Virtual Education Center

Managing your meds

If you have an ongoing prescription now, you’ll want to prepare in advance to avoid gaps in your medication. These are the 3 key steps to complete before your new plan goes into effect:

1. 
   Fill all open prescriptions with your current pharmacy.
2. 
   Search your new plan’s pharmacy network to see if your current pharmacy is included.

   • If so, share your new plan information with your pharmacist.
   • If not, contact a new pharmacy that’s in your network to start a prescription transfer.
3. 
   Check your new plan’s prescription drug list (PDL) to see if your meds are covered.

   • If so, take note of your coverage levels to avoid surprises.
   • If not, talk to your provider right away about alternatives.

Deciding on your doctor

When you’re changing benefits, it’s ideal if your current primary care provider (PCP) – or any other doctor you trust – is in your new plan network. Either way, it’s good to know before you go.

1. 
   Search your new plan’s provider network for your doctor. If they’re not in network, you can search for a new provider in the same place.

   • Colorado Doctors Plan network
   • Choice Plus Plan network
2. 
   If you do have to choose a new PCP, schedule an appointment with them for as soon as you can after your plan’s start date.
3. 
   Request your medical records from the plan you’re leaving, then contact your new PCP about transferring them. Want tips on how to do it? Download our Transferring Medical Records flier – coming soon.

Continuing your care

If you’re getting treatment for an ongoing health condition, but your current doctor is not in your new network, you may qualify for Medical Transition of Care. If you’re eligible, you’ll be able to continue that same care for a limited time while you’re transitioning to a network provider.

• First, confirm if you’re eligible using the form below. Health concerns that may qualify include:
  • Pregnancy and related care
  • Chemotherapy treatments for newly diagnosed or relapsed cancer
  • Other acute or chronic conditions that require active care (if eligible)
• You’ll need to specify what type of plan you have and provide your member ID, once you have one. If you’re unsure about your plan type, speak to your employer or call the number on your new health plan ID card.
• If you do qualify, then apply within the 30-day deadline, meaning within 30 days of your new plan’s start date.