Blue Shield of California Small Business Market Update Stanford Health Care Hospitals and Facilities

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, they have 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 our members.

They are 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 - will be notified 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. They work with our providers and members to ensure a smooth transition.

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.