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Insurance Plans & Healthcare Networks

How do new federal health care laws affect you?

HealthCare.gov

We accept Medicare, many Medicare Advantage Plans, Medicare Part D, CenCal Health Plans, many HMO plans, many PPO plans, many Mental (Behavioral) Health Plans, many Vision and Eyewear Plans, and many Workers Compensation Plans. At each visit, you should:

  • bring picture identification and any insurance cards,
  • stop at the Registration desk,
  • update your registration information,
  • pay your co-payment, deductibles, and/or coinsurance at that time, and
  • provide insurance information from your health plan ID card

It is imperative that you also provide updated information to Sansum Clinic whenever:

  • You receive a new insurance identification card
  • You are assigned to another provider group (HMO) not affiliated with Sansum Clinic
  • You select a new primary care physician (PCP)
  • Your address, name, or phone number changes

Insurance plan coverages and contracts are always subject to change. So it's important that you get confirmation of plan details directly from the insurance company before making a decision.

Plan Types

  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • Medicare Advantage Plans (HMO, PPO, Pharmacy, Resources)
  • Other Government Plans
  • Medi-Cal HMO Plans
  • Other Publicly-Funded Health Plans
  • Mental (Behavioral) Health Carveout
  • Workers CompensationEyewear and Refractions

Individual Medicare Options for 2012

According to www.Medicare.gov, you may enroll in 2012 plans from October 15 to December 7, 2011.

Medicare Options for 2012

According to www.Medicare.gov, you may enroll in 2012 plans from October 15 to December 7, 2011.

Sansum Clinic accepts the following Medicare insurance plans:

  • AARP MedicareComplete Secure Horizons (formerly known as Secure Horizons by United Healthcare)
    Members: (800) 950-9355  Non Members: (800) 547-5514
  • Health Net Seniority Plus Ruby and Green
    Members: (800) 275-4737   Non Members: (800) 977-6738
  • For patients living outside of Santa Barbara County, we accept Anthem Medicare Preferred Standard PPO Plans (formerly known as Blue Cross Freedom Blue PPO)

For assistance in understanding your 2012 Medicare options, Sansum Clinic offers:

Health Resource Center
215 Pesetas Lane, First Floor
(805) 681-7672
Monday – Thursday 9:00 am to 4:00 pm
Friday 9:30 am to 12 noon
Or by appointment

Workshops with Health Insurance Counseling and Advocacy Program (HICAP) www.sansumclinic.org/ClassDescriptionsandInformation
(click on Medicare: How to Get the Most Benefit, then click on schedule and registration, then click on Medicare: Part D)

Sansum Clinic recommends the following resources for assistance in understanding your 2012 Medicare options:

  • Health Insurance Counseling and Advocacy Program (HICAP) for free unbiased Medicare counseling
    www.cahealthadvocates.org/HICAP
    (800) 434-0222
  • The Official U.S. Government Site for Medicare and Center for Medicare and Medicaid Services
    www.Medicare.gov

 

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