Who is eligible for continuity of care services?
1) New enrollees: Blue Shield of California HMO plans are required to provide continued care with non-network providers for qualifying conditions to all new group enrollees whose current provider does not belong to Blue Shield’s HMO provider network and whose employer does offer not a plan with an option to remain with the current provider (e.g., PPO, POS plans or another HMO plan). Our Continuity of Care Program does not apply to new enrollees of Individual and Family Plans, PPO plans or POS plans.
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