Stanford Select Copay Health Plan
The Stanford Select Copay Health Plan, administered by Aetna, has a nationwide network. Medical care must be received in-network, and most services are covered by a copay. Out-of-network care is only covered in emergencies.
Network
The Stanford Select Copay Health Plan uses the Aetna Select Network, which includes Stanford Health Care (SHC), Sutter Health, including the Palo Alto Medical Foundation (PAMF) network, and University of California San Francisco (UCSF) providers.
Aetna formulary for all three plans: Aetna Standard Plan
Outpatient Services
Aetna will help you locate high-quality and cost-effective options for diagnostic services, lab draws, imaging, colonoscopies, and other services. Visit Aetna’s website to compare costs or contact Aetna member services at 833-971-4583.
Advocacy Services and Clinical Care Management
Aetna offers a concierge program to help you maximize your benefits and guide you to the right resources. Clinical care specialists assist you in managing chronic medical conditions, answering questions, and finding the right doctors. Get started at Aetna’s website.
Plan Details
Traveling Outside the U.S.
Effective June 15, 2024 everyone enrolled in the Stanford Select Copay Health Plan has international benefit coverage through Aetna International. This benefit includes a $0 deductible and 100% coinsurance for all medically necessary services received outside the United States during a vacation or a short-term business trip.
The international component of the Copay plan includes 24/7 customer service to assist you at any time while you are travelling overseas. You can contact Aetna’s international customer service team telephonically or via the member portal:
- AetnaInternational.com
- +1-800-231-7729
The Aetna International member portal is linked to AetnaHealth so you will not need to create a separate User ID and Password. Log into AetnaHealth to access an electronic version of your international medical card which can be uploaded to your cell phone (Ios and Android).
You can receive medical services anywhere around the world. Aetna International has an expansive network of hospitals and providers where you can receive services on a cashless basis. This means that when you receive care from a participating facility or provider, the bill for the service is sent to Aetna directly rather than you, saving you the burden of submitting the claim for reimbursement. You will need to contact Aetna International within 3 days of any outpatient services so Aetna can establish this service for you. Aetna International will secure this arrangement the same day for any emergency services.
You will see the network of international providers with this link.
Aetna International has an easy process if you have to submit a claim for reimbursement:
- Log into the member portal.
- Go to AetnaInternational.com.
- Click on “My Claims” and select “New Claim.”
- Complete the online form.
- Upload a picture of your receipts.
- Click “Submit.”
You will receive your reimbursement via a paper check of electronically deposited into your bank account.
When you’re outside the United States and have questions about any health event, you can call Aetna International and speak with a member of their care management team. Their clinicians are available 24/7 and can help you with:
- Finding doctors/hospitals where you are
- Providing culturally appropriate care recommendations
- Coordinating and supervising emergency services including evacuation (if needed)
- Support in multiple languages
- Getting medical devices or prescription medications
Aetna provides “Emergency Care” coverage anywhere you may experience an emergency that is life-threatening in nature. Contact Aetna to locate an approved facility for non-emergency/non-life-threatening medical services. Pre-authorization may be required for certain services. You can log into your Aetna account and download a digital ID card at MyAetnaWebsite.com. This card will be different than your Stanford Select Copay Plan card used for domestic US benefits.
Plan Documents
Summary of Benefits Coverage (SBC)
An SBC is an overview of plan benefits, deductibles, copays, and coverage levels for a variety of commonly used medical treatments and services. Summary of Benefits Coverage (SBC)
Evidence of Coverage (EOC) / Summary Plan Description (SPD)
An SPD or EOC is the official, detailed plan document for each plan outlining information about eligibility, costs and cost-sharing, included and excluded services, claims process, procedures for filing grievances, complaints, and appeals.
2026 Plan Documents:
SBC
EOC / SPD: coming soon
Resources
Stanford's Mental & Behavioral Health resources
Aetna Guide to Submitting International Claims for Reimbursement
Aetna Guide to Care Outside the U.S.
Aetna Copay Plan International Benefit Grid
Aetna Preventive Health Services flyer
Aetna Preventive Health Services Spanish flyer
Aetna Skin Cancer Awareness flyer
Aetna Skin Cancer Awareness Spanish flyer
Aetna Cholesterol Awareness flyer
Aetna Cholesterol Awareness Spanish flyer