Sutter Health Plan
Sutter Health Plus is now Sutter Health Plan. This change more clearly and concisely communicates who they are — a health plan that is part of the Sutter Health family.
Sutter Health Plan, a not-for-profit HMO affiliated with Sutter Health, offers competitively priced health plans to individuals and employers in the greater Sacramento, Central Valley and Bay Area communities. When you choose Sutter Health Plan, you gain access to a high-quality provider network that includes many of Sutter Health’s nationally respected and recognized hospitals, doctors and other health care services—all at an affordable price. Plan coverage includes hospitalization, outpatient services, prescription drug coverage and no out-of-pocket cost preventive services, among others.
- Competitively priced products that give members access to a network of providers
- Convenient locations within our service area for primary care, specialty care, X-ray and diagnostic imaging, lab, hospital services, etc.
- Mail-order pharmacy program as well as conveniently located retail pharmacies
- My Health Online (not offered by all providers) to schedule appointments, email doctors, view test results and access your records
- Coverage for emergency and urgent care anywhere in the world
- Welcome calls to help new and returning members better understand medical benefits and coverage and assist in facilitating initial appointments
- A 24/7 nurse advice triage line
New Behavioral Health Partner
Sutter Health Plan transitioned to a new behavioral health partner, Carelon Behavioral Health of California, Inc. (Carelon), effective Jan. 1, 2026. Carelon brings more than 40 years of experience in behavioral health, offering comprehensive care for mental health and substance use disorder needs.
They created this flyer that showcases Carelon’s digital resources, how to find providers, and telehealth options.
What Members Need to Know
- All active subscribers were sent a letter in November 2025 detailing the transition, Carelon’s role, and what to expect next.
- Members will receive updated ID cards starting in January 2026.
- Members can search for in-network providers using Carelon’s provider search tool at carelonbh.com/sutterhealthplan or call Carelon Member Services at 844-398-0314, available 24/7.
Continuity of Care
Sutter Health Plan and Carelon are working together to ensure a seamless transition. Members currently seeing a USBHPC provider who is not in the Carelon network will be notified and can continue seeing their provider until May 1, 2026, without interruption. Standard cost shares apply during this period.
For those needing ongoing care on or after May 2, 2026, continuity of care options are available for qualifying conditions, including acute and chronic illnesses, pregnancy and scheduled procedures. Members can request continuity of care by calling Carelon Member Services.
Customer Service and Group Numbers
Service Area
Sutter Health Plan is available to employees, extra help employees and retirees in the following Counties. Eligibility is based on zip code. Not all zip codes within the listed Counties are eligible. If you are unsure if your zip code is eligible, visit https://www.sutterhealthplan.org/pdf/sutter-health-plus/shp-service-area-map.pdf for confirmation.
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