Preauthorization Program

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An important part of many of our health insurance programs is the Preauthorization Program. For our preauthorization program, American Republic uses utilizes accredited utilization review companies that are dedicated to serving as a health care advocate for our customers.

For preauthorization requirements and toll free telephone number, please refer to the back of your identification card.

Remember, preauthorization may be required for inpatient hospitalizations and some surgeries, but not for regular doctor's office visits. Depending on your coverage, there may be other medical services and treatments that require preauthorization, such as home health care, home infusion therapy, hospice care, outpatient therapies or certain prescription drugs.

If your coverage requires preauthorization, the list of medical services and treatments requiring preauthorization will be listed on the back of your identification card. Please remember that preauthorization is ultimately your responsibility. Benefits may be reduced for failing to obtain preauthorization when required.

Preauthorization is one way in which we work with your health care providers to help ensure you receive the appropriate care you need for your medical conditions. Preauthorization can help reduce your out-of-pocket costs as well as help control future premium increases.



Preauthorization is not a guarantee of benefits. Payment of benefits will be determined by the terms and limits of your insurance coverage.
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