Professional practice model | Nursing Careers

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The patient and family are the focal point surrounded by the inner ring - professional nursing practice connecting them to the hearts illustrating how NorthBay nurses practice, communicate, collaborate and develop professionally.

The spokes of the circle are the NorthBay organizational values with one addition, competence.

The outer ring consists of two related concepts: Jean Watson's nursing theory, the Art and Science of Caring, and Relationship-Based Care (RBC). These concepts provide the theoretical framework for the model.

Insurance	Medical Group	Hospitals	Surgery
Aetna HMO **
Aetna: PPO, EPO, POS
Anthem Blue Cross HMO **
Anthem Blue Cross PPO, EPO, POS, PPO/EPO
Anthem MediBlue Access (PPO) Medicare Advantage
Anthem MediBlue Dual Access (PPO D-SNP)(Medicare/Medi-Cal)
Anthem Medical Local Preferred Provider Organization (LPPO). (Out-of-state Blue Cross/Blue Shield Medicare Advantage PPO)
Anthem Medicare Preferred PPO Plan
Blue Cross Blue Shield PPO
Blue Shield HMO: Access+, Individual Family Plan, Local Access+, Providence Option Plus, SaveNet, Trio **
Blue Shield, Standard PPO, POS
Brand New Day Medicare Advantage Plan (specialty referral only)
CalPERS: PERS Platinum (PPO) and PERS Gold (PPO)
CHAMPVA
Cigna HMO, PPO, POS
Compass Rose Plan
*New* Covered California: Anthem Blue Cross PPO
*New* Covered California: Blue Shield HMO **
Covered California: Western Health Advantage
FEHB: Blue Cross Blue Shield PPO
First Health/Coventry PPO, EP
GEHA PPO Plans
Health Net HMO: Blue & Gold, SmartCare - CalPERS, WholeCare **
Health Net PPO, POS
Health Smart EPO
Health Smart POS
Health Smart PPO
Mail Handlers Benefit Trust PPO, POS
Medi-Cal
Medicare
Medicare Supplemental Plans A-N (i.e. AARP, Mutual of Omaha, etc)
MultiPlan/Private Healthcare Systems (PHCS) PPO, POS
Partnership HealthPlan of CA (Currently not accepting new patients for Primary Care)
Private Healthcare Systems PPO, POS
Three Rivers Provider Network PPO
TRICARE (includes TRICARE for Life)
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
UnitedHealthcare Employer Retiree Medicare Advantage Plan PPO
UnitedHealthcare HMO: Signature Value, Signature Value Focus **
UnitedHealthcare Medicare Advantage Assure (HMO)
UnitedHealthcare PPO, EPO, POS
UnitedHealthcare, AARP MedicareComplete, SecureHorizons (HMO)
Western Health Advantage
Western Health Advantage MyCare & MyCare Plus

** Hill Physicians Medical Group plans. Hill Physicians Medical Group and NorthBay Medical Group joined forces effective October 2021 to offer more choices for patients.

If your plan is not listed, please feel free to check directly with our health plan specialist, Kelly Rhoads-Poston at (707) 646-3280 or AskKelly@NorthBay.org or your health plan administrator to see if NorthBay Healthcare is included in your plan's network.