Transition of Care
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If you enroll in the Health Investment, Health Advantage or Health Plus Plans effective January 1, 2009, Motorola is offering a two-month grace period that allows you to use your current medical or behavioral health provider, from January 1 through February 28, 2009 (regardless of National BCBS BlueCard PPO network participation) and receive reimbursement at the network benefit level.
Starting March 1, 2009, you are expected to seek medical services from providers who participate in the National BCBS BlueCard PPO network to receive the network level of benefit coverage. You may continue to receive services from your non-network provider on or after March 1, 2009, however claims will be considered at the non-network level of benefits.
If you are in a course of treatment for an acute condition, are in your third trimester of pregnancy, or need follow up care you can apply for transition of care. Transition of care is when you seek to continue to remain under the care of a non-network provider who was treating you prior to January 1, 2009 until it is medically appropriate for you to transfer care to a network provider.
To request transition of care, complete the Transition of Care Form and mail it to Anthem BCBS, P.O. Box 7101, Indianapolis, IN 46207-7101 Attention: National Continuation of Care Coordinator or fax it to 317.287.5864. Each request is reviewed on a case by case basis, but the following are examples of conditions and situations eligible for transition of care consideration:  | You were recently hospitalized and now require follow up care |
| You have an unstable or life-threatening medical condition |
| You are being treated for a condition that has a specific course of treatment |
| Your covered treatment is unavailable within the provider network |
| You have a life expectancy of less than six (6) months |
| Your condition involves end stage cancer |
| You are in your third trimester of pregnancy as of December 31, 2008 and you expect to deliver your baby after January 1, 2009 |
Submit your transition of care form to Anthem between December 1, 2008 and January 31, 2009 to be considered for transition of care. Most transition of care responses are made within two weeks if Anthem receives all the necessary information from your provider.
For more information, you can check out the transition of care Frequently Asked Questions. For questions, or to check the status of your transition of care request, contact Anthem BCBS customer service at 866.645.4135, 7am to 7pm Central time Monday through Friday.
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