Get the right care, at the right time, in the right place.
Sometimes navigating your way through the health care system can be challenging. That's where Prevea360 Health Plan comes in. Whether helping you pick out a primary care provider, guiding you on where to go for care and with whom, or getting you more personalized care management for a serious illness, we’re here to help.
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Transition of Care
What is Transition of Care?
Transition of Care is a one-time consideration to help ease your transition to plan providers and to best medically manage your medical conditions. The transition-of-care process is for active therapy that you are currently receiving and requires approval by a Prevea360 Medical Director.
To be considered for this 90-day transition period, a new member must be in active treatment with an out-of-network specialty provider prior to your plan’s effective date and have a scheduled appointment within the first 90 days of the plan’s effective date.
What is NOT considered for transition of care?
- Primary-care-provider visits with a non-plan provider.
- Any care rendered more than 30 days prior to your effective date with a non-network specialty provider.
- Any specialty care scheduled 90 days and beyond after the effective date of the new plan.
If you believe you may qualify, please complete and submit the Transition-of-Care Request Form. For any questions regarding this process, please contact our Customer Care Center at 877.232.9375.