2018 Plan Updates
Ensuring Continuity of Care
The Medical Trust is committed to ensuring continuity of care for all members changing plans who are presently in treatment, including those who voluntarily choose to change their carrier. The Medical Trust partners closely with its health plan vendors, and is here to help you with any transition issues that may arise.
As the initial point of contact, CPG's Client Services team functions as a "client advocate", and will triage calls for effective resolution, no matter the type of issue you may encounter.
- Questions concerning cost-sharing are often handled directly by these representatives
- When you require assistance navigating the healthcare system, Client Services may also refer you to Health Advocate or your new plan’s customer service, as appropriate
- For calls related to a care transition concern, Client Services will facilitate assistance from our Clinical Director
When you change health plans, our vendors follow established procedures to share data on prior authorizations, so that members receiving ongoing care can continue to receive it following their January 1 effective date of enrollment. Examples of such treatment include physical and speech therapy, elective surgery, maternity care, and chemotherapy. In these instances, the current health plan provides the new plan with standardized reports capturing prior approvals, including any special “one-off” care arrangements. The Medical Trust then works with both vendors to coordinate a smooth transfer of care from one provider to the next. In general, the process for obtaining prior authorization for care does not vary significantly from one plan to another. You can also expect your new health plan to provide the same standard of care as your previous plan.
You can confirm your current doctor is in a prospective plan’s network by using the provider directory found on that plan’s website. You may also confirm network participation directly with your physician.
For questions concerning continuity of care issues, please contact Client Services at (800) 480-9967, Monday - Friday, 8:30AM - 8:00PM ET (excluding holidays) or Health Advocate at (866) 695-8622,
1 Every group does not offer every plan. Please check with your group administrator for the plans available to you.
Health benefits are offered through plans maintained by Church Pension Group Services Corporation (doing business as The Episcopal Church Medical Trust), 19 East 34th Street, New York, NY 10016.