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AppleCare Frequently Asked Questions (FAQ)

 

What is AppleCare Medical Group?
Where do the AppleCare physicians practice?
What is AppleCare Insurance Services?
Do I need to join AppleCare?
Is AppleCare Insurance a health plan?
What types of health plans do you offer?
What changes does Medicare have in store?
What advice would you give mature adults who are confused about
the changes in Medicare?

 
 

What is AppleCare Medical Group?
AppleCare Medical Group is comprised of a group of hundreds of primary care and specialist physicians who are in private practice and independent but network together to contract with area health plans and improve access to care for their patients.
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Where do the AppleCare physicians practice?
AppleCare physicians are in office and clinic locations throughout the southeast area of Los Angeles County and in parts of Orange County. These areas include Downey, South Gate, Lynwood, Lakewood, Bellflower, Cerritos, Buena Park and Whittier as well as in Anaheim, La Palma, Santa Ana and other areas.  Back to the top

 

What is AppleCare Insurance Services?
Formerly known as Golden Outlook, a program operated by Downey Regional Medical Center, AppleCare Insurance Services is a customer service outreach program designed to help area residents make good decisions about their health care and health plan. Our team of licensed experts work with you and your family in making good decisions about your doctor, your health plan and your hospital. It is a team of patient advocates who have been helping the community for more than 15 years. All services of the AppleCare Insurance Services are free to the user.  Back to the top

 

Do I need to join AppleCare?
ll you need to do is talk to our experts to learn if your physician is a member of the AppleCare family. If not, you can select among many highly qualified and skilled primary care or specialist physicians that comprise the AppleCare network in your community. You can use this web site to help you find one in your neighborhood.  Back to the top

 

Is AppleCare Insurance a health plan?
It is not a health plan. AppleCare Insurance Services is an insurance services organization that works as a customer service and sales group for health plans and contracted hospitals and medical groups. Over the years, the program has helped thousands of members of our community, providing guidance, advocacy and resources. During times of illness or injury, it's important to have local people to turn to for help.  Back to the top

 

What types of health plans do you offer?
We contract with many different types of health plans to offer our members the freedom to choose what's best for them. We purposely do not contract with just one plan nor do we own a health plan. We believe by offering options to our members, we allow our members to choose from a full spectrum of plans, from Medicare and commercial health plans. Our plans such as Blue Shield, SCAN, Secure Horizons, Citizens Choice and Health Net present benefits that are second to none in our market, and each plan offers our members something special.  Back to the top

 

What changes does Medicare have in store?
The good news is that Medicare's new prescription drug program, Part D, has taken full effect during the last year.   Our members who are part of Medicare Advantage programs enjoyed Part D Prescription Drug Benefits as part of their overall health plan.

Right now, we are preparing for one of the other changes in Medicare Advantage programs - the lock in period. This took effect for the first time this year, beginning in July. Basically, this lock-in provision means that there is a certain time of year (November 15 through March) when you can select or change your Medicare coverage. However, you can still change your medical group or physician at any time as long as you stay within the same Medicare plan.  Back to the top

 

What advice would you give mature adults who are confused about the changes in Medicare?
Call us or encourage your friends, neighbors, caregivers and family members with questions to do so.   That's why we are here.   There is much change occurring in Medicare and we can help you navigate the maze and make it easier for you to make good decisions about your health care. This is what we've done for more than 15 years.  Back to the top

 
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