San Diego County. Provider Directory/Directorio de Proveedores Blue Shield 65 Plus (HMO)

Size: px
Start display at page:

Download "San Diego County. Provider Directory/Directorio de Proveedores Blue Shield 65 Plus (HMO)"

Transcription

1 San Diego County Provider Directory/Directorio de Proveedores Blue Shield 65 Plus (HMO) Date printed/fecha de impresión: May 2015 Plan year/año del plan: 2015 This directory represents only those providers who are in the San Diego County area and is not a full list of our network providers. If you don't find the provider you're looking for or would like to see a complete listing of the providers available to you by area visit Find a Provider on blueshieldca.com. You may also call Blue Shield 65 Plus Member Services to have a list sent to you. Please refer to the next page for a listing of the plan's service area. Este directorio representa solo a aquellos proveedores ubicados en el área de San Diego County y no es una lista completa de nuestros proveedores de la red. Si no encuentra al proveedor que busca o le gustaría ver una lista completa de los proveedores disponibles para usted, clasificados por área, visite la sección Find a Provider (Buscar un proveedor) en blueshieldca.com. También puede comunicarse con Servicio para Miembros de Blue Shield 65 Plus para que le envíen una lista. Consulte la página siguiente para ver una lista del área de servicio del plan. H0504_14_126 CMS Approved blueshieldca.com/findaprovider

2 The service area for Blue Shield 65 Plus is all of Orange, Fresno, and San Diego counties and parts of Contra Costa, Los Angeles, Riverside, Sacramento, San Bernardino, Santa Clara, and Ventura counties. The service area for Blue Shield 65 Plus Choice Plan is all of Orange County and parts of Los Angeles County. Please refer to the plan Summary of Benefits or Evidence of Coverage for a full list of zip codes for your applicable partial county in the service area. This directory lists providers who are in the San Diego County area. The following zip codes are part of the San Diego County area. El área de servicio de Blue Shield 65 Plus es la totalidad de los condados de Orange, Fresno y San Diego, y algunos sectores de los condados de Contra Costa, Los Ángeles, Riverside, Sacramento, San Bernardino, Santa Clara y Ventura. El área de servicio de Blue Shield 65 Plus Choice Plan es la totalidad del condado de Orange y algunos sectores del condado de Los Ángeles. Consulte el Resumen de Beneficios o la Evidencia de Cobertura del plan para acceder a la lista completa de códigos postales correspondientes al área de servicio de los sectores parciales de su condado. Este directorio incluye a los proveedores ubicados en el área de San Diego County. Los siguientes códigos postales forman parte del área de San Diego County. San Diego County (All Zips)

3 Table of Contents Using This Directory... p. v Choosing Your PCP... p. vi Changing Your PCP... p. vi Physician Groups Greater Tri Cities IPA... p. 1 Tri City Medical Center San Diego Physicians Medical Group... p. 6 Scripps Memorial Hospital Encinitas Scripps Memorial Hospital La Jolla Scripps Mercy Hospital Chula Vista Scripps Mercy Hospital San Diego Campus UCSD Medical Group... p. 20 UCSD Hillcrest UCSD La Jolla Vantage IPA San Diego... p. 46 Palomar Medical Center Scripps Mem Hosp Encinitas Scripps Mercy Hospital Chula Vista Scripps Mercy Hospital San Diego Campus Mental Health Providers... p. 57 Dental Providers... p. 61 Skilled Nursing Facilities... p. 83 Index... p. 85 Information in this directory is current as of the date on the front cover. Some network providers may have been added or removed from our network after this directory was printed. Since information changes often, a provider's listing in this directory does not guarantee that the provider is still in the network or accepting new patients. To get the most up-to-date information about network providers in your area, please visit or call Blue Shield 65 Plus. i

4 Table of Contents, continued Prospective Members Please call your broker or call Blue Shield 65 Plus or Blue Shield 65 Plus Choice Plan at: (800) TTY a.m. to 8 p.m., seven days a week Current Members Please call Member Services at: (800) TTY 771 Hours are 7 a.m. to 8 p.m., seven days a week, from October 1 through February 14. However, after February 14, your call will be handled by our automated phone system on weekends and holidays. ii

5 Índice Cómo utilizar este directorio... p. viii Cómo elegir a su PCP... p. ix Cómo cambiar de PCP... p. ix Grupos de Médicos Greater Tri Cities IPA... p. 1 Tri City Medical Center San Diego Physicians Medical Group... p. 6 Scripps Memorial Hospital Encinitas Scripps Memorial Hospital La Jolla Scripps Mercy Hospital Chula Vista Scripps Mercy Hospital San Diego Campus UCSD Medical Group... p. 20 UCSD Hillcrest UCSD La Jolla Vantage IPA San Diego... p. 46 Palomar Medical Center Scripps Mem Hosp Encinitas Scripps Mercy Hospital Chula Vista Scripps Mercy Hospital San Diego Campus Proveedores de la Salud Mental... p. 57 Dentistas... p. 61 Centros de Enfermería Especializada... p. 83 Índice alfabético... p. 85 La información incluida en este directorio tiene vigencia a partir de la fecha que figura en la portada. Tal vez se hayan agregado o quitado algunos proveedores de la red luego de la impresión de este directorio. Dado que la información cambia a menudo, el hecho de que un proveedor figure en este directorio no garantiza que aún forme parte de la red o que acepte nuevos pacientes. Para obtener la información más actualizada sobre los proveedores de la red disponibles en su área, visite o llame a Blue Shield 65 Plus. iii

6 Índice, continuación Futuros miembros Comuníquese con su corredor o llame a Blue Shield 65 Plus o Blue Shield 65 Plus Choice Plan al: (800) TTY 711 De 8:00 a. m. a 8:00 p. m., todos los días de la semana Miembros actuales Llame a Servicio para Miembros al: (800) TTY 771 El horario de atención es de 7:00 a. m. a 8:00 p. m., todos los días de la semana, desde el 1 de octubre hasta el 14 de febrero. Sin embargo, después del 14 de febrero, su llamada será atendida por nuestro sistema telefónico automático los fines de semana y feriados. iv

7 Using This Directory This directory lists the provider network in the region indicated on the front cover of this directory. If you don't find the provider you're looking for or would like to see a complete listing of the providers available to you by area visit Find a Provider on blueshieldca.com. You may also call Member Services to have a directory sent to you. To get detailed information about your health care coverage, please see your Evidence of Coverage. The "network providers" listed in this directory have agreed to provide you with your health care coverage. You may go to any of our network providers listed in this directory; however some services may require a referral. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Physician (PCP). The term "PCP" will be used throughout this directory. Generally, you must get your health care coverage from your PCP. When you choose your PCP, you are also choosing the hospital(s) and specialty network affiliated with the physician group. Network PCPs, specialists, hospitals, clinics and urgent care centers are listed by physician group. The hospital or hospitals affiliated with the physician group are listed at the beginning of the physician group section in this directory. If you need to be hospitalized, your PCP will coordinate your admission to the hospital associated with your physician group. If more than one hospital is associated with the physician group, your PCP will determine which hospital is most appropriate for your care. PCPs are listed alphabetically under one of the following categories: Family Practice, General Practice, Internal Medicine, and OB/ GYN. Your PCP will provide or coordinate all your covered medical care while you are a member of our plan. PCPs who are not accepting new patients are listed under the category Accepting Current Patients Only. You may choose a PCP in this category only if you are new to plan name and are currently a patient of that physician or changing to a new physician group and that physician is also part of the new physician group. Affiliated specialists are listed in alphabetical order under their specialty. If your PCP feels you need more specialized treatment, he or she will refer you, upon physician group approval, to a specialist associated with the network physician group. If your specialist recommends that you continue to see him or her for more services, those services may need to be authorized by your network physician group. Urgent Care facilities affiliated with your physician group are listed under Urgent Care Centers. You may use these Urgent Care Facilities or any other Urgent Care facility in your plan service area if you need urgent medical care when your PCP's office is closed. If you decide to enroll in the optional supplemental dental plan, you can find a list of network dentists in this directory. For more information about choosing a network dentist, you can go to the beginning of that section in this directory. v

