Major Insurance Plans Contracted with Santa Cruz Medical Foundation

Santa Cruz Medical Foundation makes every effort to keep this list as accurate as possible.

Contact your health plan or employer benefits department to confirm your eligibility and coverage level.

HMO (Health Maintenance Organization)

• Aetna HMO
  
  
• Blue Shield CalPERS HMO only
  
  
• Cigna HMO
  
  
• HealthNet HMO
  
• HealthNet Seniority Plus (Medicare Advantage)
  
  
• PacifiCare HMO
  
  
• Secure Horizons by United HealthCare, formerly PacifiCare (Medicare Advantage)

To change your medical group and/or your primary care provider, contact the HMO health plan directly.

Your health plan may have a specific process for seeing a specialist. Many health plans require your primary care physician to refer you to a specialist, while others allow you to self-refer. Before making an appointment with a specialist, please check with your health plan to ensure the visit will be covered.

Medicare

• Blue Cross Freedom Blue Medicare RPPO
  
  
• HealthNet Seniority Plus (Medicare Advantage)
  
  
• Secure Horizons by United HealthCare formerly PacifiCare (Medicare Advantage)
  
  
• Traditional Medicare (Existing patients and family members until reassessment, Spring 2007)

For your convenience, we have added links to the Official U.S. Government Site for patients with Medicare:

• Medicare: Frequently Asked Questions
  
• Choosing the right Medicare Prescription Drug Plan

POS, PPO, Other Plans

For POS, PPO, and indemnity plans not listed, you have a choice of seeing a physician who is not listed in the PPO or POS directory. A co-pay and/or deductible may apply. Consult your benefits summary for details.

Patients should confirm with their employer's benefits department if Santa Cruz Medical Foundation is a preferred provider.

• Aetna PPO, EPO, POS
  
  
• Beech Street
  
  
• Blue Cross Prudent Buyer Plan (Blue Cross PPO)
  
  
• Blue Shield PPO and Blue Shield Select PPO
  
  
• Coastal Healthcare Administrators (Foundation for Medical Care)
  
  
• Community Health Plan of Monterey/Santa Cruz
  
  
• First Health (now includes CCN)
  
  
• The Guardian (Coastal Healthcare Administrators)
  
  
• Interplan PPO, EPO
  
  
• Multiplan PPO
  
  
• Sutter Select EPO/PPO Plans
  
  
• United Agricultural Benefit Trust
  
• United Healthcare PPO, EPO
  
  
• Blue Cross Healthy Families
  
• Blue Cross Freedom Blue Medicare RPPO
  
  
• Central Coast Alliance for Health, Healthy Families Program
  
  
• Cigna PPO
  
  
• Community Health Plan of Monterey/Santa Cruz County
  
  
• Great West/One Health Plan PPO (Direct with Great West)
  
  
• Hardencare/Sierra Health Services, Inc. (Interplan)
  
  
• HealthNet, PPO, POS (currently in negotiations for 2008 renewal)
  
  
• Home Life/Anthem(CMFC)
  
  
• PacifiCare PPO, POS
  
  
• Private Pay
  
  
• United Agricultural Benefit Trust
  
  
• United Healthcare PPO, EPO