Continuity of Care

If you're receiving ongoing treatment, we understand you may be concerned about what that means for your care. Learn how Continuity of Care may help during this transition.

What Continuity of Care means

Continuity of Care is a program to help pay healthcare costs for certain medical conditions by providing extended time to complete a course of treatment and/or transition care. Members identified as eligible may continue active treatment for an approved Continuity of Care condition within the Michigan Medicine system for up to 90 days from July 1. 

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Who may qualify

Members undergoing a course of treatment for a complex or time-sensitive condition may qualify.

Examples may include:

  • Active cancer treatment, such as chemotherapy, radiation or targeted therapy
  • Recent surgery requiring ongoing follow-up care
  • Organ transplant evaluation or recovery
  • Pregnancy with an established treating provider
  • Behavioral health treatment with active medication management
  • Complex or life-threatening conditions where interrupting care could be harmful

Routine monitoring for a stable condition may not qualify.

See the full list of situations that may qualify (PDF)

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What to do next

Eligibility is determined through clinical review by a Blue Cross physician. 

Members who qualify for Continuity of Care will receive a letter or email with details about next steps.

If you think you may qualify but did not receive a letter or email, call the number on the back of your member ID card.

Common questions about Continuity of Care

Continuity of Care is a program to help pay healthcare costs for certain medical conditions. People deemed eligible for Continuity of Care would be able to continue their care within the Michigan Medicine system for a maximum of 90 days from July 1, or until September 29, 2026. Services provided by Michigan Medicine during the 90-day period will be considered at the participating benefit level, and Michigan Medicine must accept the participating payment rates.

During this time, we encourage you to find care with an alternate participating provider or facility. Please visit bcbsm.com and use the Find a Doctor tool to assist you in choosing a participating provider or facility. 

Those eligible for Continuity of Care must meet one of the following criteria:

  • Undergoing a course of treatment for a serious and complex condition from the provider or facility.
  • Undergoing a course of institutional or inpatient care from the provider or facility.
  • Scheduled to undergo non-elective surgery from the provider, including receipt of postoperative care from such provider or facility with respect to such a surgery.
  • Pregnant and undergoing a course of treatment for the pregnancy from the provider or facility.
  • Is or was determined to be terminally ill, as determined under section 1861(dd)(3)(A) of the Social Security Act, and is receiving treatment for such illness from such provider or facility.

Eligible members will receive a letter from Blue Cross or BCN by early May. 

Still have questions? We're here to help.

Call the number on the back of your member ID card if you have questions about Continuity of Care, your options or what to do next.
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