8 Using This Directory, continued Plan pharmacies are not listed in this directory. You may request a list of these facilities by calling our Member Services Department or by going to blueshieldca.com/findaprovider. To choose your PCP, follow these simple steps 1. Choose the doctor you want as your PCP from this directory. Note: If you are interested in a particular specialist, make sure he or she is in the same physician group as the PCP you select. You will need an authorized referral from your PCP's physician group before you can be treated by a specialist, except for routine women's health care as described below. 2. Call the office of the PCP you have selected to make sure that he or she is accepting new patients and for answers to any questions you may have about the doctor (e.g. office hours, availability evenings and/or weekends and educational background). 3. Enter the ID number of the PCP you have chosen in the appropriate box on the plan enrollment form. If you need help choosing a PCP, please call Member Services. Changing your current PCP is easy If you have been going to one network provider, you are not required to continue going to that same provider. You may change your PCP at any time. However, if you are under inpatient care in the hospital or you are in the middle of a course of treatment with your PCP or a specialist, we recommend that you do not change your physician/physician group until you are discharged or complete your course of treatment. If you decide to change your PCP, simply call Member Services and we will check to make sure the doctor you choose is accepting new patients. You should ask whether the new PCP you are selecting has a referral relationship with any specialist you are currently seeing. You will need an authorized referral from your PCP's physician group before you can be treated by a specialist, except for routine women's health care as described below and in your Evidence of Coverage. We will make the change for you, tell you over the phone when this change will go into effect, and send you a new member ID card. If you call by the 15th of the month, your transfer to a new PCP will be effective on the first day of the following month. Sometimes a PCP, specialist, or clinic you are using might leave the plan. If this happens, you will have to switch to another network doctor. We will notify you if this happens and make sure you continue to have access to all plan services. If you are a female member who prefers to see an OB/GYN for your routine women's health care (mammograms, pap tests, and pelvic and breast exams), you can make an appointment with any OB/GYN listed under your network physician group without a referral from your PCP. If possible, call your PCP before you seek medical care. If you go to a doctor, hospital or other provider without the approval of your PCP except in an emergency or when you need urgent care, out-of-area renal dialysis (within the United States), or paying any charges for these certain gynecological care or other self-referred services, you will be responsible for services. Neither Original Medicare nor Blue Shield will pay for non-emergency services or non-urgently needed care without the prior authorization of your PCP. Urgent Care refers to a non-emergency situation where you are temporarily absent from the plan's authorized service area, you need medical attention right away for an unforeseen illness, injury or condition, and it isn't reasonable given the situation for you to obtain medical care through the plan's provider network. Under unusual and extraordinary circumstances, care may be considered vi

9 Using This Directory, continued urgently-needed when the member is in the service area but the provider network of the plan is temporarily unavailable or inaccessible. If you need care in an emergency, get medical help as quickly as possible. Call 911 for help or go to the nearest emergency room. You do not need to get permission first from your physician or other network provider. A medical emergency is when you believe that your health is in serious danger when every second counts. A medical emergency includes severe pain, a bad injury, a serious illness, or a medical condition that is quickly getting much worse. Make sure that Blue Shield knows about your emergency because your physician will need to be involved in following up on your emergency care. You or someone else should call to tell your physician about your emergency care as soon as possible, preferably within 48 hours. The number to call is located on your plan name member ID card. What if you need medical attention right away for an unforeseen illness or injury, but your health is not in serious danger? If you need medical help immediately but your health is not in serious danger, the help you need is called "urgently needed care". If you are in your plan's service area please call your PCP or, if your physician's office is closed, go to the urgent care facility listed in this directory. If you are outside the service area, first call your PCP whenever possible. If you are treated for an urgent care condition while you are outside the service area we prefer that you return to the service area to get follow-up care through your PCP. However, we will cover follow-up care that you get from non-network providers outside the service area as long as the care you are getting still meets the definition of "urgently needed care". Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you might need: family planning; contraceptive services; and sterilization, including tubal ligation at the time of labor and delivery. To ensure that you can obtain the healthcare services that you need, call our Member Services department for assistance. Some hospitals participate in an independent quality program. Hospitals identified with the symbol L participate in the Leapfrog Group, an independent California program that works to implement three key practices that have been shown to improve patient safety. Leapfrog hospitals 1) do computer checks on prescriptions to avoid drug interactions; 2) have a full-time physician specialist on staff in all intensive care units; and 3) perform high-risk surgical procedures, such as heart surgery, only when certain quality criteria are met. If you need skilled nursing, transitional care or specialized services, your PCP will arrange for you to be transferred to a subacute care facility contracting with Blue Shield or another facility with which he or she is affiliated. You may request a list of these facilities by calling our Member Services department. If you receive a bill from any non-network provider for covered services such as emergency or urgently needed care or out-of-area renal dialysis services, please do not pay it. Instead, please send it to us at the following address and we will pay the covered amount, minus any applicable copayment/coinsurance amount(s). Blue Shield 65 Plus and Blue Shield 65 Plus Choice Plan Claims Department P.O. Box Chico, CA vii

10 Cómo utilizar este directorio Este directorio incluye la red de proveedores de la región indicada en la portada. Si no encuentra al proveedor que busca o le gustaría ver una lista completa de los proveedores disponibles para usted, clasificados por área, visite la sección Find a Provider (Buscar un proveedor) en blueshieldca.com. También puede comunicarse con Servicio para Miembros para que le envíen un directorio. Consulte su Evidencia de Cobertura para obtener información detallada sobre su cobertura de atención de la salud. Los proveedores de la red que figuran en este directorio han acordado brindarle su cobertura de atención de la salud. Puede acudir a cualquier proveedor de la red que figure en este directorio; no obstante, es posible que para algunos servicios necesite una derivación. Tendrá que elegir a uno de nuestros proveedores de la red incluidos en este directorio para que sea su Médico de Atención Primaria (PCP, por sus siglas en inglés). Se utilizará la sigla PCP en todo este directorio. Por lo general, debe recibir su cobertura de atención de la salud por medio de su PCP. Cuando elige a su PCP, también elige los hospitales y la red de especialistas afiliados al grupo médico. Los PCP, especialistas, hospitales, clínicas y centros de atención urgente de la red figuran por grupo médico. El hospital o los hospitales afiliados al grupo médico están incluidos al comienzo de la sección correspondiente a los grupos médicos de este directorio. Si necesita ser hospitalizado, su PCP coordinará su ingreso al hospital que esté asociado con su grupo médico. Si hay más de un hospital asociado con el grupo médico, su PCP determinará cuál es el hospital más apropiado para su atención. Los PCP aparecen ordenados alfabéticamente en una de las siguientes categorías: Medicina Familiar, Medicina General, Medicina Interna y Obstetricia/Ginecología (OB/GYN, por sus siglas en inglés). Su PCP brindará o coordinará toda su atención médica cubierta mientras usted sea miembro de nuestro plan. Los PCP que no aceptan actualmente nuevos pacientes se incluyen en la categoría Solo se aceptan pacientes actuales. Puede elegir a un PCP en esta categoría solamente si es miembro nuevo de Blue Shield 65 Plus y es paciente actual de dicho médico, o bien si se cambia a un nuevo grupo médico del cual el médico mencionado también forma parte. Los especialistas afiliados aparecen ordenados alfabéticamente según su especialidad. Si su PCP considera que usted necesita tratamiento más especializado, dicho médico lo derivará a un especialista asociado con el grupo médico de la red, previo consentimiento del grupo médico mencionado. Si su especialista le recomienda que siga yendo a las consultas para recibir más servicios, es posible que su grupo médico de la red tenga que autorizar tales servicios. Los centros de Atención Urgente afiliados a su grupo médico están incluidos en la sección Centros de Atención Urgente. Puede utilizar estos u otros Centros de Atención Urgente en el área de servicio de su plan si necesita atención médica urgente cuando el consultorio de su PCP esté cerrado. Si decide inscribirse en el plan dental opcional complementario, este viii

