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How long does it take Aetna to approve prescription?

The review process can take up to two weeks.

How long does Aetna take to approve 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.

How do I get pre authorization from Aetna?

Aetna providers follow prior authorization guidelines. If you need help understanding any of these guidelines, please call Member Services at 1-855-463-0933 (TTY: 711), 8 AM to 8 PM, seven days a week. Some outpatient services and planned hospital admissions need prior authorization before the service can be covered.

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 Injectafer a specialty drug?

Injectafer is also approved for use Page 4 Drug Update 2013 MedTrak Services, LLC. All rights reserved. in adult non-dialysis patients with chronic kidney disease. It will be considered a specialty drug and will be subject to specific plan design edits for specialty injectable medications.

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Is considered a specialty drug?

Since is considered a specialty drug, it can be expensive, though many factors play into the cost youll pay. You may be able to get help paying for the cost of in several ways.

What drugs are considered specialty drugs?

A specialty medication is a prescription drug that is either a self-administered (non-diabetic) injectable medication; a medication that requires special handling, special administration, or monitoring; or, is a high-cost oral medication.

What is a preauthorization requirement?

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.

What is prior authorization Aetna?

A prior authorization is a request submitted on your behalf by your health care provider for a particular procedure, test, treatment, or prescription. It is sometimes known as precertification or preapproval.

What does insurance consider a specialty drug?

Specialty Drugs The drug(s) requires special handling; The drug(s) has a limited distribution and can only be filled at certain pharmacies; If the drug(s) treats rare disease(s); Or if the drug requires ongoing clinical assessment and/ or monitoring of side effects.

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