Do I have to use Transcarent Surgery Care for my surgery to be covered by my medical plan?

As of January 1, 2024, specific spine, knee, hip, shoulder, or bariatric surgery may only be covered when accessed through Transcarent. Some exceptions apply for members in Boise, ID and Lubbock TX where we are still developing our best-in-class provider network. If you have questions, please contact a Transcarent Care Coordinator. If you do not schedule your surgery with Transcarent (or obtain a waiver for members in Lubbock, TX), your medical plan will not cover the cost of your surgery.

You can also take advantage of the Transcarent benefits for other covered conditions and services, although you are not required to for surgeries not listed above. Using Transcarent’s top-rated facilities for non-emergency surgeries will save money while you receive expert-led medical care. In addition to covering the cost of surgery, travel benefits for you and a companion may be available when you need to travel more than 100 miles for care.