Frequently Asked Questions

Members

The best way to find a doctor in the Canopy Health network is to visit MyCanopyhealth.com or download the MyCanopyHealth app where you can search for doctors by location, specialty, and more.

Canopy Health values the judgment and expertise of personal primary care physicians (PCP), as well as their relationships with their patients. At Canopy Health, physicians have the entire Canopy Health network of specialists and facilities at their disposal and can decide (along with their patients) when and where to refer them for specialty care.

Yes, you can look for a new doctor on MyCanopyHealth.com. Once you select a new doctor, you must call your health plan at the number on the back of your ID card to request the change. Once your health plan confirms the change, you’re free to schedule your visit.

Employers & Brokers

We have 6 Medical Networks spread throughout the 10 Bay Area counties, including Hill Physicians Medical Group (Alameda, Contra Costa, San Francisco, San Mateo and part of Solano County), John Muir Physician Network (Contra Costa, Alameda Counties), Providence Medical Network (Sonoma, Napa Counties), Meritage Medical Network (Marin County), Dignity Health Medical Network (Santa Cruz County), and SCCIPA (Santa Clara County).

We partner with UnitedHealthcare and Health Net who offer the health plans that feature our Canopy Health Network.  Their plans that include the Canopy Network allow members to access their care with any of our providers, hospitals, and urgent care centers throughout the Bay Area. If a member needs to see a specialist outside of their medical group, the primary care physician can refer them to any doctor in the Canopy Health network. With a traditional HMO, members typically cannot see doctors outside their assigned Medical Network.  

If you are outside of our ten-county service area and require emergency or urgent care your benefit plan covers those services. You also have access to virtual visits 24/7 through your MyCanopyHealth account. Non-emergency care is not covered outside of the Bay Area.

No. To see which hospitals and physicians are in our network, visit our service area page.

Providers

Canopy Health’s medical groups support the traditional functions for their assigned members, including coordination of referrals, authorizations and care management, as well as physician contracting and claims processing for services that are their financial responsibility.

Lab testing: any medically necessary tests should be referred to the Member’s IPA/Medical Group’s contracted laboratory. See Lab Services grid by IPA/Medical Group. We encourage physicians to refer to the Member’s IPA/Medical Group’s contracted imaging centers.

For more information on the Alliance Referral Program, please call (415) 712-1020 Monday-Friday 8:30am – 5:00pm PST (closed holidays).

Self-Injectable Medications are authorized and paid for by the parent health plans (UnitedHealthcare or Health Net). For contact information, see the Provider Manual.