Welcome to INSURANCE CENTER HELPLINE – Your Trusted Partner

 Selecting the right health plan is a big decision—we’re here to help. 

Open Enrollment is your opportunity to review and choose the coverage that fits your needs. From Nov. 1, 2024, through Jan. 31, 2025, you can select a plan for coverage starting in 2025. 

Please reach out to us and we can provide a side by side personalized rate guide. 

If you would like to apply for one of the Sutter Health Plans, we can help you complete and submit your application.

The Sutter Health network in Northern California offers access to a diverse and expansive group of doctors and healthcare providers, ensuring patients can receive high-quality, coordinated care across various specialties and locations. Covering urban, suburban, and rural areas, the network includes over 5,000 primary care physicians and specialists, along with 24 hospitals and more than 200 clinics. This extensive reach allows patients to conveniently access preventive, routine, and specialized medical services close to home.

Sutter Health physicians collaborate across disciplines, enabling a comprehensive approach to patient health. The network includes providers within Sutter’s Medical Foundations, such as Palo Alto Medical Foundation, Sutter Medical Foundation, and Sutter East Bay Medical Foundation, creating a seamless experience across different care settings. With access to innovative treatments, advanced technology, and a commitment to compassionate care, Sutter Health’s network of doctors in Northern California aims to meet the diverse healthcare needs of the communities it serves.

 Search Sutter Health Plus network of doctors, hospitals and other healthcare providers by location, specialty and more! 

Get the care you need when you need it. Choose from video visits, Sutter Walk-In Care, and urgent care.

Acupuncture and Chiropractic Benefits are provided by ACN Group of California (800) 428-6337. Optional acupuncture or chiropractic (or both) services are available for small and large group members when elected by the employer.

Refer to the Sutter Health Plus Evidence of Coverage and Disclosure Form for information regarding your acupuncture or chiropractic benefits.

External links to the ACN Group of California, OptumHealth website are provided for your convenience. Please select the Sutter Health Plus plan when searching for providers.

On this site you can find information on finding a provider and preventive health education.

Behavioral Health benefits are provided by U.S. Behavioral Health Plan, California (USBHPC) (855) 202-0984. Members have access to mental health and substance use disorder (MH/SUD) treatment services through USBHPC. Members do not need a referral from their primary care physician and can search for providers directly through USBHPC.

USBHPC uses clinical criteria based on sound clinical evidence to make coverage decisions for behavioral health services. Members can access the clinical criteria and training resources for its use on the USBHPC website. Select Clinical Criteria under the Resources heading at the bottom of the page. Members can also call USBHPC at (855) 202-0984 to request the actual criteria used to make certain coverage decisions.

Refer to the Sutter Health Plus Evidence of Coverage and Disclosure Form for additional information regarding USBHPC and your MH/SUD benefits.

Disclaimer from Sutter Health::

When you join Sutter Health Plus, you will choose a primary care physician (PCP). Your PCP provides most of your primary health care and coordinates care you may need from other providers. Your PCP will refer you as needed to providers for specialty care, X-ray, laboratory and other medical services. If you do not choose a PCP, we will assign one to you within a 15 mile radius from your residential address. When you choose your PCP, you are also selecting a medical group.

Many covered services, including visits to a specialist, require a referral or prior authorization from your medical group. Your PCP will make referrals to specialists within the same medical group. If you know you need specialty care and have a specific specialist in mind, check the directory to see what medical group the specialist is in. In certain situations, a specialist in the Sutter Health Plus network that is outside your medical group may also be available by referral. Make sure you choose your PCP within that medical group.

You can access emergency and urgent care when you need it from any facility, in or out of the Sutter Health Plus network, without a referral.

Please call Member Services weekdays, 8:00 am – 7:00 pm at (855) 315-5800 or contact us with any questions regarding the provider locator results.

View information on the Sutter Health Plus provider verification process.

If you would like to request a printed copy of the provider directory or report an inaccuracy in the data, please call Member Services weekdays, 8:00 am – 7:00 pm at (855) 315-5800, contact us or email SHPMemberServices@sutterhealth.org.

To request a printed copy of the provider directory by mail, please mail your request to:

Sutter Health Plus
Attn: Provider Directory Request
P.O. Box 160307
Sacramento, CA 95833

Please be advised, you do not need to be a Sutter Health Plus member to request a provider directory or report an inaccuracy in the data.

PLEASE NOTE: Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. You should obtain more information before you enroll. Call your prospective doctor, medical group, independent practice association or clinic, or call Member Services weekdays, 8:00 am – 7:00 pm at (855) 315-5800 to ensure that you can obtain the health care services that you need.