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Can I pay cash and submit a claim for reimbursement for a drug requiring precertification?

April 26, 2017cash claim drug pay Precertification Reimbursement requiring submit

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Can I pay cash and submit a claim for reimbursement for a drug requiring precertification?

1 Answer

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Drugs that require precertification must be authorized in advance by Aetna before they will be covered. If your physician or pharmacist did not receive advance approval, and you paid the full cost of the medication and submitted a claim for reimbursement, your claim would likely be denied.