA uses the Aetna Network pharmacies: Statistics for Aetna Providers in Stanford, CA on Doctor.com. SHC Physician Billing. Our Insurance Companies. If you aren't clear about any of the underlined terms used in this form, see the Glossary. A single out-of-pocket maximum applies to all coverage under the plan, including medical and prescription drugs. If you need to file a claim for emergency care received while overseas, contact SHCA to have an international claim form sent to you. Zocdoc helps you find Doctors in Stamford and other locations with verified patient reviews and appointment availability that accept Aetna and other insurances. In states where coverage is not mandatory, insurance companies who do choose to offer infertility treatment may be inadvertently penalized. SHC Hospital Billing. Phone: 800-624-9326: Online: secure4.billerweb.com: Claims Information. Some services require prior authorization from your PCP. ... Aetna. This document will provide information on your options before you are in Aetna's database. Non-Network pharmacy: Member pays co-payment plus 25% of billed charges There is no benefit if you see a Non-Network provider, except for emergency care or when clinically appropriate and prior authorized by SHCA. You're in the right place. 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). Get a free insurance quote today. You would not be able to select a Stanford Health Care physician as your primary care physician. Patients can also call (650) 736-5580 or toll-free at (844) 877-6692, or email info@stanfordanthemfacts.com for more information. All appointment times are guaranteed by our Stanford … View 2021 plan information for Stanford Health Care Alliance. From Business: Founded in 1850, Aetna is one of the leading health care benefits companies in the world. It offers a range of traditional and customized health insurance… 10. Aetna Insurance Company v. Travis B. Stanford, Individually and D/B/A Stanford Construction Company, 273 F.2d 150 (5th Cir. View 2021 plan information for Stanford Health Care Alliance 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. 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 Visits to a specialist without a PCP referral may be denied due to lack of referral. 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. 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. For questions, please visit our FAQ page. © Stanford University, Stanford, California 94305. 314 F.2d 405 - WOODS … If you are enrolled in the SHCA plan, SHCA provides services in the greater Bay Area only. 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. 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. Must use Aetna mail-order service. See all Hematologist-Oncologist office locations in Stanford that accept Aetna Choice POS II and doctor ratings. Insurance Contacts. Life & Accident Insurance; Voluntary Benefits; Traveling & Working Abroad; Eligibility & Enrollment; Retirement Savings . (This will cover prescriptions and medical expenses at 100% once the out-of-pocket maximum is met. 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. 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 contract will go into effect September 1, 2018. For questions related to claims and billing, or if you have received checks from Aetna, please contact the appropriate Customer Service Center listed below. Check the SHCA website for a list of in-network providers. Call (800) 549-3720, M-F, 9am to 4pm . The … Stanford Health Care – ValleyCare participates in the following health plans. 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 … 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? 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. The new, three-year agreement includes Stanford Health Care and Stanford Children’s Health and their affiliated facilities. See contact info, read reviews. Learn More . 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. You may visit any SHCA network doctor or hospital. SHCA is a separate, regional network of providers and facilities in the Bay Area. Aetna Choice POS II. 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. “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. To learn more about SHCA Emergency Care benefit: Call SHCA Member Care Services at 855-345-SHCA (7422). Click on the case name to see the full text of the citing case. User name Hints . 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. 2465 Faber Place, Palo Alto, CA 94304. Aetna Healthcare of California, Inc. HMO, PPO, EPO, POS, Medicare With the addition of Stanford Health Care, the Sutter Health | Aetna network now features two nationally recognized health care systems and access to a … Your user name stays the same, even if you change jobs or the type of insurance you have with us. Your user name is between 5 and 25 characters. Get free access to the complete judgment in AETNA INSURANCE COMPANY v. STANFORD on CaseMine. Aetna Aetna Concierge 1-888-922-3862 Group # 868026 All appointment times are … View Case; Cited Cases; Citing Case ; Citing Cases . Client's financial responsibility: You would be responsible for paying any deductible, copays and co-insurance. Exception:  Well-woman exams with an OB/GYN do not require a referral. Active employees and official retirees can use this tool to compare medical benefits, as well as plan costs. Please consult your insurance carrier's benefit plan for details of coverage by service. $3,500 per individual/$7,000 family This includes any specialist you are currently seeing for ongoing care or for new patient visits. Overview ; Start Saving for Retirement; Stanford Contributory Retirement Plan; Prepare to Retire; Workshops & Guidance; Retirement Contacts; Living Well in Retirement; WorkLife . 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. Looking for an independent Aetna insurance agent in Washington? Call (800) 794-3720, M-F, 8am to 5pm . $10 generic; $40 brand name; $100 non-formulary -- up to a 30-day supply Contact SHCA to locate an approved facility for non-emergency/non-life threatening medical services. 2465 Faber Place, Palo Alto, CA 94304. Facts about Stanford Health Care insurance negotiations with Aetna. advocate children's hospital park ridge; advocate christ medical center; advocate illinois masonic medical center; akron children's hospital; alameda hospital; alhambra hospital m Payment Information. 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. 1. 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. 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. Learn more about traveling outside the U.S. Cigna Short-Term Assignment International Plan. If you have an HMO plan: Stanford Health Care is in-network for hospital and specialist physician services only. Doctor.com can help you find a doctor who accepts Aetna insurance in California. Stanford Health Care. Visits to a specialist require a referral from your designated PCP. While Aetna provides administrative support for the SHCA plan, members do not access the Aetna network. 1959) case opinion from the U.S. Court of … 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). The SHCA plan requires you designate a primary care provider (PCP) to coordinate your care. Find 1 Female Allergist near Stanford, CA who accepts Aetna insurance at MD.com. Your online destination for all employee-related information brought to you by University Human Resources. Find Aetna Doctors in Stamford, Connecticut & make an appointment online instantly! aetna stanford alliance If you choose to remain in SHCA, you receive no coverage for routine services outside the service area. 301 F.2d 807 - AETNA INSURANCE COMPANY v. PADDOCK, United States Court of Appeals Fifth Circuit. Aetna limits all sessions, including initial session to 50 minutes. 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. Zocdoc helps you find Doctors in Stanford and other locations with verified patient reviews and appointment availability that accept Aetna and other insurances. SHCA provides “Emergency Care” coverage anywhere you may experience an emergency that is life threatening in nature. Stanford Health Care and Stanford Children’s Health have reached a new, three-year contract agreement with Aetna. 1959) This opinion cites 11 opinions. Find a Hematologist-Oncologist who accepts Aetna Choice POS II near you in Stanford, CA. AETNA INSURANCE COMPANY v. STANFORD Email | Print | Comments (0) No. The new, three-year agreement includes Stanford Health Care and Stanford Children’s Health and their affiliated facilities. See contact info, read reviews, and request an appointment online with one doctor. Although your plan may be listed below Stanford Health Care – ValleyCare may not be contracted for ALL services. See reviews, photos, directions, phone numbers and more for Aetna Insurance locations in Stanford, KY. 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. Find 422 listings related to Aetna Insurance in Stanford on YP.com. What is Cardinal at Work?Helpful Website Tips. 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.. 17637. from Stanford Insurance Services. Listed below are those cases in which this Featured Case is cited.