![]() ![]() If you have questions about whether a service will be authorized, please call your health plan. Log in or create an account Find health & drug plans Find care providers Talk to someone Save money on Medicare costs Losing Medicaid You might qualify. If an authorization is required, University of Michigan Health System clinic staff will obtain the authorization from your health plan prior to the service. If you arrive for services without a referral in place, you may be asked to sign a waiver that holds you financially responsible for the services you receive.Īuthorizations are often required for procedures such as surgery or MRI. If your plan requires a referral, your primary care physician must provide the referral prior to services being rendered. A referral is permission from your primary care physician and your health plan to see a particular provider or to have specific procedures done. Log into our secure provider portal to access health care tools and additional resources. Many insurance plans require referrals and/or authorizations in order for services to be covered. Commercial and Medicare Advantage providers have convenient access to general and region-specific information through Prominence Health Plan. Participating Medicare Advantage Plans Referrals and Authorizations For Behavioral Health benefits, please contact your plan directly, as they may have chosen to use a different company to administer these benefits which we may not accept. – 4 p.m.īelow is a list of insurances that Michigan Medicine participates with based on Medical benefits. Find a Doctor Search for a routine vision provider Search for a dental provider Interested in Learning More About a PHP Advantage Plan Talk with a Licensed Medicare Advisor Discuss your options with a licensed PHP Advantage Medicare advisor. Insurance Questionsįor billing and insurance questions, please contact Patient Customer Services at: ![]() Advantage Academy webinars offered by PHP Medicare (HMO-POS). If you have questions related to estimates for out-of-pocket costs, please visit our Estimates for Out-of-Pocket Costs page. Learn about your fitness options through. Questions About Estimated Out-of-Pocket Costs? We recommend that you always check with your insurance plan before scheduling these type of services.ĪCA Marketplace plans for individuals, families and small businesses. Available to Medicare Beneficiaries who meet the requirements for long-term care eligibility. ![]() For Behavioral Health benefits, participation status may vary here at Michigan Medicine. We recommend that you check with your insurance company to confirm benefit coverage prior to scheduling an appointment. Michigan Medicine participates with most health insurance plans. ![]()
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