Transition of care applies when you (or an enrolled family member) become a new member of an employer-sponsored medical plan with Aetna and are in an active course of treatment with a provider who is not participating in your plan’s network. It may also apply if a provider terms from the network throughout the year. The TOC process may allow you to receive the in-network level of coverage of allowed expenses if you continue treatment for a period of time with a provider you are currently in an active course of treatment with but who is not an in-network provider for your plan.

You can review the provider directory online at MyChooseWell.Aetna.com, or call an Aetna Service Advocate for help with your search at 833-529-1661. If your provider is not in the Aetna provider directory for your plan, you may be eligible for a transition of care.

Frequently asked questions about transition of care are included on page 2 of the Transition of Care Request form that is linked below.

To request a transition of care, follow these steps:

1. Complete your portion of the Transition of Care Request form, Instructions on how to complete the form and where to submit your completed form are provided on the cover page of the form.
2. Ask your provider to complete their portion of Transition of Care Request form. You or your provider can submit the completed form to Aetna for review beginning in December.
3. Please remember to include your member ID number on your form. Your medical ID card will be mailed to your home 2 to 3 weeks after you complete your enrollment or you can find your member ID number on your digital Aetna ID card.

To set up your online Aetna member portal and access your digital ID card:

• Go to Health.Aetna.com.
• Under New Members, click the Create Account button
• Follow the prompts to set up your online Aetna account. Once your account is set up, you are able to access your digital ID card.

If you have questions, need help completing the form or need help obtaining information from your provider, please call the Aetna Service Advocates at 833-529-1661.