Sansum Clinic
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Insurance Plans & Healthcare Networks

Sansum Clinic is pleased to be included in the individual exchange/non exchange network for Anthem Blue Cross. See our Frequently Asked Questions about Covered CA and other Insurance Exchange Networks. Please visit Anthem Blue CrossHealth Net or for more information.

We accept Medicare, many Medicare Advantage Plans, Medicare Part D, CenCal Health Plans, many HMO plans, many PPO plans, some EPPO plans, some EPO plans, many Mental (Behavioral) Health Plans, some 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, and/or
  • If you are in an EPPO or EPO plan with no out-of-network benefits

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, your benefit administrator or your broker as is appropriate to find out if Sansum Clinic is a provider under your specific plan before making a decision.


Plan Types

  • Health Maintenance Organization (HMO)
  • Point of Service (POS)
  • Preferred Provider Organization (PPO)
  • Exchange/Off-Exchange Individual and Small Group Plan (EPPO)
  • Health Service Plan (HSP)
  • Exclusive Provider Organizations (EPO)
  • 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 Plan Options

According to, you may enroll in plans from October 15 to December 7 annually.

Medicare Options at Sansum Clinic:

  • AARP MedicareComplete Secure Horizons (formerly known as Secure Horizons by United Healthcare)
    Members: (800) 950-9355  Non Members: (800) 547-5514
  • For patients living outside of Santa Barbara County, we accept Anthem Medicare Preferred Standard PPO Plans (formerly known as Blue Cross Freedom Blue PPO)

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

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

Individual Exchange/Off-Exchange Plan Options

According to you may enroll in plans from November 1 to January 31, annually.

Individual Plan Options at Sansum Clinic:

  • Anthem Blue Cross - Exchange/Off-Exchange (narrow) Provider Organization (EPPO)
    • Pathway Products on and off exchange

Small Group Off-Exchange Options

  • Health Net Small Group - Off-Exchange Provider Organization (EPO, HSP, HMO)
    • PureCare One EPO Plan
    • PureCare Health Care Services Plan (HSP) - PPO
    • Wholecare HMO

Sansum Clinic recommends the following resources for assistance in understanding your Exchange Plan options:

Health Plan Assistance

For basic assistance in understanding your health plan type, 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

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