Sutter Health Plus is pleased that many of its network hospitals were recognized by the California Health and Human Services Agency (CHHS) for reducing cesarean section (C-section) births for first-time moms with low-risk pregnancies.
Network
Important Information About New Pharmacy Benefit Manager
On January 1, 2022, Sutter Health Plus is changing its pharmacy benefit manager to CVS Caremark®. Here are a few things members should know.
New Pharmacy Benefit Manager Coming in 2022
Effective January 1, 2022, Sutter Health Plus is changing its pharmacy benefit manager (PBM) to CVS Caremark® from Express Scripts®. CVS Caremark will manage the pharmacy benefits for our members, including retail, mail order and specialty prescription drugs; claims processing; and prior authorization requests for drugs.
Open Enrollment for Individuals and Families
This year’s annual open enrollment period begins Nov. 1, 2021 and ends Jan. 31, 2022. During open enrollment, take time to review your insurance options and find a plan that fits your needs or the needs of your family.
One Member’s Journey with Tera—
Virtual-First Primary Care
Kathy is a Bay Area resident who is living with a chronic, long-term condition. Over the past year, she struggled to find engaged providers who offered care options that fit her needs. Kathy learned about Tera—a virtual-first approach to primary care that is in the Sutter Health Plus network.
Virtual-first Primary Care Expands in the Bay Area
Tera, a virtual-first approach to primary care, is an innovative digital health model that was established by Sutter Health prior to the pandemic. With Tera, a dedicated medical team focuses on helping members live their healthiest lives. The Tera care team includes a primary care physician (PCP), licensed nurse, health coach, and nurse practitioner who all provide in-person or virtual care.
Fifteen Sutter Health Plus Network Hospitals Among Best in California
Fifteen hospitals in the Sutter Health Plus network achieved recognition as being among the best in California for 2021-2022 by U.S. News & World Report. Hospitals were scored on 32 clinical areas, including adult specialties, procedures, and conditions, and patient experience, patient outcomes, nursing quality, and the adept use of technology.
Coverage and Care While Traveling
After more than a year at home, many Californians are ready to hit the road and do some traveling. Before heading out for your next big adventure, it’s important to know where to access care while away from home.
Sutter Health Plus is Expanding in Nevada and Placer Counties
July 1, 2021, will mark the fifth service area expansion for Sutter Health Plus, offering coverage for two new ZIP codes in Nevada County and five new ZIP codes in Placer County effective July 1, 2021. The expansion gives employers and consumers in the expanded service area a new option for healthcare coverage with access to Sutter-affiliated providers.
Sutter Health Named Top-Performing U.S. Health System
As a provider-sponsored health plan, Sutter Health Plus is pleased to share IBM Watson Health recently announced its 2021 Fortune Media/IBM Watson Health Top Health Systems award winners, recognizing Sutter Health for helping provide high-quality care at a lower total cost.
