Prior Authorization: What You Need to Know

RE: Prior Authorization: What You Need to Know

tpence82 — Wed, 31 Jul 2024 14:10:01 GMT

Why even have this here when BCBS is just going to keep repeating send us a pm. That said, if you are one of them who comes HERE to ask a plan-specific question HERE, as if BCBS TX offers ONE single plan [emoticon:79b09143209a47198626541757c5862f], you're an idiot.

RE: Prior Authorization: What You Need to Know

Starr — Wed, 17 Apr 2024 02:41:29 GMT

Do I get prior auth myself for a dermatology procedure, or does the in network dermatologist office do that? How do i know if that procedure is covered ?

RE: Prior Authorization: What You Need to Know

elsacg12 — Thu, 26 May 2022 20:34:23 GMT

Ozempic is listed as no authorization required but when the pharmacy ran the prescription, they stated that BCBS was requiring a prior authorization, why would that happpen?

RE: Prior Authorization: What You Need to Know

Trisha Allen — Thu, 12 May 2022 15:29:08 GMT

Does our plan cover breast ultrasounds when a radiologists says it is needed after a routine mammogram?

RE: Prior Authorization: What You Need to Know

Elisabeth Marks — Tue, 26 Apr 2022 14:22:38 GMT

With our plan do i need a drs referral to go to physical therapy?

RE: Prior Authorization: What You Need to Know

MadisonW — Mon, 21 Jun 2021 04:52:44 GMT

Understanding this prior authorization would be helpful for awareness. Glad you included this on your topic. Thanks.

- Madison

RE: Prior Authorization: What You Need to Know

TUYET ILLICH — Mon, 22 Mar 2021 21:12:35 GMT

Do I need a referral to see a podiatrist?

RE: Prior Authorization: What You Need to Know

BCBSTX Connect Team — Tue, 15 Oct 2019 19:38:03 GMT

Hi Christa, A new authorization would be needed based on whichever criteria is met first - so if you use the approved number of visits or if you meet the end date of the approval. You can call the number on your ID card to start the process for a new prior authorization. ~ Kayla

RE: Prior Authorization: What You Need to Know

ChristaCobbs — Tue, 15 Oct 2019 17:37:56 GMT

Prior authorizations come with a start and end date, and number of approved visits. I need to know which of those determines when a new prior authorization is needed - the end date, or number of approved visits. This is in reference to child physical, occupational, and speech therapy sessions. E.g. if all approved visits have not meet used by the end date, is a new prior authorization required because the date has expired, or is it considered to be approved until all approved visits are used?