What is Preauthorization?

Many of our individual health insurance plans require you to call for authorization prior to inpatient and outpatient medical services.

In some cases, benefits may be reduced if preauthorization isn't obtained. Check the back of your ID card for a toll-free number to call if you require an authorization.

Depending on Your Coverage, Preauthorization
May be Required for:

  • Inpatient Hospitalizations
  • Certain Surgeries
  • Home Health Care
  • Home Infusion Therapy
  • Hospice Care
  • Outpatient Physical, Occupational and Speech Therapy
  • Certain Prescription Medications (see Preauthorization for Medications)

Preauthorization is not required for regular doctor's office visits. Check the back of your ID card for a toll-free number to call if you require an authorization.

The Benefits of Preauthorization

Preauthorization helps to ensure your benefits are used efficiently and cost effectively. Preauthorization can help reduce your out-of-pocket costs as well as help control future premium increases.

We use Utilization Review Accreditation Commission (URAC)-accredited utilization management companies dedicated to serving as a health care advocate for our members. They work in partnership with your health care providers to ensure you get the appropriate care in the appropriate setting for your medical conditions.

 

Please Select Your State

American Republic Insurance Company serves customers in many states. However, not all products are available in all states.

Please select your state to continue.

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Not connected with or endorsed by the United States government or the Federal Medicare program.

Please Select Your State

American Republic Insurance Company serves customers in many states. However, not all products are available in all states.

Please select your state to continue.

 Go   Close


Not connected with or endorsed by the United States government or the Federal Medicare program.

Please Select Your State

American Republic Corp Insurance Company serves customers in many states. However, not all products are available in all states.

Please select your state to continue.

Go   Close

Not connected with or endorsed by the United States government or the Federal Medicare program.