Did you know that you may be required to get an approval for coverage from your health plan before you have a planned medical service or procedure? This is called a prior authorization, and it helps you:
Your healthcare provider is familiar with the process for getting a prior authorization. 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 prior authorization without requesting one, you may have to pay extra costs. Refer to your benefit booklet to see your medical benefits and prior authorization requirements.
To avoid extra costs always ask your healthcare provider to request a prior authorization before you have a planned medical service.
The list below shows some services and procedures that require a prior authorization.
Your doctor has the most current list and medical information needed to request a prior authorization on your behalf.
Some prescription drugs require a prior authorization review to approve coverage. Learn more about drugs requiring approval.
Call Premera Partner Services at 877-728-9020