State Health Plan members some services require preauthorization BEFORE you receive them' - PowerPoint PPT Presentation

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State Health Plan members some services require preauthorization BEFORE you receive them'

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home health, hospice care or medical equipment. any fertility procedure ... Refer to your Insurance Benefits Guide, beginning on page 39, for more information. ... – PowerPoint PPT presentation

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Title: State Health Plan members some services require preauthorization BEFORE you receive them'


1
State Health Plan members some services
require preauthorization BEFORE you receive them.
Call Medi-Call at 8009259724 or 8036993337 to
get things started if you or a covered family
member need
  • any type of inpatient care
  • septoplasty, hysterectomy, TMJ or jaw surgery
  • sclerotherapy or any potentially cosmetic
    surgery
  • an MRA, MRI, PET or CT Scan
  • chemotherapy or radiation (new course)
  • home health, hospice care or medical equipment
  • any fertility procedure
  • evaluation for a transplant
  • outpatient therapy after inpatient therapy.

Also, you must notify Medi-Call of a pregnancy
during the 1st trimester to avoid a financial
penalty.
Although your doctor may call Medi-Call, it is
your responsibility to see that it is done.
Remember, there are penalties for failure to call
Medi-Call. Refer to your Insurance Benefits
Guide, beginning on page 39, for more
information.
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