If prior authorization is required and is not obtained, the health plan can reject the claim—even if the procedure was medically necessary and would otherwise have been covered. If your insurer denies coverage, you can ask them to reconsider. Your provider’s office can let you know what ...
Meanwhile, Planned Parenthood officials said they will not know if they will take legal action until they see the final language of the rule. But they say they do plan to use the regulatory process to fight the changes that have been made public so far. KHN’s coverage of women’s health...