Coverage for Medicare Beneficiaries

• Part C, also known as Medicare Advantage or a Medicare Health plan, is purchased from a private insurance company approved by Medicare and typically organized like a Health Maintenance Organization (HMO) or Preferred Provider Organization (PPO) insurance plan.
• Part C puts coverage from both Part A and Part B into one plan. Most of these plans also include Medicare Part D drug coverage.

Cedars-Sinai participates in the following Medicare Advantage plans:

• Blue Shield of California (HMO)
  • Blue Shield Inspire (HMO)        
  • Blue Shield Vital (HMO)
  • Blue Shield 65 Plus (HMO)
  • Blue Shield AdvantageOptimum Plan (HMO)
    
  • Blue Shield Coordinated Choice Plan (HMO)
    
• CareMore Health Delivered by Anthem Blue Cross
  • Anthem MediBlue StartSmart Plus (HMO)
  • Anthem MediBlue Value Plus (HMO)
  • Anthem MediBlue Connect Plus (HMO)
  • Anthem MediBlue Breathe (HMO C-SNP)
  • Anthem MediBlue ESRD (HMO C-SNP)
  • Anthem MediBlue Heart (HMO C-SNP)
  • Anthem MediBlue Diabetes (HMO C-SNP)
• UnitedHealthcare
  • AARP® Medicare Advantage SecureHorizons® Focus (HMO)
  • AARP® Medicare Advantage SecureHorizons® Premier (HMO)
  • AARP® Medicare Advantage SecureHorizons® Plan 1 (HMO)
  • AARP® Medicare Advantage SecureHorizons® Essential (HMO)
  • AARP® Medicare Advantage SecureHorizons Assure (HMO)

If you enroll in an HMO plan, you must choose a primary care doctor in either the Cedars-Sinai Medical Group or Cedars-Sinai Health Associates and be referred to specialists within these groups. These plans have options that include Part D coverage.

If you are eligible for both Medicare and Medi-Cal, you should do one of two things to ensure coverage for Cedars-Sinai:

• Opt out of Cal MediConnect and keep the same fee-for-service Medicare benefit that you already have or 
• Enroll in the Cal MediConnect program through Anthem Cal MediConnect (MMP), which is an HMO product.