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You may be
changing your medical plan in 2005. If you have an ongoing
medical condition and your doctor is not in your new network,
you may wish to have help with the transition of your care to a
new doctor.
If any of
the following conditions apply to you, you may be eligible to
remain with your current doctors for a transition period of up
to three months:
-
Pregnancy, with expected delivery in the first quarter 2005
-
Extensive therapy such as chemotherapy
-
A
terminal illness
-
Waiting
for a transplant
-
Behavioral health issues (beyond EAP)
-
Surgery
scheduled for January or February 2005
Your new
health plan administrator will be able to help you find an
appropriate doctor in the network so that your healthcare can be
continued without disruption.
You may
contact your new health plan administrator via telephone or
complete the appropriate transition of care forms. Transition of
care forms are provided below.
You must
complete and return the Transition of Care form to your new plan
administrator in early December to be considered for the
transition period. Select the appropriate form from the list
below and print it.
BCBS PPO
(Medical and Behavioral Health)
Transitional Care Form
HMO Blue New
England
(Medical and Behavioral Health)
You will need to complete both the
A.
Transition of care form
B.
Release of Information (ROI) form.
CIGNA
(Arizona, North Carolina, Houston, North Texas)
Transition of Care form
Pacific Care
Transition of Care form
Kaiser
(Northern & Southern California)
Kaiser does not provide a transition of care form, but
encourages the enrollee to either call Member Services or have
their physician contact Member Services. (1-800-464-4000)
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