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The importance of preauthorization

Your health plan contains checks and balances in order to provide benefits in a cost-effective manner. Without these cost-saving measures, it would be difficult to manage the cost of the plan and could lead to higher costs for you.

Preauthorization is one of your plan’s requirements. It is necessary when the specific facts of a medical condition determine whether a service or prescription drug is covered.

For a list of medical services that require preauthorization,
click here.

For a list of prescription drugs that require preauthorization,
click here.

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Medical services preauthorization
Drug preauthorization
Hospital notification
Family changes
Dependent eligibility
Other insurance coverage
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