Do I need to have medical service pre-authorized?

The only service that needs to be pre-authorized is hospital admission (except for maternity). The insurance company should be notified by the next business day if it is an emergency admission. Maternity stays longer than 48 hours (normal delivery) or 96 hour (cesarean section) need to be authorized by the insurance company.

Tests, procedures and outpatient surgeries do not require prior authorization.

 

 

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Revised: June 13, 2013.