What if you move outside the Service Area
Can you still qualify for Cal COBRA?
What about the In Network Provider List?
Service Area
Once you move out of the service area, the geographical area where you can get Covered Services from an In-Network Provider, CA Law Website * double check your evidence of coverage for exact rules in Plain English, you wouldn’t be able to continue COBRA or Cal COBRA dmhc.ca.gov *
In-Network Provider Definition
A Provider that has a contract, either directly or indirectly, with us, or another organization, to give Covered Services to Members through negotiated payment arrangements under this Plan.
Our webpage on how to search for providers and links to the various Insurance Company Provider Finder Search Engines
Steve's VIDEO introduction to Cal COBRA
- Instant Health Quotes & Enroll
- 15 Reasons to appoint us as your broker - No extra charge
- Department of Labor VIDEO on COBRA and various other rights
Employee’s guide to COBRA –
Department of Labor
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Art Gallagher Employers Guide to COBRA
Our Webpage on COBRA * Cal COBRA
Get Individual Guaranteed Issue ACA/Obamacare Quotes -
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Learn More:
https://healthlaw.healthreformquotes.com/plain-meaning-rule/
What if you have a PPO?
Since you can go out of network, wouldn’t the service area be world wide? At least Nationwide?
When Cal-COBRA Continuation Ends.
8. The date the Insured moves out of the plan’s service area or commits fraud or deception in the use of services. https://steveshorr.com/steveshorr/hipaa_after_cobra/Cobra.Cal.Cobra/PDF.s/eoc.hospital.plus.pdf
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(k) “Service area” means a geographical area designated by the plan within which a plan shall provide health care services. http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1345.&lawCode=HSC
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A geographic area where a health insurance plan accepts members if it limits membership based on where people live.
For plans that limit which doctors and hospitals you may use, it’s also generally the area where you can get routine (non-emergency) services. The plan may end your coverage if you move out of the plan’s service area. https://www.healthcare.gov/glossary/service-area/
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A coverage area (also called service area) is a specific region where a health insurer’s members can get covered care under their plan. The insurance company contracts with doctors, medical groups, pharmacies, and hospitals in this area to guarantee in-network rates for its members. For EPO or HMO plans, you have to live within a coverage area in order to sign up for an insurance policy. https://www.hioscar.com/faq/coverage-service-area
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Service Area: The geographic area served by an insurer or healthcare provider. https://www.optimahealth.com/health-insurance-101/healthcare-glossary
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