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Continuation of Care
Election Form Arkansas Blue Cross and Blue Shield
P.O. Box 2181
Little Rock, Arkansas 722032181
Fax#: 5013786647
Attn: Medical Review DivisionNote: Continuation of Care Election
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How to fill out continuation of care election
How to fill out continuation of care election
01
To fill out the continuation of care election, follow these steps:
02
Obtain the continuation of care election form.
03
Fill in your personal information, including your name, address, and contact information.
04
Indicate the period of continuation of care you are requesting.
05
Specify the reason for the continuation of care.
06
Provide any necessary supporting documentation or medical records.
07
Sign and date the form.
08
Submit the completed form to the appropriate healthcare provider or insurance company.
Who needs continuation of care election?
01
Continuation of care election is needed by individuals who:
02
- Are transitioning from one healthcare provider or insurance plan to another.
03
- Require ongoing medical treatment or services.
04
- Want to ensure continuity of care during the transition period.
05
- Have specific medical conditions or needs that require consistent healthcare.
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What is continuation of care election?
Continuation of care election allows individuals to continue their current health coverage in specific circumstances.
Who is required to file continuation of care election?
Individuals who experience a qualifying event that allows them to extend their current health coverage.
How to fill out continuation of care election?
Continuation of care election can typically be filled out online or through paper forms provided by the health insurance provider.
What is the purpose of continuation of care election?
The purpose of continuation of care election is to ensure continuity of health coverage for individuals in specific situations.
What information must be reported on continuation of care election?
Basic personal information, details of the qualifying event, and any additional documentation requested by the health insurance provider.
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