Medicare Prior Authorization Pre-authorization Medicare Advantage plans

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Medicare and Prior Authorization – What You Need to Know

The purpose of this article is to explain how Prior Authorization works with Medicare. This is an important subject because the prior authorization process can factor into your decision about which type of Medicare plan you choose. Additionally, if you enroll in a plan that requires prior authorization, then it is vital to know how the process works, especially if your request is denied.

What is Prior Authorization?

Prior Authorization is a required process used by many health insurance carriers as a way to determine if they will cover a prescribed service,