Jul 08, 2024
The Stanford Health Care hospitals and facilities contract with Blue Shield ended on June 28, 2024. Despite many months of good faith negotiations with Stanford Health, Blue Shield has not been able to reach a reasonable agreement on reimbursement rates and contractual terms that are beneficial for both parties and keep care sustainably affordable for members.
Blue Shield is notifying impacted members, as is required, regarding this network change:
Impacted HMO and PPO Individual and Family Plan, Small Business, and Large Group members; those who have received care in the last 12 months and/or PPO members within a 15-mile radius of an Stanford Health facility. Notification sent five days post contract termination (July 3, 2024). Sample member letters.
Please see list of the nearest alternate facilities (These all have pediatric and/or NICU services, unless otherwise noted):
- El Camino Health
- Good Samaritan Hospital
- Mills-Pen Medical Center
- O’Connor Hospital
- Regional Medical Center of San Jose (NO pediatric and/or NICU services)
- Santa Clara Valley Medical Center UCSF Medical Center and
- UCSF Benioff Children's Hospital – Oakland (37 miles from Lucille Packard Children’s Hospital)
Blue Shield has taken steps to ensure members will continue to have uninterrupted access to quality medical care in their area. Blue Shield has an extensive hospital network that is available to serve members who previously received care through the Stanford Health Care hospitals and facilities. Blue Shield will work with their providers and members to ensure a smooth transition.
Blue Shield will continue to act consistently with their not-for-profit mission of providing access to quality health care that is sustainably affordable. Blue Shield seeks financial arrangements with providers that are sufficient to cover their cost of providing health care, provide them with a fair margin and ability to offer competitively priced coverage to employers and members.
Members can use the Find a Doctor tool to search other facilities and hospitals or call the Member Services number on their Blue Shield member ID card for assistance.
