Did you know that some services and procedures need to get an OK for coverage from Premera before you get them? This review is called a pre-approval, and it helps you:
Your healthcare provider is familiar with the process for getting a pre-approval. So, it's best if your doctor contacts Premera on your behalf. Your doctor has all of the medical information needed to ask that your medical service be reviewed and approved for coverage.
If your doctor gives you a service that requires a pre-approval without requesting one, that service may not be covered. Refer to your benefit booklet to see your medical benefits and pre-approval requirements.
To avoid extra costs always ask your healthcare provider to request a pre-approval before you have a planned medical service.
Your doctor has the most current list and medical information needed to request a pre-approval on your behalf.
Some prescription drugs require a pre-approval review to approve coverage. Learn more about drugs requiring approval.
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