Referrals & Prior Authorization

Prior authorization is the approval that may be needed before you get a service. The service must be medically necessary for your care. Your provider will get prior authorization for the care you need. Use our Find a Doctor tool to find one near you.

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

Some services may need a referral. Referral means that your provider will request these services for you before you can get them. Your provider will either call and arrange these services for you, give you a written note to take with you, or tell you what to do.

You can learn more about these in your member handbook.

Member Services: 1-855-202-0729 (TTY: 711), open Monday through Friday 7 a.m. to 7 p.m.