Prior Authorizations & Referrals

Prior Authorization is the approval that may be needed before you get a service. It must be medically necessary for your care. Your provider will get approval for the care you need. Navigate View the full list of services that need prior authorization. Emergency care does not need prior authorization.

You may need a referral to see a specialist or get certain care. Your provider will order these services for you before you get them. They will either call and arrange it for you, give you a written note, or tell you what to do.

You should get care from providers in our network. Network or in-network means that these providers have signed a contract and have agreed to see our members. Go to to find one near you.

Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. – 5 p.m. CT