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Financial Assistance and Insurance Information

Financial Assistance

There are a variety of financial assistance options available if you are uninsured or underinsured. We will assist you in determining if you qualify for financial assistance or if there are programs available that may help pay for your medical services. Additional information and/or a statement of charges for services rendered by the hospital/physician may be obtained by calling the number listed below.

  • Please notify us if the patient has health insurance coverage, Medicare, Healthy Families, Medi-Cal, or other coverage.
  • If the patient does not have health insurance coverage, he or she may be eligible for Medicare, Healthy Families, Medi-Cal, California’s Children’s Services, or charity care.
  • Patients may obtain applications for the Medi-Cal program and the Healthy Families Program by calling the customer service number listed below. If the patient does not indicate coverage by a third-party payer or requests a discounted price or charity care, the hospital will provide these applications prior to discharge for inpatients or to patients receiving emergency or outpatient care.
  • Financial assistance applications ( English / Spanish PDF) are available in all clinics, Patient Admitting areas, Stanford Children’s Health Patient Relations department, and our website or by phoning Customer Service at (800) 308-3285. Once we receive your completed and signed application we will review the information to determine what assistance may be available to you and notify you of the outcome within 10 business days.
  • Patients who qualify may receive assistance with hospital bills for services provided by Stanford Children’s Health and physician bills for physicians employed by Stanford University. Services may include inpatient and outpatient care, emergency services, co-pay and deductible amounts, non-covered charges, denied days and stays, and other special circumstances. Elective services may be covered for patients in the communities we serve if those services are determined to be medically necessary by the Stanford Children’s Health or Medical Staff and/or when the provision of services supports the teaching and research missions of the institution.
  • If the patient lacks, or has inadequate, insurance, and meets certain low-or moderate-income requirements, the patient may qualify for discounted payment or charity care.

Customer Service

State and federal law require debt collectors to treat you fairly and prohibit debt collectors from making false statements or threats of violence, using obscene or profane language, and making improper communications with third parties, including your employer. Except under unusual circumstances, debt collectors may not contact you before 8am or after 9pm. In general, a debt collector may not give information about your debt to another person, other than your attorney or spouse. A debt collector may contact another person to confirm your location or to enforce a judgment. For more information about debt collection activities, you may contact the Federal Trade Commission by telephone at 1-877-FTC-HELP (382-4357) or online at www.ftc.gov. Nonprofit credit counseling services may be available in the area.

Insurance Information

We contract with various Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO). We also participate in government programs such as Medicare and Medi-Cal.

For questions about Covered California, please visit their website or call 1-800-300-1506.

Always check with your health plan to confirm participation. For assistance choosing a physician, please call the Lucile Packard Children's Hospital Stanford Referral line at (888) 275-5724. Click the health plan name below to visit their website.

Active for Calendar Year 2016 (Non-Individual Plans)

*Cigna HMO members may choose select Stanford Children's Health physicians as their primary care physician (PCP).

*Health Plan of San Mateo and Valley Health Plan members may choose select Stanford Children's Health physicians as their primary care physician (PCP) upon approval from the health plan.

Individual and Covered California Plans Active for Calendar Year 2016

We are contracted and in-network with the following individual plans available for purchase directly from health plans or through the Covered California Exchange