About Sutter Health Plus

Sutter Health Plus is an affordable HMO plan that offers you and your employees access to many of Northern California’s most-respected health care providers, including many of Sutter Health’s affiliated hospitals, doctors, and physician organizations. Sutter Health Plus providers work collaboratively to offer quality, easily accessible, and personalized care.

Sutter Health Plus believes in partnering with small businesses to help employees stay healthy. You can choose from a variety of traditional HMO plans or a High Deductible Health Plan (HDHP) compatible with a Health Savings Account. Sutter Health Plus members have access to a variety of no-cost preventive care services that may help you and your employees prevent or detect health problems early. Click below to get more plan information.

Quick Plan Highlights

Here are some of our most popular Sutter Health Plus health plans along with a high level snapshot of plan coverage and out-of-pocket costs. To view a complete list of Sutter Health Plus coverage options, click Download All Plans below to see the most current plan information.

Sutter Health Plus Bronze HMO B†

NetworkFull
Calendar Year Deductible*$4,800 / $9,6003 (combined Med/
Rx ded) (applies to Max OOP)
Out-of-Pocket Max Ind/Fam$6,550 / $13,1005
Dr. Office Visit (PCP)60%13
Urgent Care60%
Emergency Room (copay waived if admitted)60%
† HSA Qualified High Deductible Plan
* All services are subject to the deductible unless otherwise stated.
3. Family Deductibles and Out-of-Pocket Maximum (OOPM) values are equal to two times the individual values. Except for HDHPs, an individual in a Family plan, is only responsible for the single Deductible amount and the single OOPM amount. Except for optional benefits, if elected, Deductibles and other cost sharing payments made by each individual in a Family contribute to the Family Deductible and OOPM. Each individual Family Member is responsible for the amounts listed for any one Member in a Family of two or more Members until the Family as a whole meets the Family Deductible or OOPM. Once the Family as a whole meets the Family OOPM, the plan pays all costs for Covered Services for all Family Members. For HDHPs, in Family coverage, an individual Family Member’s payment toward a Deductible, if required, must be the higher of the specified Deductible amount for individual (self only) coverage or $2,700 for the 2018 benefit year. Once an individual Family Member’s Deductible is satisfied, that individual will only be responsible for the cost sharing listed for each service. Other Family Members will be required to continue to contribute to the Deductible until the Family Deductible is met. In Family coverage, an individual Family Member’s out of pocket contribution is limited to the individual (self only) annual OOPM amount.
5. Cost sharing amounts for all essential health benefits, including those applied to a deductible, accumulate toward the out-of-pocket maximum.
13. DHMO Major Services copayments vary by procedure within this category. Using
a statistically significant set of claims data, the plan’s average copay charged for
procedures in this category cannot exceed the stated amount.

Sutter Health Plus Silver HMO B

NetworkFull
Calendar Year Deductible*($2,000 / $4,000)1
(applies to Max OOP)
Out-of-Pocket Max Ind/Fam$7,000 / $14,0002
Dr. Office Visit (PCP)$45 Copay (ded waived)8
Urgent Care$45 Copay (ded waived)
Emergency Room (copay waived if admitted)$350 Copay (ded waived)
* All services are subject to the deductible unless otherwise stated.

1. Family Deductibles and Out-of-Pocket Maximum (OOPM) values are equal to two times the individual values. Except for HDHPs, an individual in a Family plan, is only responsible for the single Deductible amount and the single OOPM amount. Except for optional benefits, if elected, Deductibles and other cost sharing payments made by each individual in a Family contribute to the Family Deductible and OOPM. Each individual Family Member is responsible for the amounts listed for any one Member in a Family of two or more Members until the Family as a whole meets the Family Deductible or OOPM. Once the Family as a whole meets the Family OOPM, the plan pays all costs for Covered Services for all Family Members. For HDHPs, in Family coverage, an individual Family Member’s payment toward a Deductible, if required, must be the higher of the specified Deductible amount for individual (self only) coverage or $2,700 for the 2018 benefit year. Once an individual Family Member’s Deductible is satisfied, that individual will only be responsible for the cost sharing listed for each service. Other Family Members will be required to continue to contribute to the Deductible until the Family Deductible is met. In Family coverage, an individual Family Member’s out of pocket contribution is limited to the individual (self only) annual OOPM amount.

2. Cost sharing amounts for all essential health benefits, including those applied to deductible, accumulate toward the out-of-pocket maximum.

8. Non-specialist Practitioner office visits includes Therapy Visits, other office visits not provided by either Primary Care or Specialty Physicians or not specified in another benefit category. Member cost sharing will be charged as a separate copay from a preventive service during an office visit.

Sutter Health Plus Gold HMO B

NetworkFull
Calendar Year Deductible*None
Out-of-Pocket Max Ind/Fam$6,000 / $12,0006
Dr. Office Visit (PCP)$25 Copay7
Urgent Care$25 Copay
Emergency Room (copay waived if admitted)$325 Copay
* All services are subject to the deductible unless otherwise stated.
6. Cost sharing amounts for all essential health benefits, including those applied to a deductible, accumulate toward the out-of-pocket maximum.
7. Non-specialist Practitioner office visits includes Therapy Visits, other office visits not provided by either Primary Care or Specialty Physicians or not specified in another benefit category. Member cost-sharing will be charged as a separate copay from a preventive service during an office visit.

Sutter Health Plus Platinum
HMO A

NetworkFull
Calendar Year Deductible*None
Out-of-Pocket Max Ind/Fam$3,350 / $6,7006
Dr. Office Visit (PCP)$15 Copay7
Urgent Care$15 Copay
Emergency Room (copay waived if admitted)$150 Copay
* All services are subject to the deductible unless otherwise stated.
1. Cost sharing amounts for all essential health benefits, including those applied to a deductible, accumulate toward the out-of-pocket maximum
7. Non-specialist Practitioner office visits includes Therapy Visits, other office visits not provided by either Primary Care or Specialty Physicians or not specified in another benefit category. Member cost-sharing will be charged as a separate copay from a preventive service during an office visit.

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View More Carriers

The CaliforniaChoice employee benefits program lets your employees select health plans (HMO, PPO, HSA, and more) from eight of California's top carriers while you determine how much your
company will contribute.

Click on any of the logos below to learn more about our carrier partners

Anthem Blue Cross Health Plan Kaiser Permanente oscar Sharp Health Plan Sutter Health Plus UnitedHealthCare Western Health Advantage