A prior authorization is a request to your health plan asking for you to have specific services from your doctor. A prior authorization is not a promise that Health Choice will cover the cost of the service. A prior authorization is also commonly called, “PA.”
A PA request is a form that your doctor fills out and sends to Health Choice. Our prior authorization department will review a standard request and make a decision within 14 calendar days. Your doctor will be notified if the service is approved or denied. If you would like to see a list of services that require your doctor to send in a PA request you can view the lists below:
- Health Choice Integrated Care Prior Authorization Guidelines
- Health Choice Integrated Care Prior Authorization Criteria
If you have questions about prior authorizations, you can call us at 1-800-640-2123.