Pre-Service Claims

Pre-service claims are for benefits that require pre-authorization before you receive medical care.

There is no pre-certification requirement for prescription drug coverage.

Your eligibility appeal involving any Pre-Service Claim with your medical provider will be dealt with by the Trustees within 72 hours. All eligibility appeals involving post-service claims will be considered by the Board of Trustees at their next regularly scheduled meeting so long as your appeal is received by the Administrative Office at least 30 days in advance of a regularly scheduled meeting of the Board of Trustees.