Physicians & Insurance
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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