Transition of Care Program Eligibility

Did you know that with Aetna, you can talk to a registered nurse 24/7 for information about tests, procedures and treatment options? Call the 24-hour Nurse Line at 1-800-556-1555.

A Transition of Care (TOC) program is available for members receiving ongoing complex medical care (for certain medical and behavioral health conditions) who are transitioning to Aetna for 2024 (e.g. moving from CareFirst to Aetna). TOC can include in-network reimbursement of doctors and facilities that are not in the Aetna network (for a limited time).

To make a TOC request you (and your treating provider) will need to complete a TOC form. Call Aetna in beginning October 24 to discuss eligibility for the TOC process and to obtain necessary forms. Learn more about the process by viewing the Transition of Coverage Request Form.

Get the most from your Aetna plan

You’ll need to transition to a doctor in the Aetna network before your transition period ends. To do this:

1. Visit the Aetna provider search to find a new doctor or specialist in the Aetna network

2. Make an appointment to get to know your new doctor

Let us know how we can help

Questions? Need help finding a new doctor or help with the transition coverage request form? Rest assured — we’re here for you. Just call Aetna Concierge at 1-833-383-2650 (TTY: 711), Monday through Friday, 8 AM to 8 PM your local time.

For general questions about your benefits or the enrollment process, please visit the Sodexo Benefits Center website.

Sodexo Benefits Center website