If you need preauthorization from a network doctor or hospital, your doctor will usually seek preauthorization for you, so you don’t need to do anything. But it’s always a good idea to double-check by calling your plan (the numbers are shown below).
Requirements are different depending on your administrator, but here are some common services that usually need preauthorization:
- Inpatient admissions for hospital or behavioral health facilities
- Outpatient surgery, radiology, or dialysis
- Outpatient mental health and substance abuse services
- Home health care
- Rehabilitation services (physical, occupational, or speech therapy)
- Services provided under the Centers of Excellence program.
If your doctor doesn’t help with preauthorization, or if you’re considering care outside your plan’s network, you’ll need to call for preauthorization yourself.
You’ll find the number for your administrator on the back of your plan ID card. Not sure who your administrator is? Visit the Plan Availability Tool to find out.
- Aetna (includes Banner Local Plan): 855-548-2387
- BlueAdvantage of Arkansas: 866-823-3790
- HealthSCOPE Benefits (includes all other local plans): 800-804-1272
- UnitedHealthcare: 888-285-9255