Authorizations Explained

Prior Authorizations

In the prior authorization process, your physician or other health care provider gets approval from Blue KC to provide you with coverage for certain services, such as specific procedures, medications, or durable medical equipment.

Covered services that need approval in advance are marked in the Medical Benefits Chart of your Evidence of Coverage by an asterisk (*). Refer to the Blue Medicare Advantage formulary for a list of Part D drugs requiring prior authorization.

Is a prior authorization needed for emergency care?

No. A prior authorization is never needed for emergency care. In an emergency situation, go to the nearest emergency room or call 911.

Y0126_20-703_ITKC - Last updated 01/30/2020