Continuity of Care

Members who meet the following criteria may be eligible for continuity of care (COC) when they currently are undergoing care with a non-contracted provider and:

• The provider contract is terminated for a reason other than medical discipline, fraud or crime.
• Member had a participating physician group (PPG) change due to provider contract termination or provider leaving assigned PPG.
• Are new members.

Refer to the Health Net Member Services Department for assistance.

COC services not covered for Medicare members are:

• Durable medical equipment (DME) providers or other ancillary services, such as transportation or carve-out services.
• Out-of-network providers who do not agree to abide by Health Net's utilization management policies.