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Aetna transition coverage request form

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The document is a Transition Coverage Request form for Aetna members seeking authorization for continued care from out-of-network healthcare providers. It outlines the process for submitting the request, including required sections to complete, and provides information on Transition of Care coverage, which allows members in active treatment to receive care temporarily at preferred rates when changing plans or providers. The document also includes guidelines on eligibility, duration of coverage, and penalties for providing false information.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the Aetna Care management Program?

Case management programs are for people who need extra assistance and support. Our services help you adopt and stick with proven treatments. If you qualify, well assign you a case manager. This person will work with you and your physicians to support your care plan (available for certain medical conditions).

What is the transition of care insurance?

What is Transition of Care? With Transition of Care, you may be able to continue to receive services for specified medical and behavioral conditions with health care providers who are not in our network at in-network coverage levels.

Why is Aetna struggling?

Aetnas struggle with higher-than-expected medical costs this year is a clear signal that the problem is acute. Its a complex issue with no easy solutions, as these costs are driven by a myriad of factors, including advances in medical technology, an aging population, and the increasing prevalence of chronic diseases.

What is the transition of care coverage?

Transition of Care coverage facilitates minimal disruption and permits a member in an active course of treatment to continue this treatment for a transitional period of time, without penalty, at the preferred plan benefit level.

What is the meaning of transition of care?

The term care transitions refers to the movement patients make between health care practitioners. and settings as their condition and care needs change during the course of a chronic or acute illness.

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