Continuity of Care

A new member or a member whose doctor is no longer in SFHP’s provider network may request to receive the completion of covered services being provided by a non-participating provider, if at the time of the member’s enrollment with SFHP, the member was receiving services from that provider for one of the following conditions.

These health conditions include:

• Acute illness
• Serious chronic illnesses
• Pregnancies (including immediate postpartum care)
• Terminal illness
• Children from birth to 36 months of age
• Members who have received approval from a now-terminated or non-participating provider for surgery or another procedure as part of a documented course of treatment.
• Maternal Mental Health

Contact SFHP’s Customer Service at 1(415) 547-7800 or 1(800) 288-5555 to request continuity of care from a terminated provider, or a non-contracted provider.