Stay Informed and Stay Healthy
Online Pre-authorizations Coming Soon!
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Online Pre-authorizations Coming Soon!

We are proud to announce that we will soon launch a convenient new online pre-authorization tool. Automated pre-authorization via the MCG Cite AutoAuth module will be accessible through the My Account provider portal at QualChoice.com.

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Health Tips for a Quality Life: Watch Your Sweet Tooth

We all know Americans are eating and drinking too much added sugar. This habit can lead to weight gain and obesity, type 2 diabetes and heart disease. If you are concerned about what sugar is doing to your health, here’s information you’ll want to consider.

Pack a Plan to Avoid Vacation Weight Gain
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Pack a Plan to Avoid Vacation Weight Gain

Vacation brings a nice break from daily routine. Unfortunately, the vacation mindset can influence us to take a break from healthy diet and exercise. And once the weight goes on, most people don’t work it off. Doctors say that these small weight increases can lead to

Play It Safe this Summer
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Play It Safe this Summer

Summer brings many opportunities for outdoor fun! Warm days can include swimming, hiking, picnicking and playing ball. There are sightseeing vacations and backyard staycations. All of these good times are even better when we steer clear of accidents and illness. Before you head out the door, brush up on these safety tips to keep your summer safe and healthy.

High-deductible Health Plans – Lower Premiums
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High-deductible Health Plans – Lower Premiums

Employers are finding High-deductible Health Plans (HDHPs) an attractive way to reduce their employees’ health insurance premiums.

Coverage for Routine and Complex Procedures
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Coverage for Routine and Complex Procedures

In the past, you may have had to go to a hospital for certain healthcare services. Today, many of those same things are done in your doctor’s office. How much you pay for those services depends on if they are routine or complex.

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Health Tips for a Quality Life: Heart Health

Learn about your risks for heart disease and stroke and stay “heart healthy” for yourself and loved ones.

Summer Workout Tips
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Summer Workout Tips

Whether you’re running, playing basketball or going for a power walk, exercising in hot weather puts extra stress on your body. Follow these summer workout tips to help reduce your risk of serious, heat-related illness while staying in shape.

Care Management Helps Employees and Employers
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Care Management Helps Employees and Employers

Employees with serious medical conditions may find managing their health to be stressful. But if Care Management is included in their health plan, there are experts who can help.

How We Make Coverage Decisions
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How We Make Coverage Decisions

We work to make sure our members get the right healthcare in every care setting. We support proper care decisions based on medical necessity and the member’s specific health plan. When a service needs pre-authorization, our Medical Director and clinical staff follow QualChoice Medical Coverage Policies. They also follow the peer-reviewed and nationally noted guidelines of MCG Health, LLC.