| Insurance Plan |
Product Type |
Precertification Requirements |
AETNA |
HMO/PPO |
Verify requirements on the back of
the patient's ID card or on the Aetna web site. Chesapeake will request a predetermination prior to starting services.
2012
Aetna Precertification List. |
CareFirst BlueCross BlueShield, BlueChoice and Anthem |
HMO/POS/PPO/Indemnity |
HMO plans: referral is
required.
Anthem: precertification is required |
CIGNA HealthCare |
HMO/POS/PPO/Indemnity |
Verify requirements on the back of
the patient's ID card or on the CIGNA web site. Chesapeake will request a predetermination prior to starting services. |
Great West/One Health |
PPO |
Depends on patient's benefits.
|
HealthKeepers and
HealthKeepers Plus/Famis |
HMO/POS/PPO/Indemnity |
Precertification is required.
|
KAISER |
HMO/POS (Kaiser
Added Choice) |
Referral and authorization required |
Medicaid - VA |
Government Plan |
Accepted for Early Intervention only |
Tricare Standard/Healthnet |
PPO |
Required. Prescription
must be obtained by patient.
|
Tricare Prime/Healthnet |
HMO |
Authorization Required for all services. Patient must ask pediatrician to input the prescription in
system for one year and renew every year |
UNITED
HealthCare (MAMSI, MDIPA,Optimum Choice, One Net) |
HMO/POS/PPO |
Required for all products. |
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