A Guide to Your Family Health Benefits

Prior Authorization

Prior authorization under the Plan is required in only a limited set of circumstances, but if you fail to obtain prior authorization in those circumstances your benefits are denied.

Prior authorization is required in the following circumstances:

  • Home Health and Hospice Care
  • Hospitalization
  • Physical Therapy, Speech Therapy, Occupational Therapy and Chiropractic Care
  • Major Dental Care Over $600

Otherwise, you do not need to obtain a prior authorization before you seek treatment.