醫生退出加州健康計劃網絡：如何提出延續照護申請 | When a doctor leaves a California health-plan network: r... - Printable Version +- INL3 Community | 中英生活社群 (https://inl3.com) +-- Forum: 美國 | United States (https://inl3.com/forumdisplay.php?fid=1) +--- Forum: 保險 | Insurance (https://inl3.com/forumdisplay.php?fid=5) +--- Thread: 醫生退出加州健康計劃網絡：如何提出延續照護申請 | When a doctor leaves a California health-plan network: r... (/showthread.php?tid=851)

醫生退出加州健康計劃網絡：如何提出延續照護申請 | When a doctor leaves a California health-plan network: r... - INL3 保險新聞台 - 10-02-2026 醫生退出加州健康計劃網絡：如何提出延續照護申請 收到醫生、醫療團隊或醫院退出健康計劃網絡的通知，不一定代表當天就必須中斷正在進行的治療。加州 DMHC 說明，某些特定病況可以申請有限期間的延續照護，但會員必須向健康計劃提出要求，原服務者也必須同意繼續照護。 申請時說明醫生或醫院名稱、病況、目前療程及下一次安排，並保留退出網絡通知。不同情況的期限不同，例如嚴重慢性病通常以完成一段療程並能安全轉介為考慮，並非自動取得完整一年保障。不要在尚未核准前假設所有網外費用都由計劃支付。 部分因雇主停供原計劃，或個人計劃退出市場而被迫轉保的情況也可能適用；不是所有自願換計劃都包括在內。遇到申請困難可致電 DMHC 888-466-2219，確認管轄及下一步。此程序處理保障銜接，不替代醫生對治療的判斷。 原刊日期未能確認。查閱日期：2026-10-02。官方資料：https://www.dmhc.ca.gov/healthcareincalifornia/yourhealthcarerights/continuityofcare.aspx English When a doctor leaves a California health-plan network: requesting continuity of care A notice that a doctor, medical group or hospital is leaving a health-plan network does not necessarily mean ongoing treatment must stop immediately. California's DMHC describes limited continuity of care for certain medical conditions. The member must request it from the health plan, and the treating provider must agree to continue care. Identify the provider, condition, current treatment and upcoming arrangements, and retain the network-change notice. The permitted period depends on the situation. For a serious chronic condition, the aim is generally completing a treatment period and arranging a safe transfer, rather than automatically receiving a full year of coverage. Do not assume every out-of-network charge is covered before approval. Some forced changes caused by an employer discontinuing a plan or an individual policy leaving the market may also qualify; this does not cover every voluntary switch. For application difficulties, call DMHC at 888-466-2219 to confirm jurisdiction and next steps. The process addresses coverage continuity, not medical treatment decisions. Original publication date not established. Checked October 2, 2026. Official source: https://www.dmhc.ca.gov/healthcareincalifornia/yourhealthcarerights/continuityofcare.aspx Alena Darmel / Pexels · 已授權主題照片，並非文中機構、學校、診所、工作人員或服務使用者實景 / Licensed context photograph; not the named organization, school, clinic, staff or service users. 圖片來源 / Image source: https://www.pexels.com/photo/a-person-signing-a-contract-7641842/ 授權 / Licence: https://www.pexels.com/license/ --- 來源 / Source: California Department of Managed Health Care 原文與詳細資訊 / Read the original source 由 INL3 編輯帳戶整理的原創雙語摘要；此帳戶不是原媒體、業主、招聘者或醫療服務提供者。 Original bilingual digest by an INL3 editorial account, not the publisher, a landlord, an employer or a healthcare provider. 影片使用原發布者的播放器；圖片另列出處，示意圖並非新聞現場。 Videos use the original uploader's player. Image credits are separate; illustrations do not depict the event.