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PPO Member Request for Transitional Care Benefits and Release of Information Please complete this form if you are currently receiving medical care from physician(s) that are not listed in your provider
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How to fill out coordinating your medical care

01
Start by making a list of all your healthcare providers, including doctors, specialists, and therapists.
02
Keep track of all your medical records, including test results, diagnoses, and treatment plans.
03
Make sure to share your medical history with all your providers so they have a complete picture of your health.
04
Communicate with your providers regularly and keep them updated on any changes or new symptoms.
05
Schedule appointments and tests in a way that minimizes conflicts and ensures timely care.
06
Keep a record of all your medications, including dosages and any allergies or side effects.
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Research and understand your insurance coverage to make informed decisions about your care.
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Consider enlisting the help of a medical care coordinator or case manager who can assist in coordinating your care.
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Stay organized by using tools like online patient portals or healthcare apps to access and manage your health information.
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Advocate for yourself and ask questions to ensure you receive the best possible care.

Who needs coordinating your medical care?

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Coordinating your medical care is beneficial for individuals who have complex medical conditions that require multiple providers and treatments.
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It is especially important for those with chronic illnesses, older adults with multiple age-related health issues, individuals transitioning between different healthcare settings (such as hospitals and home care), or anyone who wants to ensure seamless and efficient healthcare delivery.
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Additionally, individuals with limited mobility, cognitive impairments, language barriers, or a lack of healthcare knowledge may also benefit from coordinating their medical care.
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Coordinating your medical care involves ensuring that all healthcare providers involved in your treatment communicate and work together to provide the best possible care.
The patient or their designated representative is typically required to file coordinating your medical care.
To fill out coordinating your medical care, you will need to provide information about your healthcare providers, treatment plans, and any medications you are taking.
The purpose of coordinating your medical care is to ensure that all aspects of your treatment are managed effectively and that you receive comprehensive care.
Information such as your medical history, current medications, treatment plans, and contact information for healthcare providers must be reported on coordinating your medical care.
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