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To request transition of care benefits, the employee must complete a Transition of Care Form, which can be found on the TRS-ActiveCare website, www.bcbstx.com/trsactivecare. If the participant%u2019s doctor is in network, a Transition of Care Form is not required.Instructions for submitting the request to BCBSTX are on the form. All requests are subject to approval. If the transition of care request is approved, the participant may continue to see their out-of-network doctor and receive in-network benefits. If the transition of care request is denied, the participant may continue to see the current doctor, but benefits will be paid at out-ofnetwork rates.Blue Essentials - West Texas HMO and Blue Essentials - South Texas HMOIf an employee or covered dependent is undergoing a course of treatment at the time of the effective date of coverage, and the treating physician is not a participating provider of BCBSTX, one of the following will take place:1. The Primary Care Provider and BCBSTX will transition the care to an in-network provider, if possible; or2. If the treatment or condition is such that the care cannot be transitioned to an in-network provider, an out-of-network provider may be authorized. If an out-of-network provider is used, the patient will be responsible for the charges over and above the usual, reasonable and customary rates paid by BCBSTX in addition to the applicable copay.www.bcbstx.com/trsactivecareba 43