Prior Authorization on medical proceedures.

Medical Authorizations

For certain procedures, medications administered in the doctor's office, and services, your doctor or hospital needs to get advance approval before your plan covers any of the costs. Depending on the service and your type of plan, this step is called "preauthorization" or "notification." If your plan requires preauthorization or notification, and your doctor or hospital doesn't get this approval from Humana, your costs may not be covered.

How to find out if a service requires preauthorization

Commercial members
January 22, 2011, Commercial Preauthorization and Notification List
(265 KB) Download PDF
English
January 24, 2010, Commercial Preauthorization and Notification List
(97 KB) Download PDF
English
July 10, 2009, Commercial Preauthorization and Notification List
(92 KB) Download PDF
English
Medicare members

Call the number on the back of your ID card to determine what services and medications require authorization.