SISC ONCOLOGY CENTER OF EXCELLENCE PROGRAM

Administered by Contigo Health

Get Started

You do not need prior authorization from Blue Shield or Anthem to access this benefit.

Enhanced Cancer Treatment Option

Nearly 1 in 3 women and 1 in 2 men will be diagnosed with cancer sometime in their lifetime.* Those numbers don’t make it any less scary when you or a loved one has received a diagnosis. As you begin this health journey, you should be aware of a leading-edge program for cancer treatment offered by Self-Insured Schools of California (SISC) for their members.

*American Cancer Society (January 2021)

The Oncology Center of Excellence (COE) Program has been created by Contigo Health, LLC as an enhanced benefit for SISC members to access the highest level of cancer specialists and obtain expert comprehensive care throughout the process – often at no direct cost to covered members.*

*Terms and conditions apply. Deductibles may also apply for HSA plan members.

City of Hope and The Johns Hopkins Hospital

City of Hope and The Johns Hopkins Hospital have met the demanding criteria to become a Contigo Health ECEN Passport™ provider. Regarded as some of the premier healthcare systems in America, these medical centers have been designated as Comprehensive Cancer Centers by the National Cancer Institute (NCI). To retain this exclusive designation shared by only 51 health systems nationwide, providers are required to maintain the highest standards set by the NCI.*

*Information accurate as of 4/8/21 publication date.

Benefits of Oncology Center of Excellence Program

SISC members on the Anthem and Blue Shield PPO plan now have access to this program.

At a top-level overview, benefits include:*

An expert, in-person or virtual evaluation by a multidisciplinary clinical team led by an oncologist specializing in the patient’s particular form of cancer.

A recommended care plan will be developed by an elite cancer care team and discussed with you and your treating oncologist.

Access to treatment options when there is a barrier to care in the member’s local market.

12 months continued access to specialized clinical resources.

Navigation and advocacy support provided by the Contigo Health Case Management team every step of the way.

Access to clinical trials when they are suitable for your specific condition.

*No carrier authorizations are needed for the Oncology Center of Excellence Program. The content contained herein is for educational and informational purposes only and shall not be construed as tax or medical advice. Nothing contained herein shall be construed as a guarantee of benefits. You must maintain eligibility to have access to the program. Limited conditions may be excluded from the program. Terms and conditions apply.

Included Travel Benefits

Travel expenses for treatment will be covered for qualifying members including transportation, lodging and a daily stipend for meals and expenses for the patient and a companion. Travel arrangements and reimbursement must be coordinated through Contigo Health. Per IRS guidelines, a portion of the travel expenses covered may be treated as taxable. We suggest checking with a tax accountant for details.*

*The content contained herein is for educational and informational purposes only and shall not be construed as tax or medical advice. Nothing contained herein shall be construed as a guarantee of benefits. You must maintain eligibility to have access to the program. Limited conditions may be excluded from the program. Terms and conditions apply.

Taking the First Step

You do not need prior authorization from Blue Shield or Anthem to access this benefit. The Contigo Health Case Management team facilitates authorizations for this program.

Click here to get started in the SISC Oncology Center of Excellence Program.

Get Started

If you have any questions concerning this program, you can speak to a Contigo Health navigator.

Monday – Friday, 6 a.m. – 6 p.m. PST.

877-220-3556

This call is toll-free.

About Contigo Health

Contigo Health is a healthcare innovator dedicated to increasing the quality of care. We do so by engaging clinicians, health systems and employers to work together toward common goals: to increase access to high-quality care, enhance associate engagement, control costs and get associates back to work and life faster.