11 Cómo utilizar este directorio, continuación directorio incluye una lista de dentistas de la red. Para obtener más información sobre cómo elegir a un dentista de la red, consulte el comienzo de esa sección en este directorio. Las farmacias del plan no figuran en este directorio. Puede solicitar una lista llamando a nuestro departamento de Servicio para Miembros o ingresando en blueshieldca.com/findaprovider. Para elegir a su PCP, siga estos simples pasos: 1. Elija al médico de este directorio que quiera que sea su PCP. Nota: Si está interesado en un especialista en particular, asegúrese de que dicho especialista esté en el mismo grupo médico que el PCP que eligió. Necesitará una derivación autorizada del grupo médico de su PCP antes de poder tratarse con un especialista, excepto en el caso de la atención de rutina para la salud femenina, tal como se describe más adelante. 2. Llame al consultorio del PCP que eligió para asegurarse de que acepta nuevos pacientes y para obtener respuestas a cualquier pregunta que pueda tener sobre el médico (por ejemplo, horarios de atención, disponibilidad por la noche y/o los fines de semana y formación académica). 3. Ingrese el número de identificación del PCP que eligió en la casilla correspondiente del formulario de inscripción del plan. Si necesita ayuda para elegir a un PCP, llame a Servicio para Miembros. Es fácil cambiar a su PCP actual Si ha acudido con anterioridad a un determinado proveedor de la red, no es necesario que siga acudiendo a ese mismo proveedor. Puede cambiar de PCP en cualquier momento. Sin embargo, si recibe actualmente atención para pacientes internados en el hospital o se encuentra en pleno tratamiento con su PCP o con un especialista, le recomendamos que no cambie de médico o grupo médico hasta que le den el alta o complete el tratamiento. Si decide cambiar de PCP, simplemente llame a Servicio para Miembros y nos aseguraremos de que el médico que eligió acepte nuevos pacientes. Debería preguntar si el nuevo PCP que eligió realiza derivaciones a alguno de los especialistas que visita actualmente. Necesitará una derivación autorizada del grupo médico de su PCP antes de poder tratarse con un especialista, excepto en el caso de la atención de rutina para la salud femenina, tal como se describe más adelante y en su Evidencia de Cobertura. Nosotros haremos el cambio por usted, le avisaremos por teléfono cuando se lleve a cabo y le enviaremos una nueva tarjeta de identificación de miembro. Si llama antes del día 15 del mes, su traspaso a un nuevo PCP entrará en vigor el primer día del mes siguiente. A veces, puede suceder que un PCP, un especialista o una clínica que le brinde atención abandone el plan. De ser así, tendrá que cambiarse a otro médico de la red. Le notificaremos si esto ocurre y nos aseguraremos de que siga teniendo acceso a todos los servicios del plan. Si es mujer y prefiere visitar a un OB/GYN para recibir su atención de rutina para la salud femenina (mamografías, pruebas de Papanicolaou, y exámenes ginecológicos y de los senos), puede programar una cita con cualquier OB/GYN que figure en su grupo médico de la red sin necesidad de contar con una derivación de su PCP. Si es posible, llame a su PCP antes de solicitar atención médica. Si visita a un médico, un hospital u otro proveedor sin la aprobación de su PCP, usted será responsable de los servicios, excepto en caso de emergencia o cuando necesite atención urgente, diálisis renal fuera del área (dentro de los Estados Unidos) o pagar cualquier cargo por determinada atención ginecológica u otros servicios a los que se haya autoderivado. Ni ix

12 Cómo utilizar este directorio, continuación Medicare Original, ni Blue Shield pagarán los servicios sin carácter de emergencia ni la atención que no sea urgentemente necesaria sin la autorización previa de su PCP. La Atención Urgente hace referencia a una situación sin carácter de emergencia en la que usted está temporalmente fuera del área de servicio autorizada del plan, necesita atención médica inmediata para tratar una enfermedad, lesión o afección imprevista y no es razonable, dada la situación, obtener atención médica por medio de la red de proveedores del plan. En circunstancias inusuales y extraordinarias, es posible que la atención se considere urgentemente necesaria cuando el miembro se encuentra en el área de servicio pero la red de proveedores del plan es inaccesible o no está disponible temporalmente. Si necesita atención en un caso de emergencia, obtenga asistencia médica lo más pronto posible. Llame al 911 para obtener ayuda o acuda a la sala de emergencias más cercana. No necesita obtener primero el permiso de su médico o de otro proveedor de la red. Hablamos de emergencia médica cuando usted considera que su salud corre grave peligro y cuando cada segundo cuenta. Una emergencia médica incluye dolor intenso, una lesión seria, una enfermedad grave o una afección médica que empeora rápidamente. Asegúrese de que se informe a Blue Shield acerca de su emergencia, ya que será necesario que su médico haga un seguimiento de su atención de emergencia. Usted u otra persona deben llamar a su médico para notificarle acerca de su atención de emergencia cuanto antes, en lo posible dentro de las 48 horas. El número al que debe llamar se encuentra en su tarjeta de identificación de miembro de Blue Shield 65 Plus. Qué ocurre si necesita atención médica inmediata para una enfermedad o lesión imprevista pero su salud no corre grave peligro? Si necesita asistencia médica inmediata pero su salud no corre grave peligro, dicha asistencia se denomina "atención urgentemente necesaria". Si se encuentra en el área de servicio de su plan, llame a su PCP. Si el consultorio de su médico está cerrado, diríjase al centro de atención urgente que figura en este directorio. Si se encuentra fuera del área de servicio, siempre que sea posible, llame primero a su PCP. Si sufre una afección que requiere atención de urgencia y recibe tratamiento mientras está fuera del área de servicio, preferimos que regrese al área de servicio para que su PCP le brinde atención de seguimiento. No obstante, cubriremos la atención de seguimiento que reciba de los proveedores no pertenecientes a la red que estén fuera del área de servicio, siempre y cuando la atención recibida siga cumpliendo con la definición de "atención urgentemente necesaria". Algunos hospitales y demás proveedores no proporcionan uno o más de los siguientes servicios, que pueden estar cubiertos en el contrato de su plan y que usted podría necesitar: planificación familiar, servicios de anticoncepción, y esterilización, incluida la ligadura de trompas inmediatamente después del parto. Para asegurarse de que puede obtener los servicios de atención de la salud que necesita, llame a nuestro departamento de Servicio para Miembros y solicite ayuda. Algunos hospitales participan en un programa de calidad independiente. Los hospitales identificados con el símbolo L participan en el programa de California Leapfrog Group, un programa independiente que busca implementar tres prácticas esenciales que se ha demostrado que mejoran la seguridad del paciente. Los hospitales que participan del programa Leapfrog: 1) controlan las recetas por computadora para evitar la interacción entre medicamentos, 2) cuentan con un médico especialista de tiempo completo entre el personal de x

13 Cómo utilizar este directorio, continuación todas las unidades de cuidado intensivo y 3) llevan a cabo procedimientos quirúrgicos de alto riesgo, como cirugías cardíacas, solo cuando se cumple con ciertos criterios de calidad. Si necesita servicios de enfermería especializada, atención de transición o servicios especializados, su PCP coordinará su transferencia a un centro de atención subaguda que tenga contrato con Blue Shield o a otro centro al cual su PCP esté afiliado. Puede solicitar una lista de estos centros llamando a nuestro departamento de Servicio para Miembros. Si recibe una factura de cualquier proveedor no perteneciente a la red por servicios cubiertos, como atención de emergencia o urgentemente necesaria, o bien servicios de diálisis renal fuera del área, no la pague. Envíenos la factura a la siguiente dirección y nosotros pagaremos el monto cubierto menos el (los) monto(s) de copago o coseguro que corresponda(n): Blue Shield 65 Plus and Blue Shield 65 Plus Choice Plan Claims Department P.O. Box Chico, CA xi

14 This page intentionally left blank

15 Greater Tri Cities IPA BlueShield65 Plus Affiliated Hospitals Tri City Medical Center L 4002 Vista Way Urgent Care Centers This plan provides coverage for Urgent Care centers in network and out-of-network. For an up-to-date list of Urgent Care Centers in the network, please contact your medical group. Este plan brinda cobertura en los Centros de Atención Urgente de la red y no pertenecientes a la red. Para obtener una lista actualizada de los Centros de Atención Urgente de la red, comuníquese con su grupo médico. PCPs Family Practice Mahyar Ajir, DO M ID No. 1V0124 PC Ps- Family Pr actice 2801 Jefferson St Carlsbad, CA (760) Languages: Farsi and Spanish Joseph E Brown, MD M ID No. 1V0071 PC Ps- Family Pr actice 1000 Vale Terrace Dr Vista, CA (760) Ma Belen S Clark, MD F ID No. 1V0127 PCPs - Famil ypr act ice 3609 Vista Wy STE B (760) Elaheh Etedali, DO F ID No. 1V0125 PCPs - Famil ypr act ice 2801 Jefferson St Carlsbad, CA (760) Languages: Farsi Linda S Falconio, MD F ID No. 1V0189 PCPs - Famil ypr act ice 2067 W Vista Wy STE 225 Vista, CA (760) Neil L Halim, MD ID No. 1V0069 PCPs - Famil ypr act ice 1030 La Bonita Dr STE 316 San Marcos, CA (760) Languages: Arabic Melissa E Hurd, MD F ID No. 1V0044 PCPs - Famil ypr act ice 161 Thunder Dr STE 103 Vista, CA (760) James E Italiano, MD M ID No. 1V0129 PCPs - Famil ypr act ice 3230 Waring Ct STE J (760) Emmett A Montis, DO M ID No. 1V0126 PC Ps - Family Practice 1000 Vale Terrace Dr Vista, CA (760) Thays S Novikoff, MD F ID No. 1V0192 PC Ps - Family Practice 134 Grapevine Rd Vista, CA (760) Angel J Ocha, DO M ID No. 1V0133 PC Ps - Family Practice 1000 Vale Terrace Dr Vista, CA (760) Steven K Ochi, DO M ID No. 1V0132 PC Ps - Family Practice 1000 Vale Terrace Dr Vista, CA (760) Marie C Patrick, DO F ID No. 1V0206 PC Ps - Family Practice 134 Grapevine Rd Vista, CA (760) Sanjeev Sharma, MD M ID No. 1V0058 PC Ps - Family Practice 2690 Roosevelt St Carlsbad, CA (760) Languages: Hindi L=LeapFrog F=Female M=Male When you choose your PCP, you are also choosing the hospital(s) and specialty network affiliated with the physician group. 1

