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. (Coming Soon) Emergency care does not need prior authorization.

Some services may need a referral from a provider. This means that a provider will recommend or request care from a specialist for you. They will 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. Do you still have questions? Call Member Services at 1-833-230-2058 (TTY: 711). We are here to help.