COBRA Coverage Terminates While Member Is Hospitalized or In SNF
- Participating Physician Groups (PPG)
Members may qualify for extended benefits as outlined in their Evidence of Coverage (EOC). A member is not required to submit a written request to Health Net that benefits be extended. If a member is entitled to extended benefits, all services and benefits included in the member's EOC prior to coverage termination are provided, but only for the condition that required admission to the hospital or skilled nursing facility (SNF).
In cases where a member's coverage terminates and the succeeding carrier is a federally qualified HMO, the succeeding HMO carrier has an obligation to take over the member's care. All care must be transferred immediately to the succeeding federally qualified HMO.