A connected team for your best health
With the Stanford Health Care Alliance (SHCA) network, you have access to over 700 primary care doctors and pediatricians across 100+ Bay Area locations and over 2,700 uniquely qualified specialists from Stanford Medicine and its affiliated network throughout the region.
NEW
Stanford Medicine Partners
2024 Plan Information
Same plans, same doctors, new member experience
Lucile Packard Children’s Hospital Stanford
Stanford Health Care
Best practices to navigate your care
The Stanford Health Care
Alliance medical plan for:
Lucile Packard Children’s Hospital Stanford
Packard Children’s Health Alliance
Stanford Health Care
Stanford Health Care Tri-Valley
Stanford Medicine Partners
Stanford University Postdoctoral Scholars
Convenient care where you live and work
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 Stanford Health Care Tri-Valley, Lucile Packard Children’s Hospital Stanford, Packard Children’s Health Alliance, and select providers from Aetna’s network). In the event of a medical emergency, your care will be covered at any hospital.
The interactive map below is a snapshot of the SHCA network. Download this map and quick reference guide for a listing of key practices and locations. Many more in-network provider options are available in Stanford Health Care Alliance’s network directory found here:
Featured Providers
John Wuchenich, MD
Internal Medicine
Stanford Primary Care in Palo Alto
Tianna Sheih, MD
Family Medicine
Stanford Primary Care in Palo Alto
Mekhla Varma, MD
Pediatrics
South Bascom Pediatrics
You will be directed to an external provider directory facilitated by the plan's administrator (Aetna).
Dedicated Member Care Services
and Care Management
HAVE QUESTIONS OR NEED HELP?
As you are considering the plan and even after you enroll, Member Care Services is there to support you and:
- Answer questions about the plan
- Provide help at any point of your care experience
- Help find a personal doctor (primary care physician)
- Link you to specialized services and resources
- Connect you to a librarian at the Stanford Health Library for a customized search of any medical or health-related questions
READY TO ENROLL?
Need to transition care?
We understand there are times when you need to finish treatment with a particular provider outside the plan. Member Care Services can help you transition care >>
Need help managing your care?
Have you received a new diagnosis, wish you could manage a chronic condition better, or find it hard to coordinate your care?
Learn more about our Care Management support >>
Manage Your Care with MyHealth
With MyHealth you have instant and secure access to your health information. Get your lab results, make and manage appointments, communicate with your care team, and more.
Learn more about video visits »
Choose Stanford Health Care Alliance (SHCA) during your open enrollment period at work or when making your benefit elections as a new hire. If you need help finding a doctor or have general questions about the plan, call Member Care Services at 1-855-345-7422.
If you join during open enrollment, your ID card will arrive before the plan starts on January 1. If you enroll during the year as a new hire, you will typically receive your ID card 7 to 10 business days after your enrollment has been processed. If you need services before then, please call Member Care Services at 1-855-345-7422.
You can also print a temporary ID card by logging on to aetna.com/about-us/login.html. Aetna issues the SHCA member ID cards. You will need to register with your SHCA Member ID number.
No, it is not required to designate a primary care doctor when enrolling. If you need help finding a doctor or have general questions about the plan, call Member Care Services at 1-855-345-7422.
Premiums, copays, coinsurances, and deductibles vary by employer—please consult the comparison charts in the open enrollment information provided by your benefits department.
If you have other coverage besides Stanford Health Care Alliance, please contact Member Care Services with your other plan’s information. We will update your eligibility records and review if and how any coordination of benefits may be applied.
Stanford Health Care Alliance requires proof of disability to enroll dependents over age 26 on a parent’s health plan. Member Care Services can assist with this process.
By choosing an SHCA physician as your personal doctor, you have a dedicated care partner. Your personal doctor will collaborate and consult with other providers for all your care needs—from routine through specialty care. It is recommended that you choose a personal doctor within 90 days pf when your membership becomes active.
If you are undergoing certain treatments or need more time after your initial enrollment to switch doctors, you can request a short-term extension through the Transition of Care process.
Yes. In an emergency, call 911 or go to the nearest emergency room no matter where you are. As long as it’s an emergency, you are only responsible for a copay. Any follow-up care must come from one of the current in-network doctors in the plan.
Stanford Walk-In Clinic and Express Care Clinics are open daily with same-day appointments available for minor injuries and illnesses. In addition, the plan includes a wide range of urgent care centers across the Bay Area and beyond.
For emergencies, you get access to any emergency room—anytime, anywhere. Member Care Services can help you locate urgent care services when you are traveling in the United States.
Yes, many hospitals across the Bay Area participate in the plan. To find in-network hospitals:
• Call Member Care Services at 1-855-345-7422
You have access to a wide range of laboratory, therapeutic, diagnostic, and supplementary services, including physical therapy, occupational therapy, speech therapy, radiology, MRI, and more.
Your treating provider will submit prior authorization requests, when necessary. Prior authorization is required for certain tests and procedures that may be recommended by your physician. To find out which services require prior authorization, contact Member Care Services.
The care you receive from our providers is tracked and coordinated using an electronic medical record system. As a member of SHCA, you have access to your records through the MyHealth portal. You can also request shared access to medical records for another adult and for children aged 17 and under.
Member Care Services can help transfer your medical records to your new SHCA doctor. Plus, easy transfer of your medical records is possible through the connected system between Stanford Health Care and most of our in-network hospitals.
Yes, preventive care such as routine exams, well-woman visits, and related lab work is covered at no cost when you see an in-network provider. Please contact Member Care Services for detailed information on covered preventive services and frequency limitations.
The prescription drug benefit has a list of covered medications, also known as a formulary. The amount you pay may vary based on the prescription type—generic, preferred, or nonpreferred. Some prescription drugs may require prior authorization or alternative medications.
Yes, most prescriptions are eligible for 90-day refills, with free shipping to your home or office.