Cigna PPO continuity or transition-of-care provisions may apply in some situations when a member is already receiving treatment and a provider’s network status or the member’s coverage changes. These protections are plan- and circumstance-specific. Trinity Behavioral Health accepts Cigna insurance, but continuity-of-care approval is not automatic and does not guarantee payment.
If you are already in treatment, the next step is to verify the current Cigna PPO policy and transition-of-care options before assuming an existing authorization will continue unchanged.
What is continuity of care?
Continuity of care generally refers to a temporary arrangement that may let an eligible member continue an ongoing course of treatment during a coverage or network transition. The exact criteria, duration, and process depend on the plan and applicable law.
Can continuity of care apply to addiction treatment?
Potentially. Behavioral-health and substance-use treatment can be part of continuity or transition-of-care reviews when the plan and circumstances qualify. Residential rehab, PHP, IOP, and other services may still require separate medical-necessity and authorization review.
Does continuity of care guarantee the same level of treatment?
No. Continuity protections do not necessarily guarantee approval for the same level of care or the same length of stay. The plan may continue to review medical necessity and utilization.
Does continuity of care permanently change network status?
No. A continuity arrangement is generally temporary and tied to a specific episode of care or transition period.
What should be verified?
- Whether the member is eligible for a continuity or transition request
- Which level of care is involved
- Whether prior authorization remains required
- How claims will be processed
- What deductible, copay, or coinsurance applies
- How long any approved continuity period lasts
For general carrier information, see Cigna PPO rehab at Trinity Behavioral Health. Depending on clinical need, Trinity offers residential rehab, PHP / day treatment, and IOP.
Verify Your Cigna PPO Continuity-of-Care Options
Authoritative resources
- Cigna — Member Resources
- Cigna — Precertifications and Prior Authorizations
- Cigna — PPO Health Plans
- SAMHSA — Know What Your Insurance Covers
Exact benefits and continuity rights vary by plan and situation and should be verified directly. Approval remains subject to eligibility, plan terms, applicable law, authorization, medical necessity, and payer review.