What Does Prior Authorization Mean for a Patient? A Clear Guide to Approval, Denial, and Next Steps

what does prior authorization mean for a patient

Prior authorization means your health plan wants to review certain care before it agrees to cover it under the plan’s rules. The requirement may apply to a procedure, medical test, prescription drug, specialist treatment, durable medical equipment, or another service. Your doctor may recommend the care, but the insurer can still require additional information before … Read more