Santa Clara Family Health Plan

Health Insurance Coverage in California

Health Plan Overview

Insurance CompanySanta Clara Family Health Plan
StateCalifornia
Websitescfhp.com
Number of Hospitals in Network6
Number of Plans Offered4

Network Hospital Locations

Hospitals in Network (6)
Santa Clara Valley Medical CenterUCSF Health Saint Francis HospitalUCSF HealthUCSF Health St. Mary'sUCSF Benioff Children's Hospital OaklandUCSF Langley Porter Psychiatric Hospital

Available Plans

HMO

1 plan

Medicaid

1 plan

Medicare Advantage

1 plan

Medicare Part D

1 plan

Plan Details
Plan NamePlan Type
Santa Clara Family Health PlanHMO
Medi-CalMedicaid
SCFHP DualConnectMedicare Advantage
SCFHP DualConnectMedicare Part D

State Leadership

Santa Clara Family Health Plan

Chief Executive Officer

Joined SCFHP in July 2015, bringing more than 30 years of experience in managed care, with an emphasis in operations and government programs. Before joining SCFHP, Ms. Tomcala was at Soundpath Health for five years, where she led a provider-owned Medicare Advantage health plan in the state of Washington.

Santa Clara Family Health Plan

Vice President, Marketing, Communications & Outreach

Oversees the strategic execution of SCFHP's marketing, communications, public relations, and digital and social media programs. Guides the development of community outreach and engagement strategies, including Medicare outreach and sales, and the SCFHP Community Resource Centers. Has over 15 years of experience in health care marketing and communications.

Santa Clara Family Health Plan

Vice President, Health Services

Oversees strategic and operational functions of the Case Management, Behavioral Health, Utilization Management, Quality Improvement, Process Improvement, Pharmacy, and Community Based Programs departments. Joined SCFHP in 2016 as Pharmacy Manager. Has more than 12 years of experience in the pharmaceutical industry. Prior to joining SCFHP, he served the first year of his postgraduate residency with Blue Shield of California and later worked as a community pharmacist.

Santa Clara Family Health Plan

Chief Information Officer

Appointed effective February 24, 2025. Provides vision and leadership to the Information Technology (IT) department and infrastructure, including applications, telecommunications, business and software development, security, and electronic data interchange. Has more than two decades of experience leading strategic technology initiatives at various health industry organizations. Previously served as senior vice president of engineering at Beacon Healthcare Systems and was associate vice president of information technology operations and maintenance at Molina Healthcare. Has a bachelor's degree in engineering with a focus on computer science from Agra University.

Santa Clara Family Health Plan

Chief People Officer

Joined SCFHP in March 2020. Responsible for developing and executing SCFHP's human resources strategy encompassing talent acquisition, employee development, performance management, compensation, benefits, and HR operations. A certified Gallup Strengths Coach with more than 20 years of HR experience. Named to the Silicon Valley Business Journal's Power 100 list for 2025. Has transformed SCFHP's organizational culture through innovative well-being initiatives since her appointment to Chief People Officer in 2023.

Santa Clara Family Health Plan

Chief Financial Officer

Brings over thirty five years of professional financial expertise to SCFHP. Has extensive experience in Medi-Cal and Medicare managed care financial operations and a proven track record for achieving success metrics. Responsible for the overall financial management of SCFHP, including financial reporting, budgeting, planning, analytics, treasury management, risk mitigation, financial audits, and operational accounting. Oversees the Claims and Facilities teams.

Santa Clara Family Health Plan

Chief Medical Officer

Appointed effective December 18, 2023. Specialty is geriatrics. Previously served as Staff Physician, Medical Director and CMO for the Indian Health Center of Santa Clara Valley in San Jose. Earned her medical degree from Calcutta University in 1994. Completed a residency in internal medicine at St. Luke's Hospital with Temple University in 2003, and followed her residency with a fellowship in Geriatric Medicine at Stanford in 2004. Won the Value Improvement Award from Stanford Health Care in 2022.

Santa Clara Family Health Plan

Chief Operating Officer

NA