Certain procedures require pre-authorization. Pre-authorization does not guarantee full payment. If preauthorization is not obtained, all applicable procedures will result in an additional 40% co-payment without any out of the pocket limit.

Pre-Authorization ensures that prior to incurring liability for medical treatment, surgeries and Other procedures, the member is covered by the policy and will be reimbursed up to the applicable limit by the Company.

International providers should download the Pre-authorization form located on the forms page and submit it by fax or e-mail to Care Management Network.