Continuing your Care with USFHP

Q:  Does US Family Health Plan (USFHP) have exclusions or wait times for
      pre-existing conditions?
A:  There are are no exclusions or wait times for pre-existing conditions. To ensure the
      Continuity of Your Care, make an appointment with your new Primary Care provider,
      soon. This way, your care can be coordinated with your PCP and other providers.
Q:  How do I get my medical records transferred to my new provider?
A:   Please call your former doctor’s office and ask them to transfer your medical records to
      your new doctor. You will have to fill out a request form. Make sure you put your new
      doctor’s name and address on this form. Because your medical records are considered
      as Protected Health Information (PHI), you must initiate this transfer.
      Best is to start this at least two (2) weeks prior to your first appointment with your new
      doctor. This allows for time to complete the transfer and for your new PCP to review your
      health history.
Q:  How do I obtain a referral to a specialist?
A:  The PCP will refer you to other specialty doctors as needed. If you need to see a 
      specialist, the referral process is smooth. How quickly your referral will be authorized
      depends on the specialty. Most specialty providers are available within the medical
      group, and your referral will be approved seamlessly and without delay in most cases.
      If the specialty is outside the medical group, the approval usually takes place
      within 48 hours. 
Q:  I am currently under treatment with a specialist. May I continue seeing my doctor if I
      join the US Family Health Plan?
A:  Once your enrollment becomes effective, make an appointment with your new PCP.
      Talk with your PCP about your medical situation. Depending on the situation,
      US Family Health Plan may allow you to continue your treatment with your current
      provider so your care will not be disrupted. Once your course of treatment is finished,
      your care will be transferred to the US Family Health Plan network.To better serve your
      needs, please complete the Transitions of Care Assessment (ToCA) form. Click here to
      access and print this form. 
Q:  If US Family Health Plan does not have the type of specialist that I am now seeing, can
      I continue seeing my current specialty provider?
A:  US Family Health Plan uses multi-specialty physician groups to provide your care. The
      medical groups in our network offer most specialties. However, if you need care from a
      specialty that is not available, then you will be referred to this specialty outside our
      network. Your PCP will help you determine which specialist is best for you to see.


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