Canopy Health – Reinventing Healthcare in the San Francisco Bay Area

Choosing between a PPO and an HMO comes with tradeoffs for the member. PPOs give members the greatest choice in choosing their doctors, but that choice comes at a higher price. HMOs can have a better price point, but the member may feel constrained by having all their care typically restricted to one medical group.

Enter Canopy Health – a new hybrid model that gives members a PPO-sized network at an HMO price.

Canopy Health is a physician and hospital-owned alliance of 5 IPA & Medical Group Partners and 18 World-Class Hospitals and is licensed by the California Department of Managed Health Care (DMHC) to contract with fully insured commercial HMO products. Members select a PCP from one of the Canopy Health medical group/IPA partners, but instead of being locked into that medical group for all their care, PCPs are now able to refer their patients to any specialist across the Canopy Health network, regardless of medical group. Thus, giving members the feel of a PPO at an HMO price.

The Canopy Health Alliance is currently available with these HMO networks:

  • Small Group
  • All Western Health Advantage plans
  • Large Group Only
  • SmartCare HMO network
  • Small and Large Group
  • Advantage HMO network

Canopy Health currently has a presence in 8 Bay Area counties and will continue to expand with a goal of covering the entire 10 county Bay Area by adding additional IPA/medical groups and hospitals to the alliance.

You are invited to join Canopy Health celebrate at the San Mateo Expansion Party on Thursday, May 17 from 5pm – 7pm.

Let your RBG team show you how to introduce your SF Bay Area clients to Canopy Health