• Transitional care
   

Specialty care: You may continue seeing your specialist and receiving any PPO benefits for up
to 90 days if you are undergoing treatment for a chronic or disabling condition and you lose
access to your specialist because:
 

• we drop out of the Postal Service Health Benefits (PSHB) Program and you enroll in another PSHB plan, or
   
• we terminate our contract with your specialist for reasons other than for cause,

you may be able to continue seeing your specialist and receiving any Preferred benefits for up to
90 days after you receive notice of the change. Contact us at the number on the back of your ID
card or, if we drop out of the Program, contact your new plan.

If you are pregnant and you lose access to your specialist based on the above circumstances, you
can continue to see your specialist and your Preferred benefits will continue until the end of your
postpartum care, even if it is beyond the 90 days.

Note: If you lose access to your specialist because you changed your carrier or plan option
enrollment, contact your new plan.

Sex-Trait Modification: If you are mid-treatment under this Plan, within a surgical or chemical
regimen for Sex-Trait Modification for diagnosed gender dysphoria, for services for which you
received coverage under the 2025 Plan brochure, you may seek an exception to continue care for
that treatment. If you have questions about the exception process, contact us using the customer
service phone number listed on the back of your ID card. If you disagree with our decision,
please see Section 8 of this brochure for the disputed claims process. Individuals under age 19
are not eligible for exceptions related to services for ongoing surgical or hormonal treatment for
diagnosed gender dysphoria.