Summary
On October 1, 2024 we learned United Healthcare is closing its Medicare Advantage PPO products throughout northern California. Many did not realize Sutter/PAMF was an "in-network" provider on the UHC PPO. This article discusses which remaining (and new!) Medicare plans have Sutter PAMF in 2025 and how to get more information
This Sutter PAMF Medicare Article has been updated on October 9, 2024 for 2025 plans
Big news for Medicare beneficiaries who are counting on having Sutter Palo Alto Medical Foundation Medicare options: We are closing out a tough year in the bay area medicare market, and we all wonder, will 2025 be better or worse?
- In 2024, we lost AARP® Medicare Advantage SecureHorizons® (HMO-POS)
- We also lost the Essence Healthcare, which included Sutter/PAMF, and other respected provider organizations in the bay area, such as Stanford Medicine and Stanford Hospital.
2025 Sutter PAMF Breaking News
- On October 1, 2024 we learned United Healthcare is closing its Medicare Advantage PPO products throughout northern California, effective January 1, 2025. We have received reports that the loss has extended to retirees of CalPERS and HP.
“United Healthcare’s withdrawal of its medicare advantage PPO products from Northern California is reportedly impacting retirees of CalPERS and HP.”
Announcing Sutter PAMF Medicare Advantage Options in 2025
Existing Sutter patients on Medicare are grandfathered for the time being, but new patients seeking access to Sutter/PAMF in Santa Clara County have only two options:
- Alignment
- Wellcare
- However, in San Mateo County there are 3 Options and in Santa Cruz County, 2 Options!
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“In San Mateo County there are 3 Sutter/PAMF options and 2 options in Santa Cruz County for 2025!”
An independent agent can explain the merits of each plan and help you make an informed decision. We have already filled 75% of our calendar this fall, schedule a free consult before we run out of space.
Everyone should have a local independent agent: Medicare is ever-changing and local agents will be a life-long partner and resource for your family. Call for a free consult, today or schedule a phone call from our calendar.
If you are losing Sutter PAMF providers and need answers now, phone (408) 252-7300 or schedule a future phone meeting on our calendar:
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Schedule your Free 15-minute Telephone Consult
If you are leaving a Medicare Advantage plan and returning to traditional Medicare, read this first.
If you are losing Sutter PAMF providers and need answers now, phone (408) 252-7300 or schedule a future phone meeting on our calendar:
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Sutter PAMF Advantage Plans of Santa Clara Valley and San Mateo Counties
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“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all your options.”
I live in Alameda County and go to PAMF Fremont. What am i supposed to do since there appear to be 0 Advantage plans available in Alameda County?
Best option is original Medicare + medigap plan G