16 Greater Tri Cities IPA, continued PCPs - Family Practice Loretta S Stenzel, MD F ID No. 1V0070 PCPs - Fam ily Pract ice 134 Grapevine Rd Vista, CA (760) Cheryl E Thompson, MD F ID No. 1V0128 PCPs - Fam ily Pract ice 134 Grapevine Dr Vista, CA (760) General Practice William Kenney, MD M ID No. 1V0205 PCPs - G eneral Pract ice 616 S Coast Hwy (760) Carlos Oliva, MD M ID No. 1V0031 PCPs - G eneral Pract ice 1070 S Santa Fe Ave STE 9 Vista, CA (760) Languages: Italian and Spanish Donald Ong, MD M ID No. 1V0115 PCPs - G eneral Pract ice 1000 Vale Terr Vista, CA (760) Languages: Tagalog Gregory D Smith, MD M ID No. 1V0105 PCPs - G eneral Pract ice 161 Thunder Dr STE 207 Vista, CA (760) Thomas A Watson, MD M ID No. 1V0032 PC Ps - Gener alpr actice 301 E Washington Ave STE B Escondido, CA (760) Internal Medicine Irving A Bloom, MD M ID No. 1V0093 PC Ps - Int ernal Medi cine 130 Cedar Rd STE 310 Vista, CA (760) Enrique M Boquin, MD M ID No. 1V0068 PC Ps - Int ernal Medi cine 1000 Vale Terrace Dr Vista, CA (760) Maribeth S Chong, MD F ID No. 1V0067 PC Ps - Int ernal Medi cine 3144 El Camino Real STE 200 Carlsbad, CA (760) Languages: Tagalog Yoo Jin Chong, MD M ID No. 1V0122 PC Ps - Int ernal Medi cine 3144 El Camino Real STE 200 Carlsbad, CA (760) Languages: Japanese and Korean Perrin J Curran, MD M ID No. 1V0121 PC Ps - Int ernal Medi cine 3601 Vista Wy STE (760) Nagi Ibrahim, MD M ID No. 1V0056 PCPs - Inter nal Medicine 2122 S El Camino Real STE (760) Languages: Arabic and Spanish Catherine Lawson, MD F ID No. 1V0109 PCPs - Inter nal Medicine 3230 Waring Ct STE J (760) Michael MacMurray, MD M ID No. 1V0060 PCPs - Inter nal Medicine 818 Pierview Way (760) Justina J Tseng, MD F ID No. 1V0208 PCPs - Inter nal Medicine 134 Grapevine Rd Vista, CA (760) Also located at: PCPs - Inter nal Medicine 1000 Vale Terrace Vista, CA (760) Specialty Physicians Allergy & Immunology John F Bastian, MD M Specialt y Physicians - Al lergy& Immunol ogy El Centro, CA Heather S Volpp, MD F Specialt y Physicians - Al lergy& Immunol ogy Vista, CA Robert W Ziering, MD M Specialt y Physicians - Al lergy& Immunol ogy Vista, CA Anesthesiology Robert E Wailes, MD M Specialt y Physicians - Anest hesi ology Encinitas, CA F=Female M=Male Cuando elige a su PCP, también está eligiendo el/los hospital/es y la red de 2 especialistas afiliados al grupo de médicos.

17 Greater Tri Cities IPA, continued Specialty Physicians - Cardiovascular Disease Cardiovascular Disease Kenneth W Carr, MD M Special ty Physici - Cardi ovascular Disease Kathleen A Paveglio, MD F Special ty Physici - Cardi ovascular Disease Paul D Sarkaria, MD M Special ty Physici - Cardi ovascular Disease Chiropractor Lance Jeppesen, DC Special ty Physici ans - Chir opractor San Marcos, CA Dale M Mauser, DC Special ty Physici ans - Chir opractor San Marcos, CA Jill-Ellen A Mauser, DC F Special ty Physici ans - Chir opractor San Marcos, CA Colon & Rectal Surgery Dhruvil P Gandhi, MD M Special ty Physici ans - Colon & Rectal Sur gery Vista, CA Dermatology Michael B Bradshaw, MD M Special ty Physici - Dermatology Bari B Cunningham, MD F Special ty Physici ans - Dermatology Encinitas, CA Ruth Gilboa, MD F Special ty Physici - Dermatology Camille A Henninger, MD Special ty Physici ans - Dermatology Vista, CA Julia G Kurlan, MD F Special ty Physici - Dermatology Vu H Nguyen, MD Special ty Physici ans - Dermatology Vista, CA Joseph A Samady, MD M Special ty Physici - Dermatology Patricia N Speelman, MD F Special ty Physici - Dermatology Jens J Thiele, MD M Specialt yphysicians - Der mat ology Darryl S Wong, MD M Specialt yphysicians - Der mat ology Yue Yu, MD F Specialt yphysicians - Der mat ology Vista, CA Endocrinology Georges M Argoud, MD M Specialt yphysicians - Endocr inology Gastroenterology Christopher E Devereaux, MD M Specialt yphysicians - Gast roent er ology Thomas C Krol, MD M Specialt yphysicians - Gast roent er ology Javaid A Shad, MD M Specialt yphysicians - Gast roent er ology Michael Shim, MD M Specialt yphysicians - Gast roent er ology Matthew E Viernes, MD M Specialt yphysicians - Gast roent er ology General Surgery Andrew R Deemer, MD M Specialt yphysicians - Gener al Surger y Adam S Fierer, MD M Specialt yphysicians - Gener al Surger y Mohammad Jamshidi-Nezhad, DO M Specialt yphysicians - Gener al Surger y John M Kroener, MD M Specialt yphysicians - Gener al Surger y Stefan Moldovan, MD M Specialt yphysicians - Gener al Surger y Escondido, CA Eric B Rypins, MD M Specialt yphysicians - Gener al Surger y Vista, CA Katayoun Tootsie, MD F Special ty Physi cians-general Surgery Gynecology Oncology Sutapa Ghosh, MD F Special ty Physi cians-gynecology Oncology San Marcos, CA Internal Medicine Andrew Cummins, MD M Special ty Physi cians-int ernal Medici ne Nephrology Richard R Barager, MD M Special ty Physi cians-nephrol ogy Naing T Kyaw, MD Special ty Physi cians-nephrol ogy Amy H Matayoshi, MD F Special ty Physi cians-nephrol ogy Neurology Lesly G Aguilar Tabora, MD F Special ty Physi cians-neurol ogy Benjamin M Frishberg, MD M Special ty Physi cians-neurol ogy Monika A Gupta, MD F Special ty Physi cians-neurol ogy Vista, CA Hal Meltzer, MD M Special ty Physi cians-neurol ogy Irene J Oh, MD F Special ty Physi cians-neurol ogy Encinitas, CA Jay H Rosenberg, MD M Special ty Physi cians-neurol ogy Encinitas, CA Mark N Sadoff, MD M Special ty Physi cians-neurol ogy Gregory A Sahagian, MD M Special ty Physi cians-neurol ogy F=Female M=Male When you choose your PCP, you are also choosing the hospital(s) and specialty network affiliated with the physician group. 3

