What services require preauthorization?
Preauthorization is required for all the following: inpatient services; maternity stays longer than two days for a normal delivery or longer than four days for a cesarean; durable medical equipment; home health nursing services; and pain management/pain clinic services. If you fail to preauthorize these services when using a nonparticipating provider, your benefits are reduced to 50 percent and will not be applied to your out-of-pocket maximum. If you have additional questions, call Member Services at 801-442-5038 (Salt Lake area) or 800-538-5038 or refer to your member materials.
