The Plan will only cover procedures and treatments that are medically necessary. Pre-authorization is a medical review by an independent group of physicians to determine whether a procedure or treatment is medically necessary. The Plan has contracted with Aetna to perform this function. Visit the Aetna website for Precertification Information and to search by CPT code. There are lists for Aetna PPO and non-PPO providers.
To pre-authorize a procedure, please call Aetna at 1-888-632-3862 option 3.