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  2. FAQ
  3. This information is for reference only. Please refer to the Policy Wording for Terms and Conditions.

What is Preauthorization (Pre-Approval)?

A decision by the health insurance provider that a health care service, treatment plan, prescription drug, or durable medical equipment is medically necessary. Your health insurance provider may require preauthorization/pre-approval for certain services before you receive them, except in an emergency. Preauthorization does not guarantee that your health insurance plan will pay to cover the cost.