- new member care
- Transition your care (PPO)
Transition your care (PPO)
An important part of joining a new plan is making sure you’re all set to get the care you need from Day 1.
We know that getting set up with a new plan can take time — so if you’re getting active care, we give you up to 90 days to get any approvals or prior authorizations you may need.
This is also a great time to check if your providers are in our network. While your PPO plan covers out-of-network care, some services may have a lower out-of-pocket cost if you see an in-network provider.
What counts as active care?
Active care includes things like:
- Medical equipment you’re renting, like a CPAP machine, oxygen, or power wheelchair
- Ongoing cancer treatment, like chemotherapy or radiation
- An appointment to follow up from a recent surgery
- A surgery that’s already been scheduled or approved with your previous plan
Active care does NOT include:
- A first-time appointment with a new doctor
- A routine screening, like a yearly mammogram
- A yearly or 6-month follow-up visit with a doctor
What if I have doctor visits, surgeries, procedures, or treatments coming up soon?
Start by checking if your provider is in our network. Search at devoted.com/search-providers, text us at 866-85, or call us at 1-800-DEVOTED to check. (For behavioral health care providers, call our partner Magellan at 1-800-776-8684.)
If your provider is in our network:
You’re all set! Just make sure they have your new Devoted insurance information, and you’re good to go. They’ll take care of getting any prior authorizations or approvals you may need.
If your provider is not in our network:
- Decide whether you’d like to keep seeing your current provider, or switch to an in-network provider. Your plan covers out-of-network care, but there are a few things to keep in mind. Learn more about using out-of-network benefits.
- Check if you need prior authorization for the services you’re getting. If yes, ask your doctor to send us a prior authorization request. Prior authorizations can take some time to go through, so it’s best to start the process as soon as possible. That way, you won’t run into any delays or surprises with your care.
What if I use medical supplies or rent medical equipment?
The first step is to check if your supplier is in our network. Choose your state below to see a list of in-network durable medical equipment and supply companies in your area.
- Alabama
- Arizona
- Arkansas
- Colorado
- Florida
- Georgia
- Hawaii
- Illinois
- Indiana
- Kentucky
- Missouri
- North Carolina
- Ohio
- Oregon
- Pennsylvania - Berks County
- Pennsylvania - Bucks County, Philadelphia
- Pennsylvania - Chester County, Delaware County, Montgomery County
- Pennsylvania - Lehigh County
- Pennsylvania - Northampton County
- South Carolina
- Tennessee
- Texas - Austin
- Texas - El Paso
- Texas - Houston
- Texas - San Antonio
- Washington
If your supplier is out of network, you may want to switch to an in-network supplier. For some services, you may pay more if you use an out-of-network supplier — check your plan documents for details.
If you decide to switch, have your doctor send a new order to one of our in-network suppliers. See the lists above to find one. You may need to make an appointment with your doctor before they’ll write the new order — that’s why it’s so important to start right away with switching your care.
Tip: If you own your medical equipment and it doesn’t use any supplies, you don’t need to take any action. If you’ve been renting your equipment for more than 13 months, you may actually own it and not need to return it — check with your supplier to be sure. The one exception is oxygen concentrators, which always need to be returned if you’re changing suppliers.