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Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process usually takes about 2 days.
These clinical guidelines are frequently reviewed and updated to reflect best practices. 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.
Prior Authorizations Under medical and prescription drug plans, some treatments and medications may need approval from your health insurance carrier before you receive care. Prior authorization is usually required if you need a complex treatment or prescription. Coverage will not happen without it.
Aetna considers whole-body MRI medically necessary for screening of malignancy in adults (aged 18 years or older) with Li-Fraumeni syndrome.
How do I get a prior authorization? If your health care provider is in-network, they will start the prior authorization process. If you dont use a health care provider in your plans network, then you are responsible for obtaining the prior authorization.
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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.
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.
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.
Where can I check the status of a prior authorization request? To check the status of your prior authorization request, log in to your member website or use the Aetna Health app. You can download the Aetna Health℠ app on the App Store (Apple devices) or Google Play (Android devices).
The review process can take up to two weeks.

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