Common use of Continuity of Care Clause in Contracts

Continuity of Care. You may be able to continue to receive covered services from a provider for a limited period of time at the in- network benefit level after the provider ends his/her contract with Premera. To be eligible for continuity of care you must be covered under this plan, in an active treatment plan and receiving covered services from an in- network provider at the time the provider ends his/her contract with Premera. The treatment must be medically necessary and you and this provider agree that it is necessary for you to maintain continuity of care. We will not provide continuity of care if your provider:  Will not accept the reimbursement rate applicable at the time the provider contract terminates  Retired  Died  No longer holds an active license  Relocates out of the service area  Goes on sabbatical  Is prevented from continuing to care for patients because of other circumstances  Terminates the contractual relationship in accordance with provisions of contract relating to quality of care and exhausts his/her contractual appeal rights We will not provide continuity of care if you are no longer covered under this plan. We will notify you no later than 10 days after your provider’s Premera contract ends if we reasonably know that you are under an active treatment plan. If we learn that you are under an active treatment plan after your provider’s contract termination date, we will notify you no later than the 10th day after we become aware of this fact. You can call or send your request to receive continuity of care to Care Management at the address or fax number shown on the back cover.

Continuity of Care. You may be able to continue to receive covered services from a provider for a limited period of time at the in- network benefit level after the provider ends his/her contract with Premera. To be eligible for continuity of care you must be covered under this plan, in an active treatment plan and receiving covered services from an in- network provider at the time the provider ends his/her contract with Premera. The treatment must be medically necessary and you and this provider agree that it is necessary for you to maintain continuity of care. We will not provide continuity of care if your provider:  • Will not accept the reimbursement rate applicable at the time the provider contract terminates  • Retired  • Died  • No longer holds an active license  • Relocates out of the service area  • Goes on sabbatical  • Is prevented from continuing to care for patients because of other circumstances  • Terminates the contractual relationship in accordance with provisions of contract relating to quality of care and exhausts his/her contractual appeal rights We will not provide continuity of care if you are no longer covered under this plan. We will notify you no later than 10 days after your provider’s Premera contract ends if we reasonably know that you are under an active treatment plan. If we learn that you are under an active treatment plan after your provider’s contract termination date, we will notify you no later than the 10th day after we become aware of this fact. You can call or send your request to receive continuity of care to Care Management at the address or fax number shown on the back cover.

Continuity of Care. You may be able to continue to receive covered services from a provider for a limited period of time at the in- network benefit level after the provider ends his/her contract with PremeraLifeWise. To be eligible for continuity of care you must be covered under this plan, in an active treatment plan and receiving covered services from an in- network provider at the time the provider ends his/her contract with PremeraLifeWise. The treatment must be medically necessary and you and this provider agree that it is necessary for you to maintain continuity of care. We will not provide continuity of care if your provider:  Will not accept the reimbursement rate applicable at the time the provider contract terminates  Retired  Died  No longer holds an active license  Relocates out of the service area  Goes on sabbatical  Is prevented from continuing to care for patients because of other circumstances  Terminates the contractual relationship in accordance with provisions of contract relating to quality of care and exhausts his/her contractual appeal rights We will not provide continuity of care if you are no longer covered under this plan. We will notify you no later than 10 days after your provider’s Premera LifeWise contract ends if we reasonably know that you are under an active treatment plan. If we learn that you are under an active treatment plan after your provider’s contract termination date, we will notify you no later than the 10th day after we become aware of this fact. You can call or send your request to receive continuity of care to Care Management at the address or fax number shown on the back cover.

Continuity of Care. You may be able to continue to receive covered services from a provider for a limited period of time at the in- in-network benefit level after the provider ends his/her contract with Premera. To be eligible for continuity of care you must be covered under this plan, in an active treatment plan and receiving covered services from an in- in-network provider at the time the provider ends his/her contract with Premera. The treatment must be medically necessary and you and this provider agree that it is necessary for you to maintain continuity of care. We will not provide continuity of care if your provider:  • Will not accept the reimbursement rate applicable at the time the provider contract terminates  • Retired  • Died  • No longer holds an active license  • Relocates out of the service area  • Goes on sabbatical  • Is prevented from continuing to care for patients because of other circumstances  • Terminates the contractual relationship in accordance with provisions of contract relating to quality of care and exhausts his/her contractual appeal rights We will not provide continuity of care if you are no longer covered under this plan. We will notify you no later than 10 days after your provider’s Premera contract ends if we reasonably know that you are under an active treatment plan. If we learn that you are under an active treatment plan after your provider’s contract termination date, we will notify you no later than the 10th day after we become aware of this fact. You can call or send your request to receive continuity of care to Care Management at the address or fax number shown on the back cover.

