As part of our alliance of high-quality physicians and medical providers, you have the choice to refer members to any Canopy Health specialist or care center, which gives you thousands of options across eight Bay Area counties.
Canopy Health’s Alliance Referral Program: The Best of Both Worlds
Too frequently, patients are stuck choosing between affordable, coordinated health care and access to the area’s premier specialists. While some PPOs offer a wide variety of treatment options, patients might receive inefficient, duplicative care and struggle to make educated health decisions without guidance from a personal physician. HMOs offer coordinated care that focuses on the patient’s long-term health, but some patients are wary of their narrow networks.
Our members enjoy the best elements of an HMO and a PPO: coordinated treatment, manageable healthcare costs, and a robust network.
- Coordinated care: A primary care physician (PCP) oversees all of our members’ health care, focusing on preventive care and customized treatment plans that reflect their unique circumstances.
- Diverse referral options: Canopy Health’s alliance includes some of the most respected physicians and hospitals within the Bay Area. While members must have a PCP in one of our alliance’s medical groups and IPAs, they are not limited to referrals within that individual organization. Instead, a PCP can refer a member to any provider within our alliance of award-winning medical programs and renowned specialists.
- Affordability: We strive to keep healthcare costs low through our high-quality alliance of physicians, proactive treatment plans, and a capitated payment structure.
The Canopy Health Referral Process
To refer a patient, simply use your organization’s authorization system. When you refer a patient to another Canopy Health partner through your local utilization management department, that department may approve requests that meet our referral policies and procedures. If you have questions or need assistance with a referral, contact your local utilization management department or Canopy Health directly at 888-8-CANOPY or through our online form.
Our Expansion Gives Providers Even More Referral Options
More than one-third of Bay Area residents live and work in different counties and may want to seek care in multiple locations. The Canopy Health alliance is expanding in San Mateo and Santa Clara counties with three new network hospitals and one new IPA, including Good Samaritan Hospital, Regional Medical Center of San Jose, Dignity Health- Sequoia Hospital, and Santa Clara County IPA (SCCIPA). This expansion will increase our alliance of providers in eight Bay Area counties.
Treating physicians can refer our members to specialists within these organizations, giving them increased access to specialty care where our members live and work, including:
- Good Samaritan Hospital’s nationally and regionally recognized cancer, high-risk obstetrics, neuroscience, joint replacement, and cardiac programs
- Regional Medical Center of San Jose’s Centers for Excellence in Emergency Medicine, Trauma, Cardiovascular, Neuroscience, Women and Children’s Health, and Cancer Care
- Sequoia Hospital’s award-winning Heart and Vascular Institute, Birth Center, and Center for Total Joint Replacement
- Increased access to cardiovascular, infectious disease, neurology, and orthopedic teams.
- Any of SCCIPA’s 550 Board-certified or Board-eligible specialists
These choices are in addition to our already impressive alliance of physicians. You can refer to our physician directory for a complete list of our PCPs, specialists, hospitals, and care centers.
Canopy Health Is Committed to our Alliance and Members
At Canopy Health, we’re passionate about improving Bay Area healthcare. We believe offering members a remarkable alliance of providers, increased transparency, and refreshingly human care will improve their health outcomes and foster health literacy. If you’d like to learn more about our alliance or referral system, contact us online or at 888-8-CANOPY.
Metropolitan Transportation Commission (2015, January). Commute patterns. Vital Signs. Retrieved from http://www.vitalsigns.mtc.ca.gov/commute-patterns
Metropolitan Transportation Commission (2017, September). Commute times. Vital Signs. Retrieved from http://www.vitalsigns.mtc.ca.gov/commute-time