Human Resources Benefits Unit

Sutter Health Plus

Sutter Health Plus, a not-for-profit HMO affiliated with Sutter Health, offers competitively priced health plans to individuals and employers in the greater Sacramento, Central Valley and Bay Area communities. When you choose Sutter Health Plus, you gain access to a high-quality provider SHP Logonetwork that includes many of Sutter Health’s nationally respected and recognized hospitals, doctors and other health care services—all at an affordable price. Plan coverage includes hospitalization, outpatient services, prescription drug coverage and no out-of-pocket cost preventive services, among others.

Take a moment to read about the Sutter Health Plus difference:
  • Competitively priced products that give members access to a network of providers
  • Convenient locations within our service area for primary care, specialty care, X-ray and diagnostic imaging, lab, hospital services, etc.
  • Mail-order pharmacy program as well as conveniently located retail pharmacies
  • My Health Online (not offered by all providers) to schedule appointments, email doctors, view test results and access your records
  • Coverage for emergency and urgent care anywhere in the world
  • Welcome calls to help new and returning members better understand medical benefits and coverage and assist in facilitating initial appointments
  • A 24/7 nurse advice triage line

Sutter Health Plus Premium Rates

Sutter Health Plus Plan Options

BenefitsFor Employees and Non-Medicare Retirees

Traditional HMO

Hospital Services DHMO

Deductible First HDHP

Additional Resources

See each plan for Summary of Benefits, Evidence of Coverage (EOC), and other plan documents

Visit the County of Sonoma webpage at www.sutterhealthplus.org/sonoma-county

Video Presentation (10:58 minutes)

Customer Service and Group Numbers

To learn more about Sutter Health Plus visit www.sutterhealthplus.org/sonoma-county or call (855) 325-5200.

For Employees

  • Traditional HMO ML42 Group #: 131802-000001
  • Hospital Services ML 21 DHMO Group #: 131802-000005
  • Deductible First HDHP HD01 Group #: 131802-000009

For Retirees

  • Traditional HMO ML42 Group #: 131802-000017
  • Hospital Services ML21 DHMO Group #: 131802-000007
  • Deductible First HDHP HD01 Group #: 131802-000011

Service Area

Bay Area

SHP Bay Area MapCounties include Alameda, Contra Costa, San Francisco, San Mateo and parts of Santa Clara and Sonoma

Physician Organizations

  • Brown & Toland Physicians
  • Mills-Peninsula Medical Group
  • Palo Alto Medical Foundation
  • Sutter East Bay Medical Foundation
  • Sutter Pacific Medical Foundation

Hospitals

  • Alta Bates Summit Medical Center (Berkeley and Oakland)
  • California Pacific Medical Center (San Francisco)
  • Eden Medical Center (Castro Valley)
  • El Camino Hospital (Los Gatos and Mountain View)
  • Menlo Park Surgical Hospital
  • Mills-Peninsula Medical Center (Burlingame and San Mateo)
  • Novato Community Hospital
  • Sequoia Hospital (Redwood City)
  • Sutter Delta Medical Center (Antioch)
  • Sutter Santa Rosa Regional Hospital

Valley Area

SHP Valley Area MapCounties include Sacramento, San Joaquin, Solano, Stanislaus, Yolo and parts of El Dorado, Placer and Sutter

Physician Organizations

  • Sutter Gould Medical Foundation
  • Sutter Independent Physicians
  • Sutter Medical Foundation

Hospitals

  • Dameron Hospital
  • Memorial Medical Center, Modesto
  • St. Joseph’s Medical Center
  • Sutter Auburn Faith Hospital
  • Sutter Davis Hospital
  • Sutter Medical Center, Sacramento
  • Sutter Roseville Medical Center
  • Sutter Solano Medical Center
  • Sutter Tracy Community Hospital

Member Benefits and Tools

My Health Online

A secure online tool that lets members:

  • Schedule appointments with primary care physicians
  • Request specialty appointments
  • View most test results
  • Send secure emails to physicians
  • Pay provider bills, copayments, check account balance—quickly and easily online

MyChart smartphone app offers the same personalized and convenient services on-the-go. My Health Online and MyChart are not offered by all providers.

Member Portal

A secure online portal that offers the ability to:

  • View, search and sort claims information
  • Download member ID cards and member forms
  • Review benefits, limits, deductibles and utilization against plan benefits
  • Review subscriber and dependent information

Provider Search Tool

Allows members to search for any of the following:

  • Physicians
  • Facilities and hospitals
  • Dentists
  • Behavioral health clinicians
  • Pharmacies
  • Eye care specialists

Nurse Advice Line:

Offers convenient access to a registered nurse 24/7 at 1 (855) 836-3500. Sutter Health Plus nurses use clinical protocols to provide education and guidance and can also help you schedule appointments.

Sutter Health Plus partners with a pharmacy benefit manager to specialize in the delivery, clinical management and affordability of prescription medications. For mental health, behavioral health and substance use disorder treatment services, we partner with US Behavioral Health Plan, California to help ensure member needs are addressed anywhere they occur in the health care continuum.

Summary of Benefits and Coverage (SBC)

LG Custom $10 - Copayment Summary, Health Plan Benefits and Coverage Matrix

Evidence of Coverage (EOC)  - document pending state approval

Infertility Services Benefits Rider

Chiropractic Health Benefits Plan

Contact Information

Benefits Unit

Human Resources Department

Business Hours
Monday – Friday
8:00 AM – 5:00 PM
Contact us by Phone
Address
575 Administration Drive
Room 116 B
Santa Rosa, CA 95403
38.465237, -122.725363

Sutter Health Plus HMO Supplemental Material