Is prior authorization required by MIT for certain procedures?

Thursday, October 24, 2019

Yes, a list of these procedures may be found in the “Precertification and Prior Authorization” section of your MIT Summary Plan Description. The prior authorization list changes periodically. Please call Planned Administrators, Inc. Utilization Review at 1-800-652-3076 for prior approval before any major elective procedure.

It is your responsibility to make sure that you or your provider obtain the required prior authorization before undertaking any of these procedures. If you fail to obtain the required prior authorization, you may be entitled to only a portion of the payment that the Plan would have otherwise paid for the procedure.