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Stanford Health Care Hospitals No Longer in Blue Shield of California Provider Network

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Blue Shield of California has been working closely with Stanford Health Care to establish a new network agreement that supports sustainably affordable health care for individuals and employers. However, the nonprofit health plan and Stanford Health Care have been unable to come to an agreement at this time.

This means that effective June 29, 2024, Stanford Health Care facilities in Santa Clara and Alameda counties are no longer in-network for Blue Shield members. The hospitals include Stanford Health Care Medical Center, Lucile Packard Children’s Hospital and Stanford Health Care Tri-Valley. 

"Blue Shield recognizes the challenges of the rising cost of health care, and we negotiate on behalf of our members and customers to achieve our mutual goal of reasonably priced health coverage,” said Patty Gonzalez, vice president of Network Management at Blue Shield. “While we are disappointed we have not reached an agreement at this time, both parties continue to engage working toward a resolution to continue our long-standing network relationship.” 

Impacted members were notified this week. Blue Shield’s priority is to help ensure its members continue to have uninterrupted access to care with a network provider in their community. The health plan is working diligently with its customers, members and network providers to ensure a smooth transition. Blue Shield has an extensive hospital network in both Alameda and Santa Clara Counties that include the following facilities that are available to the health plan’s members. 

  • UCSF Benioff Children's Hospitals 
  • UCSF Medical Center 
  • El Camino Health 
  • Good Samaritan Hospital
  • O’Connor Hospital
  • Regional Medical Center of San Jose 
  • Santa Clara Valley Medical Center 
  • John Muir Health Care
  • Mills-Peninsula Medical Center 

For Blue Shield members currently in a course of treatment at a Stanford Health Care facility, they may have an option to continue receiving treatment. More information can be found here: Continuity of Care | Blue Shield of CA (blueshieldca.com). Members can also contact Blue Shield’s Customer Service Department through the number on the back of their member card. 

Blue Shield members who need emergency services should call 911 or seek care at the nearest emergency room. Blue Shield will provide the full emergency care level of benefits for these services, including if emergency services are provided at a Stanford Health Care facility. 

About Blue Shield of California

Blue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. The health plan is a tax paying, nonprofit, independent member of the Blue Shield Association with more than 4.8 million members, over 7,100 employees and more than $25 billion in annual revenue. Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. The company has contributed more than $77 million to the Blue Shield of California Foundation in the last three years to have an impact on California communities. For more news about Blue Shield of California, please visit news.blueshieldca.com. Or follow us on LinkedIn or Facebook.