If you’re in an active course of treatment with an out-of-network doctor at the time you become a member of the LM HealthWorks Plan, you may be eligible for Transition Coverage. |
Medical Transition of Care"I’m currently in a course of treatment with a doctor who does not belong to the plan’s network. Can I stay with this doctor?"Yes, you can in most cases. But because your doctor is an out-of-network provider, benefits will be paid at a lower level, meaning you may pay more for your care. However, there’s a plan provision called Transition of Care that may help. Under this provision, you may be able to continue a course of treatment with an out-of-network provider for a limited period of time — and receive benefits at the in-network level.* Here’s what you need to know and do:
Here are some examples in which a person may be eligible for
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