Continuity of Care
Mid-treatment for a pregnancy, injury or illness? We'll help you keep your care on track through the switch to Anthem & AmeriBen.
What it means for you
You won't have to start over
If you're in the middle of an active course of treatment — like a pregnancy, a recent surgery, ongoing cancer treatment, or a behavioral health plan — moving to our new medical plan on January 1, 2027 doesn't mean losing continuity.
The Conair Benefits Center can request continued in-network treatment with your current provider for a defined transition period, even if that provider isn't in the new Anthem network.
Reach Out Before January 1
Contact the Conair Benefits Center by phone, text or chat and let us know you're in active treatment. The sooner we hear from you, the more time we have to set things up before your effective date.
Share a Few Details
We'll ask about your condition, your current provider, and where you are in your treatment plan — pregnancy due date, treatment phase, upcoming procedures, etc. No paperwork on your end to start; we'll guide you through anything that's needed.
We Follow it Through
The Benefits Center works directly with AmeriBen and Anthem on your behalf, requesting transition-of-care coverage and following up until it's resolved. we'll stay in touch with you the whole way — you shouldn't have to chase down the answer yourself.
Good to know
Common situations this covers
Not sure if this applies to you?
Reach out to the Conair Benefits Center — there's no wrong reason to ask. If continuity of care applies, we'll take it from there.
Common questions
Continuity-of-Care FAQs
I'm currently in the middle of treatment. How will this change in provider impact me and my treatment?
We know changing providers mid-treatment might cause concern over potential disruption in your treatment plan. Please reach out to the Conair Benefits Center prior to January 1, 2027 so we can help coordinate a smooth transition of care or determine if you qualify for continuity-of-care, wherein you will be allowed to continue seeing your current provider for a predetermined period of time. This is one of the most important things to get ahead of if your provider isn't contracted with Anthem.
Do existing prior authorizations or referrals carry over to Anthem, or do I need to get everything re-approved?
Existing prior authorizations that extend beyond 2026 will carry over from Aetna to AmeriBen automatically. Please contact the Conair Benefits Center to confirm your specific authorization and applicable next steps.
Can I temporarily continue seeing an out-of-network provider at the in-network benefit level?
Yes, in certain situations. If you're in an active course of treatment with a specialty provider that started before your Anthem coverage begins, you may be able to continue that treatment — without penalty — at your plan's regular in-network benefit level for a transitional period, typically 4 to 6 months. This transition-of-care support applies to active treatment with a specialty provider; it does not extend to non-participating primary care physicians. Contact the Conair Benefits Center to find out if your situation qualifies.
Who may qualify for continuity-of-care support?
You may qualify if you've already started an active course of treatment with a non-participating specialty provider before your new coverage begins, and your situation falls into one of these categories:
- You're in your second or third trimester of pregnancy and already receiving care from a non-participating provider
- You're receiving chemotherapy or radiation therapy
- You're receiving outpatient intravenous therapy for a resolving condition
- You have a terminal illness with a life expectancy of six months or less
- You're in the process of staged surgeries (for example, cleft palate repair)
- You're receiving outpatient treatment for a mental health condition or substance use disorder and have had a treatment session within 30 days before your new coverage begins
- You have a chronic, degenerative, or disabling condition
- You're in a post-operative recovery period
- You're a candidate for, or recipient of, an organ or bone marrow transplant
If any of these apply to you, contact the Conair Benefits Center so we can review your specific situation and help determine if you qualify.
How do I apply for continuity-of-care support?
To apply, complete AmeriBen's Transition of Care form and submit it to AmeriBen within 90 days after open enrollment closes, and before receiving services from your non-participating provider (except in an emergency). Either you or your provider can submit the form. AmeriBen will review your request against the qualifying criteria and send you a letter confirming your coverage decision. Contact the Conair Benefits Center to request the form, and we will help you navigate the process.
Will existing case-management or care-management services transfer over to AmeriBen automatically?
As transition-of-care cases are identified, AmeriBen assigns each affected member a dedicated case manager who coordinates your care and works with our customer care team to support you throughout the transition. Contact the Conair Benefits Center so we can identify your case to AmeriBen's care management team.