Managing Care with the Member Portal

Sep 13, 2024 | 2024, Digital Health

Finding information at a moment’s notice has become increasingly easier through smart technology — and that ease includes health plan information. Sutter Health Plus offers a convenient, user-friendly platform to help members manage their healthcare anytime, anywhere. Members have access to the Member Portal where they can retrieve important plan information from a smartphone, tablet or computer.

With the Member Portal, members can:

  • Change their primary care physician (PCP).
  • Request or print member ID cards.
  • Access, review and print a summary of individual and family deductibles and out-of-pocket balances.
  • Receive monthly statements with balance details; they can also use the portal to opt out of receiving these statements.
  • Check eligibility, benefits, cost share and claims information.
  • Pay individual and family plan premiums through the Sutter Health Plus Online Payment Center.
  • Review the Benefits and Coverage Matrix (BCM), Evidence of Coverage and Disclosure Form (EOC), and Summary of Benefits and Coverage (SBC) for their medical plan and any of their optional benefits that were elected.
  • View correspondence and find Sutter Health Plus forms and resources.
  • Navigate to the Health and Wellness site.

Cost Estimator

Sutter Health Plus provides a real-time benefit cost estimator tool on the Member Portal. It helps members compare personalized out-of-pocket costs for covered in-network services with individual-specific accumulators. The cost estimator tool allows members to understand and anticipate their personalized cost share for covered services in advance of receiving a service. It also intends to help reduce potential surprises in member out-of-pocket costs for healthcare services. Please note, the tool only shows claims paid to date. Access it by logging into the Member Portal and clicking the Cost Estimator link.

Registration is easy and takes only a few minutes.

1. Go to shplus.org/memberportal.

2. Enter name, date of birth, member ID (listed on the member’s ID card) and last four digits of the subscriber’s SSN.

3. Create a username and password.

For any questions, please contact Member Services at 855-315-5800, Monday through Friday, 8 a.m. to 7 p.m. or visit sutterhealthplus.org/members.