While QualChoice does not require referrals, some services require pre-authorization (pre-approval). Find out ahead of time if the services you need call for a pre-auth. Your claim could be denied if pre-authorization was needed and you didn’t get it before you received care.
Brokers and employers may find it challenging to keep up with regulatory changes in the health insurance industry. Open Enrollment is a good time to distribute required notices and legal information to employees.