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.

HMO/POS Plans

• Aetna U.S. Healthcare HMO
  
• Aetna U.S. Healthcare POS
  
• Aetna U.S. Healthcare QPOS
  
  
• Blue Cross - CaliforniaCare HMO
  
• Blue Cross - CaliforniaCare HMO
  
  
• Blue Shield HMO
  
• Blue Shield POS
  
  
• Cigna HMO
  
• Cigna POS
  
  
• HealthNet HMO
  
• HealthNet POS (Elect)
  
  
• Great West Healthcare HMO
  
• Great West Healthcare POS
  
  
• PacifiCare HMO
  
• PacifiCare HMO
  
• PacifiCare POS
  
• PacifiCare POS
  
  
• United Healthcare POS

Medicare HMO Plans

• HealthNet Seniority Plus
  
• Secure Horizons

PPOs/Other Plans

• Aetna U.S. Healthcare Access/Tradional Choice
  
• Aetna U.S. Healthcare PPO
  
• Aetna U.S. Healthcare EPO
  
  
• Beech Street PPO
  
  
• Blue Cross Prudent Buyer PPO
  
• Blue Cross Prudent Buyer PPO
  
• Blue Cross Freedom Blue
  
• Blue Cross Freedom Blue
  
  
• Blue Shield Preferred PPO
  
  
• Cigna PPO
  
  
• First Health PPO
  
  
• HealthNet PPO
  
• HealthNet Small Group (Select)
  
  
• Interplan PPO
  
  
• Great West Healthcare EPO
  
• Great West Healthcare PPO
  
  
• PacifiCare PPO
  
• PacifiCare PPO
  
  
• Physicians Foundation for Medical Care of Santa Clara County PPO
  
  
• SutterSelect PPO and EPO
  
  
• United Healthcare PPO
  
• United Healthcare EPO
  
• United Healthcare Choice Plus

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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: January 2008