Frequently Asked Questions

Q: Do I have a pre-certified, prior authorization or referral requirement?
A: Many health insurance plans have pre-certification or prior authorization requirements for specific services. Please refer to the back of your health care insurance card, your benefits handbook, or contact the member responsibility to complete these requirements.

Some important items to remember when obtaining an authorization or referral include:

• Be certain the referral is for a service covered by your Health Plan.
• The referral should be to a Provider within your Health Plan's network.
• Check for limitations on the referral. For example, number of visits allowed, or expiration date.
• Contact your PCP about a referral PRIOR to your specialty appointment