Get the free Continuity of Care Request for Plans That Include a Tiered Provider Network

Continuity of Care Request for Plans That Include a Tiered Provider Network If you are enrolled in one of our health plans that includes a tiered provider network, you may qualify to receive care

How to fill out continuity of care request

How to fill out continuity of care request

1. To fill out a continuity of care request, follow these steps:
2. Obtain the continuity of care request form from your healthcare provider or insurance company.
3. Provide your personal information such as your name, contact information, and insurance details.
4. Clearly state the reason why you require continuity of care. This can include an ongoing medical condition, a specialized treatment plan, or the need to continue with a specific healthcare provider.
5. Attach any supporting documents or medical records that substantiate your need for continuity of care.
6. Sign and date the request form.
7. Submit the completed form, along with any additional required documents, to your healthcare provider or insurance company as per their instructions.
8. Follow up with your healthcare provider or insurance company to ensure the request is being processed and to receive confirmation of approval.

Who needs continuity of care request?

1. Continuity of care request is typically needed by individuals who meet the following criteria:
2. - Patients with chronic or ongoing medical conditions that require consistent and uninterrupted treatment.
3. - Individuals who have established a trusting relationship with a specific healthcare provider and wish to continue receiving care from them.
4. - Patients who are undergoing specialized treatment or are part of a specific medical program.
5. - Individuals who have undergone surgery or a major medical procedure and require follow-up care.
6. - Patients who require ongoing prescriptions or medical devices that need to be monitored or adjusted over time.

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What is continuity of care request?

Continuity of care request is a formal process that allows patients to continue receiving medical treatment from their current healthcare provider even if that provider is no longer in-network with their insurance plan.

Who is required to file continuity of care request?

Patients who have an ongoing medical treatment with a healthcare provider who is no longer in-network with their insurance plan are required to file a continuity of care request.

How to fill out continuity of care request?

Patients can fill out a continuity of care request form provided by their insurance plan or contact their insurance company directly to request a form. The form typically requires information about the patient, the current healthcare provider, and the medical treatment being received.

What is the purpose of continuity of care request?

The purpose of continuity of care request is to ensure that patients can continue their ongoing medical treatment without interruption or additional costs, even if their healthcare provider is no longer in-network with their insurance plan.

What information must be reported on continuity of care request?

The continuity of care request form typically requires information such as patient's name, insurance ID number, current healthcare provider's name and contact information, description of the medical treatment being received, and any other relevant details.