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