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Transition of care

Do you see a doctor who isn’t in the Aetna Better Health® of Illinois network? In some cases, you may be able to keep seeing them for up to 90 days during the transition period. If your doctor hasn’t joined our network at the end of 90 days, you’ll need to switch to a doctor in our network. This transition period applies to all providers and long-term support services. You can see if you qualify for transition-of-care services by calling Member Services. 

Have a question?

You can call Member Services at 
1-866-329-4701 (TTY: 711).

Continuing care

Continuing care

Let us know right away if you’re getting services that will need to be continued. Some providers and specialists providing an ongoing course of treatment can continue to give you care until a qualified network provider is available.

 

We may connect you with a network provider during the transition period if:

 

  • You’re assigned to a facility that can appropriately serve your needs

  • You complete a necessary health screening and assessment  

  • A contractor determines that the new facility is accessible and can meet your needs

  • A transition-of-care plan is in place and you agree to the transition before the end of the transition period

Authorized services

We’ll honor authorized services for the first 90 days of your enrollment. If you’re pregnant, we’ll honor them until the end of your pregnancy. After that time, you may need prior authorization to keep getting services. You can stay with an out-of-network provider for up to 90 days or longer, in some cases.

Find a provider

Is your provider in our network? Find out below. 

Find a provider