Stanford Hospital Medicare Coverage: What You Need To Know

Stanford Health Care is contracted with most major health insurance carriers and various Medicare health plan options. However, it is important to note that health benefit coverage can vary depending on the insurance plan or employer group. Patients are generally responsible for ensuring that their providers are in-network, as this can impact the financial cost of treatment. Stanford Health Care offers financial counselling to help patients understand their insurance coverage and navigate the financial aspects of receiving care at their facilities.

Stanford Health Care contracts with various Medicare health plans

Stanford Health Care is committed to providing a wide range of high-quality health and wellness services to its patients and their loved ones. The hospital works with most major health insurance carriers, including various Medicare health plans.

Medicare is a type of health insurance that typically contracts with medical providers to create a network of participating providers. These in-network providers offer higher benefit coverage than out-of-network providers, making it more affordable for patients. Stanford Health Care is part of the Medicare network, ensuring that patients with Medicare coverage can access their services.

However, it is important to note that insurance coverage for behavioural health services may differ from medical treatment coverage. Stanford Health Care offers behavioural health services, and their benefits specialists will help determine your coverage and network of providers for these services. They recommend that patients understand their ongoing benefit coverage, as insurance companies, benefits, and network restrictions can change over time.

To confirm your coverage at Stanford Health Care, you can refer to your insurance plan or contact your insurance provider directly. You may be asked for Stanford Health Care's group NPI or Tax ID to verify their status within your insurance network. Additionally, Stanford Medicine Children's Health provides insurance coverage information for children, with separate NPI and Tax IDs for physicians and hospitals.

In summary, Stanford Health Care accepts various Medicare health plans, but it is always advisable to verify your specific insurance coverage before seeking treatment to ensure you understand your financial responsibility.

Stanford Medicine Children's Health insurance coverage

Stanford Medicine Children's Health is a network exclusively dedicated to pediatric and obstetric care. The coverage for your child's care at Stanford Medicine Children's Health is determined by your insurance company and the provisions of your specific plan.

Stanford Medicine Children's Health is partnered with Included Health, which provides second opinions through an online platform. Stanford also offers comprehensive classes for parents, children, caregivers, and healthcare professionals.

Stanford Health Care is contracted with most major health insurance carriers, including Medicare, employer-sponsored insurance plans, and Covered California. However, it is important to note that your insurance plan might cover your medical treatment but not behavioural health services. This could be the case even if your behavioural health issues are related to your medical treatment.

To verify if Stanford Health Care is in-network for your plan, you can check your plan in the appropriate insurance category. You may also contact your insurance provider directly to confirm Stanford Health Care's status. They may ask for the group NPI or Tax ID. If you are a patient at Stanford Children's Health, you will need to visit Stanford Medicine Children's Health for insurance coverage.

If you require behavioural health coverage at Stanford Health Care, financial counselors and benefits specialists can help you understand your insurance coverage. They will determine your behavioural health coverage and associated network of providers and discuss any limitations before scheduling a New Patient Visit.

Stanford Health Care Tri-Valley insurance coverage

Stanford Health Care Tri-Valley is a 167-bed hospital facility located in Pleasanton, California. It provides the Tri-Valley and East Bay region with patient-centred community medicine, coupled with innovative Stanford Medicine programs. Stanford Health Care Tri-Valley is dedicated to bringing new treatments, services, and facilities to the Tri-Valley community and beyond.

Stanford Health Care Tri-Valley accepts most insurance plans. However, it is important to note that insurance plans may have different provider or medical facility restrictions for behavioural health services compared to medical care. As a result, your insurance plan might cover your medical treatment at Stanford Health Care Tri-Valley, but it may not cover behavioural health services. This is true even if your behavioural health issues are entirely related to your medical treatment.

If you are seeking behavioural health services at Stanford Health Care Tri-Valley, it is recommended that you determine the extent of your coverage or any out-of-pocket costs before receiving care. You can contact Stanford Health Care's financial counselling services to help you understand your insurance coverage and navigate the financial component of receiving care.

To verify if Stanford Health Care Tri-Valley is in-network for your specific insurance plan, you can look for your plan in the appropriate insurance category on their website. Alternatively, you may contact your insurance provider directly to confirm their status.

Behavioural health services at Stanford Health Care

Stanford Health Care is contracted with most major health insurance carriers. However, it is important to note that coverage for your care is determined by your insurance company and the specific provisions of your plan. Therefore, it is recommended to verify with your insurance provider directly to confirm Stanford Health Care's status and ensure that your plan covers behavioural health services.

The Psychiatry and Behavioral Sciences Clinic at Stanford Health Care provides both inpatient and outpatient services. The Inpatient Psychiatry Unit offers leading-edge consultation and therapies, while the outpatient services are delivered through specialty clinics covering a range of disorders affecting patients of all ages. These specialty clinics include the Outpatient Psychiatry Clinic, which provides comprehensive psychiatric and psychological services.

As a patient at Stanford Health Care, you have access to various tools and resources to manage your care. You can utilise the MyHealth platform to access your health information, message your clinic, view lab results, schedule appointments, and pay your bills. Additionally, Stanford Health Care provides comprehensive services to refer and track patients, as well as offering financial counselling to help navigate the financial aspects of receiving care.

It is important to understand your ongoing benefit coverage, as the number of visits covered for counselling or behavioural health services may vary. Stanford Health Care's benefits specialists will work with you to determine your behavioural health coverage and associated network of providers, discussing any limitations before scheduling a New Patient Visit. For urgent or life-threatening mental health needs, it is advised to call 911 or visit the nearest hospital emergency department.

Stanford Health Care's status with insurance providers

Stanford Health Care is contracted with most major health insurance carriers. However, the coverage provided for your care is determined by your insurance company and is based on the provisions of your specific plan.

If you are a UHA patient, you should visit University HealthCare Alliance, dba Stanford Medicine Partners for insurance coverage. If you or your child is a patient at Stanford Children's Health, you should visit Stanford Medicine Children's Health for insurance coverage. Stanford Health Care Tri-Valley patients should visit Stanford Health Care Tri-Valley.

If you have behavioural health coverage, your insurance plan might cover your medical treatment at Stanford Health Care but not behavioural health services. This could be the case even if your behavioural health issues are entirely related to your medical treatment. Stanford Health Care benefits specialists will determine your behavioural health coverage and associated network of providers and will discuss any limitations prior to scheduling a New Patient Visit.

Stanford Health Care contracts with various Medicare health plan options. To verify Stanford Health Care's in-network status for your plan, you can look for your plan in the appropriate insurance category on the Stanford Health Care website. You may also want to contact your insurance provider directly to confirm Stanford Health Care's status.

Frequently asked questions