18 Greater Tri Cities IPA, continued Specialty Physicians - Neurology Cordia Y Wan, MD F SpecialtyPhysicians - Neur ology Anchi Wang, MD F SpecialtyPhysicians - Neur ology Michael J Zupancic, MD M SpecialtyPhysicians - Neur ology Neurosurgery Thomas Marcisz, MD M SpecialtyPhysicians - Neur osur gery Escondido, CA Obstetrics/Gynecology Orna Gil, MD F SpecialtyPhysicians - Obst etrics/gynecology Vista, CA Melissa A Hawkins, MD SpecialtyPhysicians - Obst etrics/gynecology Vista, CA Jack Klausen, MD M SpecialtyPhysicians - Obst etrics/gynecology Vista, CA Sandra Lopez, MD F SpecialtyPhysicians - Obst etrics/gynecology Vista, CA Rahele Mazarei F SpecialtyPhysicians - Obst etrics/gynecology Scott E Musinski, MD M SpecialtyPhysicians - Obst etrics/gynecology Encinitas, CA Lesley A Nurse, MD F SpecialtyPhysicians - Obst etrics/gynecology David M Plourd, MD M SpecialtyPhysicians - Obst etrics/gynecology Vista, CA Jessica B Simpson, MD F SpecialtyPhysicians - Obst etrics/gynecology Vista, CA Ophthalmology Bradley W Greider, MD M SpecialtyPhysicians - Opht halmol ogy Vista, CA Atul K Jain, MD M SpecialtyPhysicians - Opht halmol ogy Yvette M Jockin, MD SpecialtyPhysicians - Opht halmol ogy Jeffrey B Morris, MD M Special ty Physici - Ophthal mology Fane L Robinson, MD F Special ty Physici - Ophthal mology Colin Scher, MD M Special ty Physici ans - Ophthal mology Mark D Smith, MD M Special ty Physici - Ophthal mology Tara M Viechnicki, MD F Special ty Physici ans - Ophthal mology Encinitas, CA Maulik S Zaveri, MD M Special ty Physici ans - Ophthal mology Vista, CA Optometry Ashley K Butler, OD F Special ty Physici ans - Optometry Encinitas, CA Sara Julazadeh, OD F Special ty Physici ans - Optometry Encinitas, CA Orthopedic Surgery David W Amory, MD M Special ty Physici - Orthopedic Surgery Christian Bentley, MD M Special ty Physici ans - Orthopedic Surgery Vista, CA Henry G Chambers, MD M Special ty Physici ans - Orthopedic Surgery Andrew M Cooperman, MD M Special ty Physici ans - Orthopedic Surgery Vista, CA David L Daugherty, MD M Special ty Physici - Orthopedic Surgery James C Esch, MD M Special ty Physici - Orthopedic Surgery Andrew P Hartman, MD M Special ty Physici - Orthopedic Surgery Jon P Kelly, MD M Special ty Physici ans - Orthopedic Surgery Carlsbad, CA Payam Moazzaz, MD M Specialt y Physicians - Orthopedi csurger y Scott J Mubarak, MD M Specialt y Physicians - Orthopedi csurger y Richard K Muir, MD M Specialt y Physicians - Orthopedi csurger y Peter O Newton, MD M Specialt y Physicians - Orthopedi csurger y Erik S Stark, MD M Specialt y Physicians - Orthopedi csurger y Charles D Wallace, MD M Specialt y Physicians - Orthopedi csurger y Dennis Wenger, MD M Specialt y Physicians - Orthopedi csurger y Otolaryngology Julie A Berry, MD F Specialt y Physicians - Otolar yngology Vista, CA Robert D Jacobs, MD M Specialt y Physicians - Otolar yngology Donald B Kearns, MD M Specialt y Physicians - Otolar yngology Zachary T Kneass, MD M Specialt y Physicians - Otolar yngology Vista, CA Marc J Lebovits, MD M Specialt y Physicians - Otolar yngology Vista, CA Anthony E Magit, MD M Specialt y Physicians - Otolar yngology Seth M Pransky, MD M Specialt y Physicians - Otolar yngology Bruce K Reisman, MD M Specialt y Physicians - Otolar yngology Pediatric Cardiology Farhouch Berdjis, MD M Specialt y Physicians - Pedi atric Car diology Vista, CA F=Female M=Male Cuando elige a su PCP, también está eligiendo el/los hospital/es y la red de 4 especialistas afiliados al grupo de médicos.

19 Greater Tri Cities IPA, continued Specialty Physicians - Pediatric Hematology Oncology Pediatric Hematology Oncology Amy E Geddis, MD F Special ty Physici ans - Pediatric Hematol ogyoncology William D Roberts, MD M Special ty Physici ans - Pediatric Hematol ogyoncology Physical Medicine & Rehab Christopher J Rogers, MD M Special ty Physici - PhysicalMedicine & Rehab Renjit Sundhadaras, MD M Special ty Physici ans - PhysicalMedicine & Rehab San Marcos, CA Plastic Surgery Alfonso Camberos, MD M Special ty Physici ans - Plastic Surgery Abhay Gupta, MD M Special ty Physici ans - Plastic Surgery Podiatry Brian S Bobick, MD M Special ty Physici - Podiatry James Y Han, DPM M Special ty Physici - Podiatry Heamin T Shin, DPM M Special ty Physici - Podiatry Dewain N Springer, DPM M Special ty Physici - Podiatry Eric Thuen, DPM M Special ty Physici - Podiatry Pulmonary Disease Frank E Corona, MD M Special ty Physici - Pulmonar y Disease Radiation Oncology Anuradha Koka, MD F Specialt yphysicians - Radi ation Oncology Vista, CA Therapeutic Radiology Eva K Lean, MD F Specialt yphysicians - Ther apeut ic R adiology Vista, CA Patrick Linson M Specialt yphysicians - Ther apeut ic R adiology Vista, CA Kenneth Shimizu, MD Specialt yphysicians - Ther apeut ic R adiology Vista, CA Thoracic Surgery Theodore L Folkerth, MD M Specialt yphysicians - Thor acic Surgery Paul A Mazur, MD M Specialt yphysicians - Thor acic Surgery Urology Caroline J Colangelo, MD F Specialt yphysicians - Ur ology Bradley L Frasier, MD M Specialt yphysicians - Ur ology Michael P Guerena, MD M Specialt yphysicians - Ur ology Arthur B Warshawsky, MD M Specialt yphysicians - Ur ology Vascular Surgery Anatoly J Bulkin, MD M Specialt yphysicians - Vascular Surgery Escondido, CA Alexander C Salloum, MD M Specialt yphysicians - Vascular Surgery Poway, CA Martin M Nielsen, MD M Special ty Physici - Pulmonar y Disease Mark K Yamanaka, MD M Special ty Physici - Pulmonar y Disease F=Female M=Male When you choose your PCP, you are also choosing the hospital(s) and specialty network affiliated with the physician group. 5

20 San Diego Physicians Medical Group Affiliated Hospitals Scripps Memorial Hospital Encinitas L 354 Santa Fe Dr Encinitas, CA Scripps Memorial Hospital La Jolla L 9888 Genesee Ave Scripps Mercy Hospital Chula Vista L 435 H St Scripps Mercy Hospital San Diego Campus L 4077 Fifth Ave Urgent Care Centers This plan provides coverage for Urgent Care centers in network and out-of-network. For an up-to-date list of Urgent Care Centers in the network, please contact your medical group. Este plan brinda cobertura en los Centros de Atención Urgente de la red y no pertenecientes a la red. Para obtener una lista actualizada de los Centros de Atención Urgente de la red, comuníquese con su grupo médico. PCPs Family Practice Donald S Adema, DO M ID No. DP0451 PC Ps - Family Pr actice Mission Gorge Rd STE M Santee, CA (619) Ovidiu Alb, MD M ID No. DP0395 PC Ps - Family Pr actice 480 4th Ave STE (619) Languages: Romanian and Spanish Simona D Alb, MD F ID No. DP0390 PC Ps - Family Pr actice 480 4th Ave STE (619) Languages: Romanian Georgia Aljawadi, DO F ID No. DP0462 PC Ps - Family Pr actice 480 4th Ave STE (619) and Tagalog Liliana Alvarez-Martinez, MD F ID No. DP0349 PC Ps - Family Pr actice 727 W San Marcos Blvd STE 112 San Marcos, CA (760) Richard O Butcher, MD M ID No. DP0663 PCPs - Famil ypr act ice 292 Euclid Ave STE (619) Robert Button, MD M ID No. DP0016 PCPs - Famil ypr act ice 8929 University Ctr STE (858) Marilyn Calderon, MD F ID No. DP0457 PCPs - Famil ypr act ice 340 4th Ave STE (619) James E Cevallos, MD M ID No. DP0437 PCPs - Famil ypr act ice 4004 Beyer Blvd San Ysidro, CA (619) Taram M Dabo, MD M ID No. DP0418 PCPs - Famil ypr act ice 1919 Grand Ave STE 1E (858) Languages: French and Mandarin Viet T Dao, MD M ID No. DP0661 PCPs - Famil ypr act ice 2363 Ulric St STE B (858) Languages: Vietnamese L=LeapFrog F=Female M=Male Cuando elige a su PCP, también está eligiendo el/los hospital/es y la red de 6 especialistas afiliados al grupo de médicos.

