Phone: 877-217-7986, Mon-Fri, 8 a.m. to 6 p.m. (CT)
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Transition of Care Benefits
Transition of care benefits can be requested when your doctor leaves the participating network, or if you are considering coverage with us and your doctor is not in the network.
- To qualify for transition of care services, you must currently be undergoing a course of evaluation and/or medical treatment or be in the second or third trimester of pregnancy.
- Transitional care benefits may be authorized for a period of up to 90 days from the doctor's termination date from the network or your original effective date (for new members).
- To be eligible for transition of care benefits, you must be a member of one of our plans.
Please call 877-217-7986 to request authorization for transition of care benefits.
Note: Ongoing course of evaluation or medical treatment means the treatment of a condition or disease that requires repeated health care services pursuant to a plan of treatment by a doctor because of the potential for changes in a therapeutic regimen.