Prior Authorizations & Referrals

Prior authorization is the approval that you may need from us before you get a health care service. The health care service must be medically necessary for your care. Most of the care you get does not need to be approved by us. If it does, your provider will take care of this for you.

View the full list of services that need prior authorization. Emergency services do not need prior authorization.

You may need a referral to see a specialist or other care provider. Your provider will set this up for you. They will give you a written note, add it to your chart, or tell you what to do.

You can learn more about these in your member handbook. Do you still have questions? Call Member Services at 1-833-230-2005(TDD/TTY: 711). We can help.