Anthem Blue Cross 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 Anthem Blue Cross insurance, but continuity-of-care approval is not automatic.
If you are already receiving addiction treatment, verify the current Anthem PPO policy and continuity 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 allow an eligible member to continue an ongoing course of treatment during a coverage or network transition.
Can continuity apply to addiction treatment?
Potentially. Behavioral-health and substance-use treatment may be considered when plan rules and circumstances qualify. Residential, PHP, and IOP may still require separate medical-necessity and authorization review.
Does continuity guarantee the same level of care?
No. A continuity arrangement does not necessarily guarantee the same level of care or length of stay. Utilization review may continue.
What should be verified?
- Eligibility for continuity or transition provisions
- The level of care involved
- Whether prior authorization remains required
- How claims will be processed
- Applicable cost sharing
- The duration of any approved transition period
For the carrier overview, see Anthem Blue Cross PPO rehab at Trinity Behavioral Health. Trinity offers residential rehab, PHP, and IOP.
Verify Your Anthem PPO Continuity-of-Care Options
Authoritative resources
- Anthem California FAQs
- Anthem California — Prior Authorization Requirements
- Anthem California — Behavioral Health
- SAMHSA — Know What Your Insurance Covers
Exact benefits and continuity rights vary by plan and situation and should be verified directly.