Do I have to transition my care to an in-network cancer center?

If I am currently in treatment at a UPMC cancer center that will become out-of-network after July 1, 2019, do I have to transition my care to an in-network cancer center?

In general, you should transition your care to an in-network cancer center by July 1, 2019 to maximize your benefit plan.

The timing of your transition may depend on your treatment plan, but we recommend you start planning your transition to a network doctor now to ensure a smooth care transition and to enjoy the greatest value of your Highmark plan.  Highmark has specialists who can assist you in transitioning to a network doctor based on your treatment needs.

Contact My Care Navigator at 1-888-258-3428. Our Care Navigators have the knowledge and resources to help you find excellent network doctors.

If I am a cancer patient in remission but still in a long-term course of care with a UPMC doctor that will be considered out-of-network on July 1, 2019, do I need to transition my care in-network to remain at a network cost?

You should transition your care to an in-network doctor by July 1, 2019 to remain to maximize the greatest benefits from your Highmark plan.

Contact My Care Navigator at 1-888-258-3428 to help you with this transition.

*This answer is applicable to Commercial and ACA plans only. For questions about how the end of the Consent Decree impacts Medicare Advantage plans, please call the number on the back of your member identification card.

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