Transition to or from a Group Benefit Plan Serviced by Behavioral Health - (HM-CLN-037)

Cigna Behavioral Health permits time-limited transition-of-care continuation for members actively receiving behavioral health services when changing plans (e.g., up to 30 days for HMO/network non‑participating providers, automatic 90 days in certain PPO open‑enrollment scenarios), but transition benefits do not apply when the treating practitioner is in‑network or where employer product terms do not provide transition rights. Key requirements: members must request transition benefits (typically within 90 days), submit a TOC form when required, provide treatment summaries/clinical documentation to support extensions or non‑routine services, and all extensions are subject to clinical review and applicable state‑specific timeframes or employer contract provisions.

"Customers receiving clinical behavioral health services at the time they change benefit plans (i."

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