- Home
- PSHB Program
-
High Option
Consumer Driven Option
- Healthy Living
-
High Option
Consumer Driven Option
All Members
- Change your address
- Order Claim Forms
- Form 1095-B
- Health Risk Assessments
- HIPAA Privacy Forms
- Notice of Privacy Practices
- Advance Directives
- Complaints and Grievances
- Member Rights and Responsibilities Statement
- Coordination of Benefits
- Surprise Billing Notice
- APW-ABA(external link)
- FSA Feds(external link)
- OPM.gov(external link)
- PostalEase(external link)
Before having certain types of medical care or services, you will need to get either prior approval or precertification. It's important that you understand when prior approval or precertification are needed to keep your benefits from being reduced.
Examples of services that require precertification include:
- Inpatient hospital admission
- Organ transplantation
- Surgery that can be considered cosmetic
- Durable medical equipment
- Genetic testing
- Other services as outlined in the current federal brochure (see Section 3: How you get care)
How to request precertification or prior approval
You, your representative, your physician, or your hospital must call UnitedHealthcare at least 2 business days before admission or services requiring prior authorization are rendered:
UnitedHealthcare
1-800-718-1299For mental health and substance use disorder inpatient treatment, your doctor or your hospital must call UnitedHealthcare Behavioral Health Solutions at least 2 business days before admission or services requiring prior authorization. This number is available 24 hours every day: