Transition your care (HMO)

An important part of joining a new plan is making sure you’re all set to get the care you need from Day 1.

Your HMO plan only covers in-network care (except for emergency care), so you’ll need to make sure all your doctors are in our network.

But we know it can take time to get set up with new providers. So, if you’re getting active care, we give you up to 90 days to make the switch (and to set up any approvals or prior authorizations you may need).

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?

The first step is to check 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 network:

Members in Florida, Texas, or Illinois: Get in touch with your primary care provider (PCP) and ask them to put in a referral. Can’t get the referral from your PCP in time? Give us a call before your appointment and we’ll help you make sure you’re good to go.
Members in all other states: You’re good to go — no referral needed!

If your provider is out of network:

Start looking for an in-network provider as soon as possible.
If you’re getting active care, your plan will pay for services from your existing out-of-network providers for up to 90 days. Not sure if your care qualifies? Give us a call at 1-800-DEVOTED — or ask your provider to send us a prior authorization request. That way, we can make sure there are no surprises.

Note: Some out-of-network providers may refuse to see you once your new plan starts — even if you qualify as getting active care during the 90-day window. If this is the case and you need help finding an in-network provider right away, give us a call and we’re happy to help.

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.

If your supplier is in network, make sure to share your new Devoted Health insurance information with them. Then you’re all set!

If your supplier is out of network, you’ll need to switch to an in-network supplier within 90 days of your new plan starting. That means having your doctor send a new order to an in-network supplier. 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.