Is Blue Shield of California required to provide continuity of care to newly enrolled or established out-of-state members who have health plans underwritten in California?
Blue Shield cannot, by law, enroll members in HMO or POS plans when they do not live or work in a Blue Shield HMO service area. The Continuity of Care Program applies to all out-of-state established members of Blue Shield of California and Blue Shield Life & Health Insurance Company underwritten group and IFP plans when their provider ceases to participate in the Blue Shield provider network.
