Note: We make every effort to keep this list as accurate as we can for our larger health plans. Even so, it is possible that not every health plan and circumstance is addressed here. You can obtain the most accurate and timely information by calling your health plan or employer benefits department and confirming your coverage level when choosing a Camino Medical Group physician.

Last updated: September 15, 2008

HMO/POS Plans

• Aetna Choice POS & Choice II POS
  
• Aetna Elect Choice POS
  
• Aetna Health Fund HMO
  
• Aetna HMO
  
• Aetna Managed Choice POS
  
• Aetna POS
  
• Aetna Quality Point of Service (QPOS)
  
• Aetna USAccess
  
  
• Anthem Blue Cross HMO
  (Currently in negotiations for 2009 Renewals.)
  (formerly Blue Cross of California HMO/California Care)
  
  
• Blue Shield Access+ HMO
  
• Blue Shield Access+ HMO/EPO CalPers
  
• Blue Shield POS
  
  
• Cigna Commercial HMO/POS
  (Currently in negotiations for 2009 Renewals.)
  
• Cigna Network HMO/POS
  (Currently in negotiations for 2009 Renewals.)
  
  
• Health Net Elect Open Access POS
  
• Health Net Elect POS
  
• Health Net HMO
  
• Health Net Select POS
  
  
• PacifiCare Signature Value (HMO)
  (Currently in negotiations for 2009 Renewals.)
  
• PacifiCare Signature Value Advantage HMO
  (Currently in negotiations for 2009 Renewals.)
  
• PacifiCare Signature POS
  (Currently in negotiations for 2009 Renewals.)
  
  
• United Healthcare POS
  (Currently in negotiations for 2009 Renewals.)

Medicare HMO Plans

• Health Net Seniority Plus
  
• Secure Horizons

PPOs/Other Plans

• Aetna Health Fund
  
• Aetna Open Access Elect Choice
  
• Aetna Open Access Managed Choice
  
• Aetna Open Choice
  
• Aetna National Advantage Plan (NAP)
  
• Aetna Traditional Choice
  
  
• Anthem Blue Cross BlueCard
  (Currently in negotiations for 2009 Renewals.)
  
• Anthem Blue Cross Freedom Blue Regional PPO
  (Currently in negotiations for 2009 Renewals.)
  
• Anthem Blue Cross Indemnity
  (Currently in negotiations for 2009 Renewals.)
  
• Anthem Blue Cross Power Care Advocate PPO
  (Currently in negotiations for 2009 Renewals.)
  
• Anthem Blue Cross Power Health Fund PPO
  (Currently in negotiations for 2009 Renewals.)
  
• Anthem Blue Cross PPO (Prudent Buyer Plan)
  (Currently in negotiations for 2009 Renewals.)
  
  
• Blue Shield BlueCard
  
• Blue Shield Indemnity
  
• Blue Shield PPO
  
  
• Cigna EPO
  (Currently in negotiations for 2009 Renewals.)
  
• Cigna Indemnity
  (Currently in negotiations for 2009 Renewals.)
  
• Cigna Open Access Plus
  (Currently in negotiations for 2009 Renewals.)
  
• Cigna PPO
  (Currently in negotiations for 2009 Renewals.)
  
  
• First Health PPO
  
  
• Health Net Options PPO
  
• Health Net Quick Net PPO
  
  
• Interplan PPO
  
  
• Great West Healthcare
  
  
• Multiplan PPO
  
  
• PacifiCare Signature Freedom
  (Currently in negotiations for 2009 Renewals.)
  
• PacifiCare Signature Independence
  (Currently in negotiations for 2009 Renewals.)
  
• PacifiCare Signature Options PPO
  (Currently in negotiations for 2009 Renewals.)
  
• PacifiCare Signature Value Access (EPO)
  (Currently in negotiations for 2009 Renewals.)
  
  
• Physicians Foundation for Medical Care PPO
  
  
• SutterSelect PPO and EPO
  
  
• United Healthcare Choice & Choice Plus
  (Currently in negotiations for 2009 Renewals.)
  
• United Healthcare Definity Health
  (Currently in negotiations for 2009 Renewals.)
  
• United Healthcare EPO
  (Currently in negotiations for 2009 Renewals.)
  
• United Healthcare Options PPO
  (Currently in negotiations for 2009 Renewals.)
  
  
• Viant (formerly Beech Street)

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Special note for POS, PPO, and indemnity plans not listed:

You always have a choice of seeing a physician who is not listed in the PPO or POS directory. A copay and/or deductible may apply. Consult your benefits summary for details.

For questions about which insurance plans CMG accepts, call Patient Resource at 650-934-7080.

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For a copy of clinical criteria or for a copy of the CMG Utilization Management Affirmative Statement about Incentives, please send your request in writing, or by telephone to:

Camino Medical Group
Managed Care Department
P.O. Box 3758
Sunnyvale, CA 94088-3758
Phone: 408-523-3132

Camino Medical Group's utilization management decision-making is based on appropriateness of care and service. There is no compensation to practioners or individuals who deny services, and financial incentives are not used to encourage inappropriate under-utilization. Specific utilization criteria will be made available upon request to any Camino Medical Group patient by calling our Managed Care Department at 408-523-3132. Collect calls are accepted during normal business hours of 8 a.m. to 5 p.m.

Additional Information

Your health plan may have a specific process for seeing a specialist. Many health plans require your primary care physician to refer you to a specialist, while others allow you to self-refer. Before making an appointment with a specialist, please check with your health plan to ensure the visit will be covered.

Last reviewed: August 2008