Pre-NotificationAs with anything in life it pays to do a little research. We have a great membership administrative unit dedicated to answering your questions and helping you get the best care in an affordable way. As a member if you ever have any questions about what types of expenses are eligible for sharing or whether your specific expense is or will be eligible, we recommend you call in and ask the question.
In certain circumstances we require that a member pre-notify the admin staff of our upcoming expenses. This will not only eliminate any chance that you won't be eligible to have the cost shared, it will also help the group negotiate for you and get the best pricing and get the best care.
Pre-notification is required for the following:
- Charges for all Inpatient Hospital Confinements (including Hospital, Skilled Nursing, Inpatient Rehabilitation Facility and Hospice)
- Organ/Tissue Transplant Services
- Emergency Admissions
- For all Home Health Care Services
- Outpatient Surgery
Please review the guidelines for more information.