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Can my health plan require me to obtain authorization for a for a 48-hour or 96-hour hospital stay?

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Can my health plan require me to obtain authorization for a for a 48-hour or 96-hour hospital stay?

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A health plan cannot require you to obtain authorization justifying the medical necessity of your 48 or 96-hour stay. However, your health plan may require your physician to submit the necessary documentation for pre-certification of medical necessity for any additional time exceeding the 48 or 96-hour stay, or control your admission to certain facilities.

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A health plan cannot require you to obtain authorization justifying the medical necessity of your 48- or 96-hour stay. However, your health plan may require your physician to submit the necessary documentation for pre-certification of medical necessity for any additional time exceeding the 48- or 96-hour stay or control your admission to certain facilities.

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