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:

• Anthem Medicare Preferred (PPO)
• Blue Shield 65 Plus (HMO)
• CareMore Health Delivered by Anthem Blue Cross
  • Anthem StartSmart Plus (HMO)
  • Anthem Value Plus (HMO)
  • Anthem Connect Plus (HMO)
  • Anthem Breathe (HMO SNP)
  • Anthem ESRD (HMO SNP)
  • Anthem Heart (HMO SNP)
  • Anthem Diabetes (HMO SNP)
• UnitedHealthcare
  • AARP® MedicareComplete® SecureHorizons® Essential (HMO)
  • AARP® MedicareComplete® SecureHorizons® Plan 1 (HMO)
  • AARP® MedicareComplete® SecureHorizons® Premier (HMO)
  • UnitedHealthcare® MedicareComplete® Assure (HMO)
  • AARP® MedicareComplete® SecureHorizons® Focus (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 Blue Cross Cal MediConnect.