Preauthorization
The following are lists of services that require preauthorization for many plans.
To see if a member's plan is subject to these lists:
If you have questions about preauthorization other than eligibility, please call our Health Services Department at (800) 624-6052, ext. 2584.
These lists do not imply that a plan provides benefits for these items, and they are subject to revision as new technologies and standards of medical practice are reviewed.
Preauthorization List: