Tip for COC Request (insurer-specific)

Request continuity of care immediately when you switch plans — don't wait for a gap in care

Tip for COC Request (insurer-specific)

This is especially important for ongoing treatments: cancer care, pregnancy, organ transplant follow-up

Tip for COC Request (insurer-specific)

Many states have continuity of care laws — check your state's requirements

Insurancemoderate

Continuity of Care / Transitional Care Request

COC Request (insurer-specific) · Health Insurance Plans

Request to continue seeing a current out-of-network provider at in-network cost-sharing rates during a plan transition. Typically available for a limited period (60-90 days) when switching insurance plans or when a provider leaves the network mid-treatment.

Form Details

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Where to Submit This Form

📬

Mail to the new health plan's member services

📠

Fax to the new plan's utilization management department

🌐

Submit through the new plan's member portal (if available)

Filing Deadline

Must be requested within the first 30-60 days of the new plan's effective date (varies by plan and state law). Some states mandate a 90-day continuity period.

Required Attachments

📎 Current treatment plan or summary from your provider
📎 Documentation of active or ongoing treatment
📎 Provider's contact information and NPI

Processing Time

5-15 business days. Some plans expedite for urgent ongoing treatments.

What Happens Next

If approved, you can continue seeing your current provider at in-network rates for the approved transition period (typically 60-90 days).

Tips for This Form

✓ Request continuity of care immediately when you switch plans — don't wait for a gap in care
✓ This is especially important for ongoing treatments: cancer care, pregnancy, organ transplant follow-up
✓ Many states have continuity of care laws — check your state's requirements
✓ Ask your current provider to submit a supporting letter documenting the need for continued treatment

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the Health Insurance Plans or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.