To be eligible for CalPERS, members and their beneficiaries must meet certain requirements related to State employment. Find out if you’re eligible for CalPERS.
Stanford Health Care is in-network with most of the health plans that CalPERS offer their employees.
If you have an HMO plan: Stanford Health Care is in-network for hospital and specialist physician services only. You would not be able to select a Stanford Health Care physician as your primary care physician.
In order to be seen at Stanford Health Care, your primary care physician or specialist physician would need to refer you, and your medical group or health plan would need to authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
If you have an HMO plan: Stanford Health Care is in-network for hospital and specialist physician services only. You would not be able to select a Stanford Health Care physician as your primary care physician.
In order to be seen at Stanford Health Care, your primary care physician or specialist physician would need to refer you and your medical group or health plan would need to authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for all hospital and physician services. This includes specialist and primary care physician services.
If you have an HMO plan: Stanford Health Care is in-network for hospital and specialist physician services only. You would not be able to select a Stanford Health Care physician as your primary care physician.
In order to be seen at Stanford Health Care, your primary care physician or specialist physician would need to refer you and your medical group or health plan would need to authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
Kaiser 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 and considered in-network at Stanford Health Care. You would not be able to select a Stanford Health Care physician as your primary care physician.
If you have an HMO plan: Stanford Health Care is in-network for hospital and specialist physician services only. You would not be able to select a Stanford Health Care physician as your primary care physician.
In order to be seen at Stanford Health Care, your primary care physician or specialist physician would need to refer you and your medical group or health plan would need to authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
If you have an HMO plan: Stanford Health Care is in-network for hospital and specialist physician services only. You would not be able to select a Stanford Health Care physician as your primary care physician.
In order to be seen at Stanford Health Care, your primary care physician or specialist physician would need to refer you and your medical group or health plan would need to authorize all services provided at Stanford Health Care or by Stanford Health Care physicians.
If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services.
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: 844-498-2900
Mon. – Fri., 8 a.m. – 5 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