Pre-Authorization Requirements

Section Banner Image

Except in the case of an emergency, certain services, items, and prescription drugs must be prior authorized even if the member is seeking coverage from a non-participating health care provider.

Note: Self-insured plan members, please call Customer Service at the number located on the back of your Member ID card for assistance.

National Participating Provider Precertification List (NPL) - always access document for current precertification requirements.