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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (64 Votes)
2020	4.3 Satisfied (64 Votes)
2020	4.4 Satisfied (95 Votes)
2018	4.2 Satisfied (133 Votes)

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What is the prior authorization process?

Prior authorization (also called preauthorization and precertification) refers to a requirement by health plans for patients to obtain approval of a health care service or medication before the care is provided. This allows the plan to evaluate whether care is medically necessary and otherwise covered.

How long does Aetna take to approve a surgery?

Your health care provider will communicate with us directly, and generally within 14 days or less, you and your physician will be notified of a decision.

Does Aetna require preauthorization?

Some care will require your doctor to get our approval first. This process is called prior authorization or preapproval. It means that Aetna Better Health of California agrees that the care is necessary for your health.

Is precertification the same as preauthorization?

A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval or precertification.

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