Find a Provider
We offer HMO coverage options for individuals, families and employer groups of all sizes. All HMO plan designs, including high deductible health plans, provide access to the same network of providers.
Need a Primary Care Physician (PCP)?
Find a Plan Partner Provider
Acupuncture and Chiropractic Benefits
The ACN Group of California, also known as OptumHealth Physical Health of California, provides acupuncture and chiropractic benefits.
Behavioral Health Benefits
Members have access to mental health and substance use disorder (MH/SUD) services through Carelon Behavioral Health of California, Inc.
Dental Benefits
Delta Dental provides dental benefits through the DeltaCare® USA Network.
Choosing a Primary Care Physician
Learn how to find the right primary care physician (PCP) to meet your needs.
Disclaimer
When you enroll with Sutter Health Plan, you and each of your dependents select a PCP who will manage your care to help keep you healthy. If you don’t choose a PCP when you enroll, we’ll assign one to you within a 15-mile radius of your residential address.
When you choose a PCP, you’re also selecting their medical group and care team. Your PCP will refer you to specialists, lab tests, imaging and other services when you need them. Many covered services, including specialist visits, require referrals or prior authorizations.
If you need specialty care and have a specific specialist in mind, check the provider directory to see which medical group the specialist is in. Make sure you choose a PCP within that medical group. You may be able to see some specialists who are outside your medical group if you have a referral, as long as they’re part of the Sutter Health Plan network.
Coverage includes urgent care services at in-network facilities while in the Sutter Health Plan service area, urgent care services at any facility when outside of the Sutter Health Plan service area, and worldwide emergency care.
Please call Customer Service weekdays, 8:00 am – 7:00 pm, at 855-315-5800 or contact us with any questions regarding the provider locator results.
View information on the Sutter Health Plan provider verification process.
If you would like to request a printed copy of the provider directory or report an inaccuracy in the data, please call Customer Service weekdays, 8:00 am – 7:00 pm at 855-315-5800, send a secure message or email shpcustomerservice@sutterhealth.org.
To request a printed copy of the provider directory by mail, please mail your request to:
Sutter Health Plan
Attn: Provider Directory Request
P.O. Box 160307
Sacramento, CA 95833
Please be advised that you do not need to be a Sutter Health Plan member to request a provider directory or report an inaccuracy in the data.
The health care service plan that maintains this provider directory is regulated by the Department of Managed Health Care. If you have any questions or concerns with this directory, you can contact Sutter Health Plan at 855-315-5800 or shpcustomerservice@sutterhealth.org, or you can contact the Help Center with the Department of Managed Health Care at 888-466-2219 and a TDD line (1-877-688-9891) for the hearing and speech impaired. The Department's internet website www.dmhc.ca.gov has complaint forms, IMR application forms and instructions online.
PLEASE NOTE: Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. You should obtain more information before you enroll. Call your prospective doctor, medical group, independent practice association or clinic, or call Customer Service weekdays, 8:00 am – 7:00 pm at 855-315-5800 to ensure that you can obtain the health care services that you need.