When moving to a new plan, there are steps you can take ahead of time to help prepare for a smoother transition. Here are 3 good questions to ask yourself.
Are you taking medication?
Learn how you can avoid gaps in receiving your meds
Will you need to change providers?
See how to get started with a new doctor
Are you being treated for an active condition?
Find out if you are eligible for Medical Transition of Care
Check out these 6 benefits of switching to UnitedHealthcare — and ditching the limitations you may have experienced with a previous carrier. Learn more about how we can support your experience, every step of the way.
Physician and provider quality
Switch: Get best match recommendations to fit your needs and preferences
Ditch: Potentially limiting provider choices
Local care that feels familiar
Switch: Benefit from our collaboration with local provider groups to ease your transition
Ditch: Uncertainty you may have about your care
Switch: Access benefits, services and rewards programs that are relevant to you
Ditch: Solutions that may feel complex or generic
Expanded access to care
Switch: Enjoy more flexibility in how and when you receive care
Ditch: Possibly inconvenient locations or experiences
Cost savings and transparent pricing
Switch: Get cost saving options and access to cost estimating tools
Ditch: Confusion you may feel about costs
Switch: Make managing your health easier with digital tools and dedicated advocates
Ditch: Hard-to-find information or support
Avoiding gaps in your medications
If you are currently taking medication, complete these steps before your new plan starts.
- Fill all open prescriptions with your current pharmacy.
- See if your pharmacy is in network. If so, update them with your new plan information. If not, contact a new network pharmacy to start a prescription transfer.
- Check if your meds are covered by your new plan’s Prescription Drug List (PDL). If not, talk with your provider right away to discuss alternatives.
Need more help or time to transfer medications?
A primary care provider (PCP) is a doctor who knows you and your health history well. If your current PCP is not in your new plan's network, here's how to get connected with someone new.
Schedule an appointment
Get an appointment on the books with your new PCP — make sure to schedule for after your plan’s start date
Transfer medical records
Request your medical records from your current health plan — once you receive them, contact your new PCP to securely transfer
Important information about Transition of Care
If you’re currently treating a health condition with a provider who is not part of your new plan’s network, you may qualify for Medical Transition of Care. It’s designed to help eligible members continue receiving care for a limited time as they switch to a network provider.
- Confirm eligibility – Download the form below specific to your plan to learn more about eligibility and how to apply. If you’re unsure what type of plan you have, contact your employer or call the number on your health plan ID card, if you have it already.
- 30-day deadline – If you qualify, you must apply within 30 days after your new plan’s start date.
Conditions that may qualify include:
- Pregnancy and related care
- Receiving chemotherapy for newly diagnosed or relapsed cancer
- Eligible acute or chronic conditions requiring active care
- FulIy Insured Transition of Care, Continuity of Care form
- ASO Transition of Care, Continuity of Care form (English)
- ASO Transition of Care, Continuity of Care form (Spanish)
- Level Funded Transition of Care, Continuity of Care form
For members who need help or more time to transfer medications, the Pharmacy Transition of Care flier (TOC) can help guide you.