- Insurer Name : Prominence Health
- Address : 1155 S Congress Avenue, Suite 1010 West Palm Beach, FL 33406
- Phone Number : 1-800-863-7515
- Website : https://www.prominencehealthplan.com/
- Medicare/Medicaid/TRICARE Support : Yes (Medicare)
- Specific Plans Offered : Provides Medicare Advantage plans. Prominence Medicare Plans
Frequently Asked Questions:
What is pre-authorization?
Pre-authorization is a process where Prominence Health Plan reviews and approves certain medical services or medications before they are provided to ensure they are medically necessary and covered under your plan.
Which services require pre-authorization?
Services that typically require pre-authorization include elective surgeries, specialized imaging (e.g., MRI, CT scans), and certain prescription medications. It's important to consult your specific plan documents or contact Prominence Health Plan directly for a comprehensive list.
How can I request pre-authorization?
Pre-authorization requests are usually submitted by your healthcare provider on your behalf. They will provide the necessary medical information to Prominence Health Plan for review.
What happens if I don't obtain pre-authorization?
If pre-authorization is not obtained for services that require it, you may be responsible for the full cost of the service, or the claim may be denied. Always ensure pre-authorization is secured before receiving such services.
How long does the pre-authorization process take?
The time frame for pre-authorization decisions can vary. It's advisable to submit requests well in advance of the scheduled service to allow sufficient processing time.
Where can I find more information about pre-authorization?
For detailed information, refer to your member handbook or visit the Prominence Health Plan website at https://www.prominencehealthplan.com/.
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