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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.

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.

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.

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.

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.