Prior Authorization

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Approval from a health plan that may be required before you get a service or fill a prescription in order for the service or prescription to be covered by your plan.

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  • Glossary: Preauthorization
    A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval or precertification. Your health insurance or plan may require preauthorization for certain services before you receive them, except in an emergency. Preauthorization isn’t a promise your health insurance or plan will cover the cost.
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