Continuity of Care. You may be able to continue to receive covered services from a provider for a limited period of time at the in- network benefit level after the provider ends his/her contract with PremeraLifeWise. To be eligible for continuity of care you must be covered under this plan, in an active treatment plan and receiving covered services from an in- in-network provider at the time the provider ends his/her contract with PremeraLifeWise. The treatment must be medically necessary and you and this provider agree that it is necessary for you to maintain continuity of care. We will not provide continuity of care if your provider:  Will not accept the reimbursement rate applicable at the time the provider contract terminates  Retired  Died  No longer holds an active license  Relocates out of the service area  Goes on sabbatical  Is prevented from continuing to care for patients because of other circumstances  Terminates the contractual relationship in accordance with provisions of contract relating to quality of care and exhausts his/her contractual appeal rights We will not provide continuity of care if you are no longer covered under this plan. We will notify you no later than 10 days after your provider’s Premera LifeWise contract ends if we reasonably know that you are under an active treatment plan. If we learn that you are under an active treatment plan after your provider’s contract termination date, we will notify you no later than the 10th day after we become aware of this fact. You can call or send your request to receive continuity of care to Care Management at the address or fax number shown on the back cover.

Continuity of Care. You may be able to continue to receive covered services from a provider for a limited period of time at the in- in-network benefit level after the provider ends his/her contract with Premera. To be eligible for continuity of care you must be covered under this plan, in an active treatment plan and receiving covered services from an in- in-network provider at the time the provider ends his/her contract with Premera. The treatment must be medically necessary and you and this provider agree that it is necessary for you to maintain continuity of care. We will not provide continuity of care if your provider:  Will not accept the reimbursement rate applicable at the time the provider contract terminates  Retired  Died  No longer holds an active license  Relocates out of the service area  Goes on sabbatical  Is prevented from continuing to care for patients because of other circumstances  Terminates the contractual relationship in accordance with provisions of contract relating to quality of care and exhausts his/her contractual appeal rights We will not provide continuity of care if you are no longer covered under this plan. We will notify you no later than 10 days after your provider’s Premera contract ends if we reasonably know that you are under an active treatment plan. If we learn that you are under an active treatment plan after your provider’s contract termination date, we will notify you no later than the 10th day after we become aware of this fact. You can call or send your request to receive continuity of care to Care Management at the address or fax number shown on the back cover.

Continuity of Care. You may be able to continue to receive covered services from a provider for a limited period of time at the in- network benefit level after the provider ends his/her contract with PremeraLifeWise. To be eligible for continuity of care you must be covered under this plan, in an active treatment plan and receiving covered services from an in- network provider at the time the provider ends his/her contract with PremeraLifeWise. The treatment must be medically necessary and you and this provider agree that it is necessary for you to maintain continuity of care. We will not provide continuity of care if your provider:  • Will not accept the reimbursement rate applicable at the time the provider contract terminates  • Retired  • Died  • No longer holds an active license  • Relocates out of the service area  • Goes on sabbatical  • Is prevented from continuing to care for patients because of other circumstances  • Terminates the contractual relationship in accordance with provisions of contract relating to quality of care and exhausts his/her contractual appeal rights We will not provide continuity of care if you are no longer covered under this plan. We will notify you no later than 10 days after your provider’s Premera LifeWise contract ends if we reasonably know that you are under an active treatment plan. If we learn that you are under an active treatment plan after your provider’s contract termination date, we will notify you no later than the 10th day after we become aware of this fact. You can call or send your request to receive continuity of care to Care Management at the address or fax number shown on the back cover.