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Continuity of Care

Provider Type

  • Physicians (does not apply to CMC)
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

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.
Last Updated: 05/12/2021