Make sure your upcoming treatment is covered under your insurance plan and is medically necessary—

PREAUTHORIZE!

The following procedures require preauthorization:

• Hospitalizations

• Surgeries (inpatient and outpatient) (This does not apply to diagnostic endoscopy procedures)

• Home health services

• Dental services resulting from an accident

• Hernia-related procedures

• Dayspring/Day Treatment

• Durable medical equipment ($300 or more)

Call 801-270-3037 or 888-223-6866 to preauthorize

If you use a participating provider for any of the above treatments, the provider (not you) is responsible for preauthorization. Please verify that preauthorization has been completed.

If you use a non-participating provider, you are responsible for obtaining preauthorization in a timely manner or benefits may be reduced or denied.