We will advise you which home hospice care agencies we have approved. Review your results. FEP doesn't require authorization through Landmark. Inpatient mental health or alcohol and substance abuse services require precertification. FEP Blue Focus enrollment codes are 131, 132 and 133. We'll give a verbal precertification at the time of the initial phone call for an admission requested by a specially contracted provider.
Your coverage will automatically continue into the following year. If you're currently working and are interested in enrolling or changing plans, note the enrollment code for your family status and the plan option of your choice.
Find Out More. Prior Approval The following services require prior approval for members with Standard Option. Patient hasn't smoked in the six months before surgery. Benefits for the surgical treatment of morbid obesity, performed on an inpatient or outpatient basis, are subject to the following pre-surgical requirements listed below.
If the determination isn't in your favor, the letter will explain your rights to an appeal. Compare premiums and costs to determine whether that plan is right for your needs and budget. Weight loss from the initial procedure was less than 50 percent of the member's excess body weight at the time of the initial procedure. DoD automated enrollment system Department of Energy: Morbid Obesity Prior approval is required for outpatient surgery for morbid obesity.
Prior approval is no longer required for outpatient professional or outpatient facility care for mental health and substance abuse treatment.
Non-discrimination notice. The member must meet all requirements.