Insurance
Plans


Los Olivos Contracted Insurance Plans

Our current contracts include: Aetna PPO and EPO, Beech Street PPO, Anthem Blue Cross PPO Group Plans and grandfathered plans, Blue Shield PPO Group Plans and grandfathered plans, Choicecare, CIGNA PPO and OAP, Coastal Healthcare (Northern California Foundation for Medical Care), First Health, Health Net PPO and EPO, Interplan, Medicare, MultiPlan, Pacific Health Alliance, PacifiCare PPO, PHCS (Private Health Care Systems), and United Healthcare PPO and EPO.

We are participating with the Health Net Covered California PPO plan only. We are not participating with any other Covered California plan at this time. If you have one of these plans, it will be treated an out of network and the office may discount services for your appointment. Laboratory testing should still be covered by your insurance.

If you have an HMO, you must have a primary care physician within the Affinity network to be able to see a Los Olivos physician. To switch to an Affinity primary care, call your the member services number listed on the back of your insurance card. This is a list of primary care physicians within the Stanford network. Good Samaritan Hospital, Los Gatos Surgical Center and Silicon Valley Surgery Center have contracts with the HMO plans.

If you have a PPO that is currently non-contracted, you may still see any physician of your choice. We will bill your insurance for you.  Your insurance will pay according to the "out-of-network" rate. You will be responsible for your "co-pay" as well as the difference between the contracted rate and the Los Olivos fee. Check with your Human Resources Department or in your insurance booklet to determine your rights as a patient.

As of July 1st, 2015, Los Olivos partnered with Stanford Health Care. If you have billing questions for dates of service July 1st, 2015 going forward, please call University HealthCare Alliance customer service at 888-924-1036. Their office hours are M-F 9am to 4pm. Please mail your payment to University HealthCare Alliance, P.O. BOX 742244, Los Angeles, CA 90074-2244. If you have billing questions for dates of service prior to July 1st, 2015, please call Debbie at 408-358-4845 M-F 8am to 5pm. Please mail your payment for dates of service prior to July 1st, 2015 to Los Olivos Women’s Medical Group, P.O. BOX 14000, Belfast, ME 04915-4033.

 

Click the appropriate link for information about insurance terms and definitions, directions for reimbursement for non-contracted insurance plans.