INFORMATIONAL NOTICE

INFORMATIONAL NOTICE Rod R. Blagojevich, Governor Barry S. Maram, Director 201 South Grand Avenue East Telephone: (217) 782-3303 Springfield, Illinois 62763-0002 TTY: (800) 526-5812 DATE: March 4, 2008 INFORMATIONAL NOTICE

More information

Memorial Health Care System Catholic Health Initiatives Financial Assistance Application Form

Memorial Health Care System Catholic Health Initiatives Financial Assistance Application Form B Please note - Memorial Hospital may access external validation resources to assist in determining whether a full application for assistance is required. Financial Assistance Application 1) Patient Name

More information

Health First Medicare Plans Dental Directory

Health First Medicare Plans Dental Directory Consultorios dentales de la red DeltaCare USA Health First Medicare Plans Dental Directory for Classic (HMO-POS) and Employer Group Plans About our Dental Network The Classic (HMO-POS) and Employer Group

More information

Summary of Benefits. Blue Cross Community Integrated Care Plan (ICP) SM. January 1, 2015 - December 31, 2015

Summary of Benefits. Blue Cross Community Integrated Care Plan (ICP) SM. January 1, 2015 - December 31, 2015 Blue Cross Community Integrated Care Plan (ICP) SM Summary of Benefits January 1, 2015 - December 31, 2015 Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna-HealthSpring Rx Secure (PDP) offered by Cigna HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna Medicare Rx Secure (PDP). Next year, there will be some

More information

Blue Cross Blue Shield of Arizona Advantage Plan Change Form

Blue Cross Blue Shield of Arizona Advantage Plan Change Form Blue Cross Blue Shield of Arizona Advantage Plan Change Form Date: Member Name: Member ID Number: I want to transfer from my current plan to the plan I have selected below. I understand that I will receive

More information

BALANCE DUE 10/25/2007 $500.00 STATEMENT DATE BALANCE DUE $500.00 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT

BALANCE DUE 10/25/2007 $500.00 STATEMENT DATE BALANCE DUE $500.00 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT R E M I T T O : IF PAYING BY MASTERCARD, DISCOVER, VISA, OR AMERICAN EXPRESS, FILL OUT BELOW: XYZ Orthopaedics STATEMENT DATE BALANCE DUE 10/25/2007 $500.00 BALANCE DUE $500.00 ACCOUNT NUMBER 1111122222

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna-HealthSpring Rx Secure (PDP) offered by Cigna HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna Medicare Rx Secure (PDP). Next year, there will be some

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Cigna-HealthSpring Rx Secure-Xtra (PDP) offered by Cigna-HealthSpring Annual Notice of Changes for 2015 You are currently enrolled as a member of Cigna Medicare Rx Secure-Xtra (PDP). Next year, there will

More information

San Diego County. SCAN Health Plan. Evidence of Coverage. Scripps Signature offered by SCAN Health Plan (HMO)

San Diego County. SCAN Health Plan. Evidence of Coverage. Scripps Signature offered by SCAN Health Plan (HMO) San Diego County 2016 SCAN Health Plan Evidence of Coverage Scripps Signature offered by SCAN Health Plan (HMO) Y0057_SCAN_9180_2015F File & Use Accepted G9308 09/15 16C-EOC701 January 1 December 31,

More information

evidence of coverage

evidence of coverage evidence of coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Blue Shield 65 Plus (HMO) San Diego County January 1 December 31, 2015 H0504_14_138E CMS Accepted

More information

Easy Choice Medicare Advantage Plans Individual Enrollment Form

Easy Choice Medicare Advantage Plans Individual Enrollment Form Easy Choice Medicare Advantage Plans Individual Enrollment Form How to Enroll with Easy Choice 1 Please contact Easy Choice if you need an enrollment form or information in another language or format (Braille

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring TotalCare (HMO SNP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring TotalCare (HMO SNP). Next year, there

More information

Easy Choice Health Plan Medicare Advantage Plans Individual Enrollment Form

Easy Choice Health Plan Medicare Advantage Plans Individual Enrollment Form Easy Choice Health Plan Medicare Advantage Plans Individual Enrollment Form How to Enroll with Easy Choice 1 Please contact Easy Choice if you need an enrollment form or information in another language,

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna-HealthSpring Premier (HMO-POS) offered by Cigna-HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna-HealthSpring Premier (HMO-POS). Next year, there will

More information

Evidence of Coverage

Evidence of Coverage January 1 December 31, 2015 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Kaiser Permanente Senior Advantage (HMO) This booklet gives you

More information

Disclosure Form for Kaiser Permanente for Individuals and Families Copayment Plans and Deductible Plans

Disclosure Form for Kaiser Permanente for Individuals and Families Copayment Plans and Deductible Plans Kaiser Foundation Health Plan, Inc. Northern and Southern California Regions Disclosure Form for Kaiser Permanente for Individuals and Families Copayment Plans and Deductible Plans Your Health Plan Coverage

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring Rx Secure Extra (PDP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring Rx Secure Xtra (PDP). Next year, there

More information

Scripps Classic offered by SCAN Health Plan (HMO) Scripps Signature offered by SCAN Health Plan (HMO)

Scripps Classic offered by SCAN Health Plan (HMO) Scripps Signature offered by SCAN Health Plan (HMO) Scripps Classic offered by (HMO) Scripps Signature offered by (HMO) Evidence of Coverage for 2015 San Diego County Y0057_SCAN_8642_2014F File & Use Accepted 08272014 G8659 09/14 January 1 December 31,

More information

Northern California. Provider Directory/Directorio de Proveedores Blue Shield 65 Plus (HMO)

Northern California. Provider Directory/Directorio de Proveedores Blue Shield 65 Plus (HMO) Northern California Provider Directory/Directorio de Proveedores Blue Shield 65 Plus (HMO) Date printed/fecha de impresión: May 2015 Plan year/año del plan: 2015 This directory represents only those providers

More information

SCAN Classic (HMO) offered by SCAN Health Plan Evidence of Coverage for 2015 Los Angeles, Orange, Riverside and San Bernardino Counties

SCAN Classic (HMO) offered by SCAN Health Plan Evidence of Coverage for 2015 Los Angeles, Orange, Riverside and San Bernardino Counties SCAN Classic (HMO) offered by SCAN Health Plan Evidence of Coverage for 2015 Los Angeles, Orange, Riverside and San Bernardino Counties Y0057_SCAN_8636_2014F File & Use Accepted 08262014 G8653 09/14 January

More information

Southern region Región sur Effective May 2015 Vigente desde mayo de 2015. Anthem Blue Cross and Blue Shield

Southern region Región sur Effective May 2015 Vigente desde mayo de 2015. Anthem Blue Cross and Blue Shield Anthem Blue Cross and Blue Shield Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Provider Directory Directorio de proveedores de Hoosier Healthwise, Healthy Indiana Plan y Hoosier Care

More information

EVIDENCE OF COVERAGE. Blue Medicare Advantage Premier (HMO)

EVIDENCE OF COVERAGE. Blue Medicare Advantage Premier (HMO) 2015 EVIDENCE OF COVERAGE Blue Medicare Advantage Premier (HMO) January 1 December 31, 2015 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of

More information

FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner

FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner

More information

Evidence of Coverage

Evidence of Coverage January 1 December 31, 2015 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Kaiser Permanente Senior Advantage Medicare Medi-Cal Plan North

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring Rx Secure (PDP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring Rx Secure (PDP). Next year, there will be

More information

2Q14* Provider & Pharmacy Directory - Medicare Advantage Plans - Directorio de Proveedores y Farmacias - Planes de Medicare Advantage -

2Q14* Provider & Pharmacy Directory - Medicare Advantage Plans - Directorio de Proveedores y Farmacias - Planes de Medicare Advantage - 2Q14* Provider & Pharmacy Directory - Medicare Advantage Plans - Directorio de Proveedores y Farmacias - Planes de Medicare Advantage - California San Diego & Imperial HMO Plans Easy Choice Best Plan (HMO)

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 BlueCHiP for Medicare Plus (HMO) offered by Blue Cross & Blue Shield of Rhode Island Annual Notice of Changes for 2015 You are currently enrolled as a member of BlueCHiP for Medicare Plus. Next year, there

More information

UnitedHealthcare Community Plan STAR Member Handbook

UnitedHealthcare Community Plan STAR Member Handbook UnitedHealthcare Community Plan STAR Member Handbook TEXAS MARCH 2012 Counties Served: Austin, Brazoria, Cameron, Chambers, Duval, Fort Bend, Galveston, Hardin, Harris, Hidalgo, Jim Hogg, Jasper, Jefferson,

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring Rx Secure (PDP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring Rx Secure (PDP). Next year, there will be

More information

Evidence of Coverage

Evidence of Coverage Blue Cross Medicare Advantage Basic (HMO) SM Blue Cross Medicare Advantage Basic Plus (HMO-POS) SM and Blue Cross Medicare Advantage Premier Plus (HMO-POS) SM Evidence of Coverage January 1, 2015 December

More information

Medicaid Prepaid Mental Health Plan

Medicaid Prepaid Mental Health Plan Medicaid Prepaid Mental Health Plan Prepaid Mental Health Services provided by Wasatch Mental Health Prepaid Substance Abuse Services provided by Utah County Department of Drug and Alcohol Prevention and

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring Rx Secure Extra (PDP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring Rx Secure Xtra (PDP). Next year, there

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 HMO Prime No Rx (Medicare Advantage HMO) offered by Tufts Health Plan Medicare Preferred Annual Notice of Changes for 2016 You are currently enrolled as a member of Tufts Medicare Preferred HMO Prime No

More information

Annual Notice of Change 2015

Annual Notice of Change 2015 Clear Touchstone Health Medicare Clear Plan Annual Notice of Change 2015 Bronx, Kings, New York, Queens, Richmond and Westchester Counties www.touchstoneh.com Y0064_H3327_THPSMK_2374 Accepted Touchstone

