Transitioning Your Care
Our doctors offer a wide range of advanced treatments across all specialties. And our Member Services Specialists are available to help you find the care you need. However, we understand there are times when you are in the middle of care and need special assistance to be sure the transition of your care does not result in any lapses in care. We can help you find the specialist you need. In some cases it may be necessary to approve limited continuing care with your current out of network doctor in order to achieve a safe transfer of care.
Simply submit a Transition of Care Request Form.
ELIGIBILITY FOR TRANSITION OF CARE
- Members who are new to the plan and whose doctors are not in the network
- Existing members whose doctor has left our network
ELIGIBLE MEDICAL CONDITION MAY INCLUDE:
- Pregnant or delivered in the last 6 weeks
- Hospitalized at the time of the new plan year
- Scheduled to have surgery in the new plan year
- In chemotherapy or radiation treatment for cancer
- Diagnosed with a terminal illness
- Getting treated for certain other acute or chronic conditions
TIMING
You can request a short-term extension once you enroll. Requests can be made up until 90 days from when your membership becomes active. To avoid gaps in your treatment or charges from using out-of-network physicians, please submit a Transition of Care Request Form as soon as you enroll or become aware of your transition of care needs. Please call our Member Services Specialists at 1-844-845-8078 (Monday – Friday, 6:30 a.m. – 7:00 p.m. Pacific Time) with any questions.
REQUEST TRANSITION OF CARE
Ask for a short-term extension of using an outside doctor with our Transition of Care Request Form.
Download Transition of Care Request Form »
NEED HELP OR HAVE QUESTIONS?
Call a Member Services Specialist:
1-844-845-8078