Transition of Care
We know change can be scary. Superior HealthPlan wants to make this change easy. Whether you are new to Texas Medicaid managed care or are changing health plans, we will make sure you continue to get the services you need.
One of the most common obstacles to switching Medicaid plans is maintaining your relationship with the physicians that know you best. Our staff will work with you and your doctors to continue any services you are receiving, even if the doctor is not in our network.
It is important to let us know right away if you will need the services you are getting to continue. That way, we can provide you with the right information to keep getting the health care you need on our Medicaid managed care plans or so that we can assist you with transitioning to a new provider.
We will honor authorized services up to ninety (90) days. After that time we may require authorization for the service. We will let you stay with an out-of-network doctor for up to ninety (90) days. In some cases you may be able to keep your out-of-network doctor for a longer period of time. We will help you find a doctor in our network that can provide the services you need. Our Case Managers can help get your medical records transferred to your new doctor. Call our Member Services department toll-free if you have questions about transitioning your care.