More information

Medicare Part D Creditable Coverage Notice Open Enrollment Active Carpenters

Medicare Part D Creditable Coverage Notice Open Enrollment Active Carpenters Medicare Part D Creditable Coverage Notice Open Enrollment Active Carpenters Important Notice from Southwest Carpenters Health and Welfare Trust about Prescription Drug Coverage for People with Medicare

More information

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016 Cigna HealthSpring Rx Secure (PDP) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2016 You are currently enrolled as a member of Cigna HealthSpring Rx Secure (PDP). Next year, there will be

More information

Customer Name Address City, State Zip

Customer Name Address City, State Zip <INSERT DATE> Customer Name Address City, State Zip Announcement to Customers: The transition is complete Dear < insert name>, has successfully completed transitioning your water utility account. Once

More information

The following State forms have been included in your claims kit packet:

The following State forms have been included in your claims kit packet: RE: Workers Compensation Claims Kit Dear Policyholder: Welcome to Tower Group Companies Workers Compensation Insurance Program. Although we hope that your company never experiences an injury to an employee,

More information

R&P Cultural Orientation Model Assessment, Spanish

R&P Cultural Orientation Model Assessment, Spanish R&P Cultural Orientation Model Assessment, Spanish Participant Name Case # Assessor Name Date CO Completed Date of Assessment Additional Notes Reminders for assessors: Locally- or culturally-relevant terms

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 1 Cigna-HealthSpring Preferred Plus HMO offered by Cigna HealthCare of Arizona, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of Cigna-HealthSpring Preferred Plus. Next

More information

PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH INC

PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH INC PLAN FEATURES Deductible (per calendar year) $0 Deductible Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Deductible is NOT applicable to Hearing Aid Reimbursement,

More information

ATLANTA INTERNATIONAL PHYSICAL THERAPY, INC.

ATLANTA INTERNATIONAL PHYSICAL THERAPY, INC. .Specwtlfczlkuj Ut Pedlfltric. physical, occ.upflt«>ithl, Speech Therapy sen/tees PATIENT INFORMATION Patient Name (Nombre del paciente] Date of Birth (Fecha de nacimiento] Address (Direccion] City [Cuidad]

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 SeniorHealth Basic and Plus Plans Combined Annual Notice of Change and Evidence of Coverage Contract Year 2015 Contra Costa Health Plan s SeniorHealth Plan, a Medicare Cost Plan offered by Contra Costa

More information

Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan

Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan 32.02.301.1

More information

evidence of coverage

evidence of coverage evidence of coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Blue Shield 65 Plus Choice Plan (HMO) Los Angeles (partial) and Orange counties January 1 December

More information

Manage your health care and health care spending

Manage your health care and health care spending Manage your health care and health care spending Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan You get a health insurance plan for coverage and a fund to help pay for it. Standard Medical

More information

Sales Presentation The Michigan Medicare Plans Designed Around YOU

Sales Presentation The Michigan Medicare Plans Designed Around YOU Sales Presentation The Michigan Medicare Plans Designed Around YOU HARBOR MEDICARE (HMO) HARBOR MEDICARE SELECT (HMO) H7960_003-2016 Approved WHAT YOU CAN EXPECT FROM THIS PRESENTATION PART 1 Introduction

More information

EVIDENCE OF COVERAGE. A complete explanation of your plan. Health Net Green (HMO) January 1, 2010 December 31, 2010

EVIDENCE OF COVERAGE. A complete explanation of your plan. Health Net Green (HMO) January 1, 2010 December 31, 2010 EVIDENCE OF COVERAGE A complete explanation of your plan Health Net Green (HMO) January 1, 2010 December 31, 2010 Important benefit information please read H0755_2010_0389 10/2009 January 1 December 31,

More information

Arizona. Arizona. 602 000-0000 Brother. Jane L. Smith. Name: Medicare Claim Number - - Sex: M x F. 01 01 2 0 0 0 MEDICAL (Part B) / /

Arizona. Arizona. 602 000-0000 Brother. Jane L. Smith. Name: Medicare Claim Number - - Sex: M x F. 01 01 2 0 0 0 MEDICAL (Part B) / / Blue Cross Blue Shield of Arizona Advantage Enrollment Form Completing the Application Process Please complete the application using black ballpoint pen, and press firmly. There are detailed instructions

More information

DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES P.O. Box 712 Trenton, NJ 08625-0712 Telephone 1-800-356-1561

DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES P.O. Box 712 Trenton, NJ 08625-0712 Telephone 1-800-356-1561 ~ S. CORZI~E Governor ~tate of jlew 31eriep DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES P.O. Box 712 Trenton, NJ 08625-0712 Telephone 1-800-356-1561 JENNIFER VELEZ Commissioner

More information

San Diego County. 2015 Benefit Highlights

San Diego County. 2015 Benefit Highlights San Diego County Scripps Classic offered by SCAN Health Plan(HMO) Scripps Signature offered by SCAN Health Plan (HMO) Scripps Heart First offered by SCAN Health Plan (HMO SNP) 2015 Benefit Highlights San

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE TITLE: NUMBER: ISSUER: Spring Semester 2014 Alternate Emergency Exercise Earl R. Perkins, Assistant Superintendent School Operations Office of the Superintendent ROUTING Instructional Superintendents Administrators

More information

Orange County Benefit Highlights. Orange County. SCAN Classic (HMO), SCAN Balance (HMO SNP), and Heart First (HMO SNP) 2015 Benefit Highlights

Orange County Benefit Highlights. Orange County. SCAN Classic (HMO), SCAN Balance (HMO SNP), and Heart First (HMO SNP) 2015 Benefit Highlights Orange County Benefit Highlights Orange County SCAN Classic (HMO), SCAN Balance (HMO SNP), and Heart First (HMO SNP) 2015 Benefit Highlights Orange County Benefit Highlights Comprehensive Care SCAN CLASSIC

More information

2015 Annual Notice of Change

2015 Annual Notice of Change 2015 Annual Notice of Change Colorado Access Advantage Peak Plan (HMO) COLORADO ACCESS ADVANTAGE PEAK PLAN (HMO) offered by Colorado Access Annual Notice of Changes for 2015 You are currently enrolled

More information

Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan

Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Stretching your health care dollars Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan www.aetna.com

More information

Mandatory Enrollment of Seniors and Persons with Disabilities in Medi-Cal Managed Care

Mandatory Enrollment of Seniors and Persons with Disabilities in Medi-Cal Managed Care California s Protection & Advocacy System Mandatory Enrollment of Seniors and Persons with Disabilities in Medi-Cal Managed Care May 17, 2011, Pub #5495.01 1. Q: I receive Medi-Cal. Will I have to enroll

More information

Information. 2013 Additional

Information. 2013 Additional 2013 Additional Information Additional information about covered benefits available under the Health Net Ruby Select (HMO), Health Net Seniority Plus Ruby Plan 1 (HMO) and Health Net Seniority Plus Ruby

More information

SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204

SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204 Part I. Texas Department of Insurance Page 1 of 11 SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204 1. INTRODUCTION. The Texas Department of Insurance proposes

More information

Patient Information NAME SOCIAL SECURITY # (NOMBRE) LAST/APELLIDO FIRST/PRIMER INITIAL (SEGURO SOCIAL)

Patient Information NAME SOCIAL SECURITY # (NOMBRE) LAST/APELLIDO FIRST/PRIMER INITIAL (SEGURO SOCIAL) 7887 North Kendall Drive Suite 210 Miami, Florida 33156 305.598.1555 office 305.598.1155 fax www.vascularandspine.com Patient Information NAME SOCIAL SECURITY # (NOMBRE) LAST/APELLIDO FIRST/PRIMER INITIAL

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 SCAN Connections at Home (HMO SNP) offered by SCAN Health Plan Annual Notice of Changes for 2016 You are currently enrolled as a member of SCAN Connections at Home. Next year, there will be some changes

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 Blue Cross Medicare Advantage Basic (HMO) offered by GHS Health Maintenance Organization, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of Blue Cross Medicare Advantage

More information

Please note that the print size cannot be smaller than the text in the document.

Please note that the print size cannot be smaller than the text in the document. Clarification for Civil Rights Non-Discrimination Statement There have been several questions about using the short version of the USDA nondiscrimination statement on NSLP and SBP menus. It is acceptable

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 P.O. Box 52424, Phoenix, AZ 85072-2424 SilverScript Choice (PDP) offered by SilverScript Insurance Company Annual Notice of Changes for 2015 You are currently enrolled as a member of BlueRx Standard (PDP).

