Certain web-based member assessment tools are temporarily unavailable. To enroll in the Personal Care Management or SmartStarts Maternity program during this time, please call 1-800-722-2157 and select option 2.
Some benefit plans include precertification requirements for certain outpatient procedures and procedures that require a hospital stay. Two outpatient review program options are available from MedCost: Advanced Imaging and Comprehensive Outpatient Review. If a member’s benefit plan includes any precertification requirements, it will be indicated on the member’s ID card.
Note: Precertification is not a guarantee of payment.