2026 CODAC Benefit Summaries and Carrier Flyers

If You meet the requirements for Continuity of Care under applicable law or Network contract, the In Network benefit level may continue for certain medical conditions and timeframes despite the fact that these expenses are no longer considered In-Network due to provider or facility termination from the Network. In order to be eligible, You or Your Dependents generally need to be under a continuing treatment plan by a provider or facility who was a member of the participating Network and: An acute Illness, meaning a condition serious enough to require specialized medical care to avoid the reasonable possibility of death or permanent harm or ➢ A chronic Illness or condition that is life-threatening, degenerative, potentially disabling, or congenital and requires specialized medical care over a prolonged period of time; • Undergoing Inpatient or institutional care; • Scheduled for non-elective surgical care, including necessary postoperative care; • Pregnant and being treated; or • Terminally ill and receiving treatment for such Illness by a provider or facility. • Undergoing a course of treatment for a serious and complex condition that is either: ➢

To obtain a Continuity of Care form that You and Your provider will need to complete for the request to be considered, call the number on the back of Your ID card or access the benefit portal.

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7670-00-412271