Preauthorization
Getting preapproval for some services
Preauthorization (also called precertification) means you need approval for certain services before you get care, or the plan won’t cover the cost. Your plan may also set certain conditions, medical settings, or other limits to coverage. See the medical plan chapter of the Associate Benefits Book or call your third-party administrator for a list of services that require pre-authorization.
If you need preauthorization from a network doctor or hospital, your doctor will usually handle it for you. However, you should double-check by calling your plan’s third-party administrator. You’ll find the numbers below.
Other services that require preauthorization under the Premier, Contribution, Saver and Local Plans include:
- Advanced imaging services – MRI and CT scans
- Travel benefits for complex care
- Services provided under the Centers of Excellence program
If your doctor doesn’t help with preauthorization, or if you’re considering care outside your plan’s network, you’ll need to call for preauthorization yourself.
You’ll find the number for your third-party administrator on the back of your plan ID card. Not sure who your administrator is? Visit the Compare Plans page to find out.
- Aetna: (includes Banner Local Plan): 855-548-2387
- BlueAdvantage of Arkansas: 866-823-3790
- UMR, Mercy Arkansas Local Plan): 800-804-1272
- UMR, other plans: 855-870-9177
Need help?
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See the 2025 Associate Benefits Book for more information about your benefits and eligibility. It will control over any conflicting information on this page.
