UnitedHealthcare Transition of Care and Continuity of Care
This document outlines the policies for Transition of Care and Continuity of Care for UnitedHealthcare members. Learn how to apply for extended coverage with your current health care professional if they are out-of-network. Follow the instructions for coverage related to specific medical conditions and important deadlines.
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How do I fill this out?
To fill out this form, gather necessary information regarding your current treatment and health care professional. Ensure you understand the specific medical condition for which you're requesting coverage. Follow the provided instructions closely to complete and submit the form within the required timeframe.
How to fill out the UnitedHealthcare Transition of Care and Continuity of Care?
1
Gather information about your current treatment.
2
Ensure your health care professional is identified.
3
Review the medical conditions listed in the guidelines.
4
Complete the Transition of Care form accurately.
5
Submit the form within 30 days of your coverage start.
Who needs the UnitedHealthcare Transition of Care and Continuity of Care?
1
New UnitedHealthcare members seeking extended coverage.
2
Individuals undergoing treatment for serious conditions.
3
Patients transitioning from an out-of-network provider.
4
Those needing continued care after a provider's network termination.
5
Users wanting to ensure coverage under specific medical conditions.
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What are the instructions for submitting this form?
To submit this form, please submit a completed copy through the secure fax number provided or email it to our designated address. You can also send a physical copy to the address specified on the form. Remember to keep a copy for your records and follow up for confirmation of receipt.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting requests for Transition of Care include up to 30 days after your coverage starts or 30 days after your provider leaves the network. Be attentive to these deadlines in 2024 and 2025 to ensure continuous care. Always check with your provider for any additional important dates related to your treatment.
What is the purpose of this form?
The purpose of this form is to provide UnitedHealthcare members with a clear process for applying for Transition of Care and Continuity of Care. This ensures that those undergoing treatment can maintain access to their preferred out-of-network health care professionals under network rates for a specified period. Understanding this process is critical for coverage continuity and the management of ongoing medical conditions.
Tell me about this form and its components and fields line-by-line.
- 1. Member Information: Collects personal information about the member making the request.
- 2. Provider Information: Details about the current out-of-network health care professional.
- 3. Medical Condition: Identification of the specific medical condition for which coverage is sought.
- 4. Signatures: Required signatures of the member and provider to validate the request.
What happens if I fail to submit this form?
Failing to submit this form can result in the loss of potential coverage. Delays in submission may lead to care interruptions or additional out-of-pocket expenses.
- Loss of Coverage: You might not receive the necessary coverage for ongoing treatments.
- Higher Costs: Failure to submit may lead to increased out-of-pocket costs for out-of-network services.
- Interrupted Care: Not submitting on time can cause gaps in your ongoing medical treatment.
How do I know when to use this form?
- 1. New Member Enrollment: Use this form if you are a new member and wish to maintain your out-of-network provider.
- 2. Provider Termination: Apply when your current health care professional leaves the UnitedHealthcare network.
- 3. Active Treatment Requirement: If you are under active treatment and need continued care due to a serious condition.
Frequently Asked Questions
What should I do after submitting the form?
You will receive a written decision regarding the approval or denial of your request.
Can I receive network coverage for multiple conditions?
No, network coverage is specific to each medical condition and requires a separate request.
How long does it take to process my request?
Processing time may vary; you should receive a response in a timely manner.
Who can I contact for assistance?
You can reach out to customer service through the number on your health plan ID card.
What if my provider doesn’t accept network rates?
If your provider does not accept network rates, you may not receive the benefits of network coverage.
Can I track my submission?
Yes, you can follow up on your request status by contacting customer service.
What if I miss the submission deadline?
Requests submitted after the deadline will not be eligible for Transition of Care or Continuity of Care.
Do I need to provide medical records?
Yes, your provider must agree to provide medical records as part of the approval process.
What conditions qualify for Transition of Care?
Conditions include pregnancy, cancer treatment, and serious chronic conditions under active treatment.
Where can I find more information about health terms?
You can find more definitions and health insurance terms at justplainclear.com.
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