More information

New Regulations For Texas Nonsubscribers Effective January 1, 2013

New Regulations For Texas Nonsubscribers Effective January 1, 2013 New Regulations For Texas Nonsubscribers Effective January 1, 2013 There are NEW RULES regarding certain forms nonsubscribers must file with the Texas Department of Insurance and Notices which must be

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Freedom Basic (PPO) Plan offered by Senior Care Plus Annual Notice of Changes for 2015 You are currently enrolled as a member of the Freedom Basic. Next year, there will be some changes to the plan s costs

More information

SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204

SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204 Part I. Texas Department of Insurance Page 1 of 10 SUBCHAPTER A. AUTOMOBILE INSURANCE DIVISION 3. MISCELLANEOUS INTERPRETATIONS 28 TAC 5.204 1. INTRODUCTION. The commissioner of insurance adopts amendments

More information

FHCP s Medvantage (HMO-POS) offered by Florida Health Care Plans

FHCP s Medvantage (HMO-POS) offered by Florida Health Care Plans FHCP s Medvantage (HMO-POS) offered by Florida Health Care Plans Annual Notice of Changes for 2016 You are currently enrolled as a member of FHCP s Medvantage plan. Next year, there will be some changes

More information

Attachments A- ACS First Mailing (Initial Package)

Attachments A- ACS First Mailing (Initial Package) Attachments A- ACS First Mailing (Initial Package) Attachment A1 - ACS-13(L) (2015)(5-2015), ACS Introductory Letter Attachment A2 - ACS-34IM(08-08-2013), Internet Response Instruction Card Attachment

More information

OVERVIEW OF THE AUTOMATED INFORMATION AND NOTIFICATION SYSTEM

OVERVIEW OF THE AUTOMATED INFORMATION AND NOTIFICATION SYSTEM Automated Information And Notification System (AINS) Users Guide 1 OVERVIEW OF THE AUTOMATED INFORMATION AND NOTIFICATION SYSTEM The Health Check Automated Information and Notification System (AINS) is

More information

A. Before you read the text, answer the following question: What should a family do before starting to look for a new home?

A. Before you read the text, answer the following question: What should a family do before starting to look for a new home? UNIT 1: A PLAN FOR BUYING English for Real Estate Materials A. Before you read the text, answer the following question: What should a family do before starting to look for a new home? Read the following

More information

CHILD CARE 2016 SUMMER CREDENTIAL COURSES NEW YORK

CHILD CARE 2016 SUMMER CREDENTIAL COURSES NEW YORK CHILD CARE 2016 SUMMER CREDENTIAL COURSES NEW YORK 100% online Convenient, evening classes Caring instructors with field experience Scholarships available We are proud to offer you the fully accredited

More information

Evidence of Coverage

Evidence of Coverage January 1 December 31, 2016 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Kaiser Permanente Senior Advantage (HMO) This booklet gives you

More information

Classic Plan (HMO-POS)

Classic Plan (HMO-POS) Classic Plan (HMO-POS) Offered by Health First Health Plans You are currently enrolled as a member of the Classic Plan (HMO-POS). Next year, there will be some changes to the plan s costs and benefits.

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 P.O. Box 52424, Phoenix, AZ 85072-2424 SilverScript Choice (PDP) offered by SilverScript Insurance Company Annual Notice of Changes for 2016 You are currently enrolled as a member of SilverScript Choice

More information

SCAN Health Plan. 2015 Summary of Benefits

SCAN Health Plan. 2015 Summary of Benefits SCAN Health Plan 2015 Summary of Benefits Y0057_SCAN_8712_2014F File & Use Accepted 09032014 ( a Medicare Advantage Health Maintenance Organization (HMO) offered by SCAN Health Plan with a Medicare contract)

More information

EVIDENCE OF COVERAGE Molina Medicare Options Plus HMO SNP

EVIDENCE OF COVERAGE Molina Medicare Options Plus HMO SNP Molina Medicare Options Plus HMO SNP Member Services CALL (866) 440-0012 Calls to this number are free. 7 days a week, 8 a.m. to 8 p.m., local time. Member Services also has free language interpreter services

More information

THE CITY OF HOPE Proposed Effective Date: 01-01-2012 HMO - California PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC.

THE CITY OF HOPE Proposed Effective Date: 01-01-2012 HMO - California PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC. PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum (per calendar year) None Individual None Family $1,500 Individual $3,000 Family Member cost sharing for certain services may not apply

More information

Carelink CaroMont Provider Directory

Carelink CaroMont Provider Directory Carelink CaroMont Product Service Area: Cleveland, Lincoln, and Gaston Counties November 2013 Carelink from Coventry benefit plans are underwritten and administered by Coventry Health Care of the Carolinas,

More information

Military Scholarship & Employment Program (MSEP)

Military Scholarship & Employment Program (MSEP) MSEP Military Scholarship & Employment Program (MSEP) INCLUDES: Army Spouse Employment Partnership (ASEP); Army/Air National Guard; Air Force; Marine Corps; Navy; Coast Guard CONTENTS SUMMARY:...3 WHO

More information

Colorado Labor Law Postings

Colorado Labor Law Postings Colorado Labor Law Postings Thank you for using GovDocs.com! Your order contains the following state posters: Name of Poster Posting Requirements Agency Responsible Unemployment Insurance All employers

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 Care N Care Health Plan I MA-Only (PPO) offered by Care N Care Insurance Company, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of Care N Care Health Plan I MA-Only. Next

More information

Copyright 2016-123TeachMe.com 242ea 1

Copyright 2016-123TeachMe.com 242ea 1 Sentence Match Quiz for Category: por_vs_para_1 1) Son las habitaciones accesibles para discapacitados? - A: Are the rooms handicapped accessible? - B: You must fill out this form in order to get work

More information

Evidence of Coverage:

Evidence of Coverage: Table of Contents January 1 December 31, 2015 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Mercy Care Advantage (HMO SNP) This booklet

More information

HARBOR ADVANTAGE (HMO) H7960-002-2015 Accepted

HARBOR ADVANTAGE (HMO) H7960-002-2015 Accepted HARBOR ADVANTAGE (HMO) H7960-002-2015 Accepted IMPORTANT This presentation is for the exclusive use of Authorized Plan Representatives of Harbor Advantage (HMO). Harbor Health Plan is an HMO plan with

More information

PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE

PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE DAN S. COHEN, M.D PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE PLEASE PRINT CLEARLY / POR FAVOR ESCRIBA LEGIBLEMENTE TODAY S DATE / FECHA DE HOY: PATIENT'S NAME/NOMBRE DEL PACIENTE:

More information

Annual Notice of Changes for 2016

Annual Notice of Changes for 2016 Central Health Focus Plan (HMO SNP) offered by Central Health Plan of California Annual Notice of Changes for 2016 You are currently enrolled as a member of Central Health Focus Plan. Next year, there

More information

Medicare Part D Transition Policy CY 2016 HCSC Medicare Part D

Medicare Part D Transition Policy CY 2016 HCSC Medicare Part D Blue Cross Medicare Advantage (HMO) SM / Blue Cross Medicare Advantage (HMO-POS) SM / Blue Cross Medicare Advantage (PPO) SM Medicare Part D Transition Policy CY 2016 HCSC Medicare Part D Medicare Part

More information

MEDICATION RETRIEVAL FROM SCHOOLS

MEDICATION RETRIEVAL FROM SCHOOLS Directive to Administrators (Specify which administrators) WAD (Wednesday) Publication Date WAD Notice Number No. of Pages All Administrators WAD Title (Limit to 4-6 Words) May 6, 2015 Date Due (if applicable)

More information

Important information about our provider directory

Important information about our provider directory Important information about our provider directory This online directory provides a list of Aetna Medicare Plan (HMO) (PPO) network providers. To get detailed information about your health care coverage,

More information

Napa and Sonoma Counties

Napa and Sonoma Counties Napa and Sonoma Counties Benefit Highlights Napa and Sonoma Counties SCAN Classic (HMO), SCAN Balance (HMO SNP), and Heart First (HMO SNP) 2015 Benefit Highlights Napa and Sonoma Counties Benefit Highlights

More information

Health coverage plus a fund from your employer to help pay your costs

Health coverage plus a fund from your employer to help pay your costs MEDICAL PLAN Aetna HealthFund Health Reimbursement Arrangement (HRA) Plan Health coverage plus a fund from your employer to help pay your costs Learn more about: > The advantages of choosing an HRA > How

More information

2015 Individual Enrollment Request Form

2015 Individual Enrollment Request Form 2015 Individual Enrollment Request Form Please contact the Plan if you need information in another language or format (Braille). UnitedHealthcare Dual Complete 1. To Enroll in UHC Community Plan, Please

More information

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015 Aetna Medicare SM Plan (PPO) Offered by Aetna Life Insurance Company Annual Notice of Changes for 2015 You are currently enrolled as a member of Aetna Medicare Plan (PPO). Next year, there will be some

More information

[2015] CHRISTUS HEALTH PLAN GENERATIONS. Evidence of Coverage

[2015] CHRISTUS HEALTH PLAN GENERATIONS. Evidence of Coverage [2015] CHRISTUS HEALTH PLAN GENERATIONS Evidence of Coverage CHRISTUS Health Plan Generations covers members in the following counties Santa Fe. Los Alamos. San Miguel H1189_CHPEOC2015_081214 January 1

More information