Common use of Continuing Prescriptions from a Prior Insurance Carrier Clause in Contracts

Continuing Prescriptions from a Prior Insurance Carrier. If you have received Prior Approval for a prescription drug from your former insurance carrier, and that prescription drug also requires Prior Approval from Health Options, we will honor the prior authorization up to 30 calendar days to ensure you can obtain your prescription without interruption while we conduct a review. You have the right to request a review with your Provider. If your Provider participates in the review and requests that your prior approval be continued, we will honor the prior carrier’s approval while we perform a review. Please call Member Services at 1-855-624-6463 and ask for a referral to our pharmacy team to continue a prescription from your prior insurance carrier.

Continuing Prescriptions from a Prior Insurance Carrier. If you have received Prior Approval for a prescription drug from your former insurance carrier, and that prescription drug also requires Prior Approval from Community Health Options, we will honor the prior authorization up not to exceed 6 months with proof of existing prior approval, otherwise 30 calendar days to ensure you can obtain your prescription without interruption while we conduct a review. You have the right to request a review with your Provider. If your Provider participates in the review and requests that your prior approval be continued, we will honor the prior carrier’s approval while we perform a review. Please call Member Services at 1-855-624-6463 and ask for a referral to our pharmacy team to continue a prescription from your prior insurance carrier.

Continuing Prescriptions from a Prior Insurance Carrier. If you have received Prior Approval for a prescription drug from your former insurance carrier, and that prescription drug also requires Prior Approval from Health Options, we will honor the prior pr ior authorization up to 30 calendar days to ensure you can obtain your prescription without interruption while we conduct a review. You have the right to request a review with your Provider. If your Provider participates in the review and requests that your prior approval be continued, we will honor the prior carrier’s approval while y we perform a review. Our review will generally be completed within 30 days. Continued approval will be determined based on the decision from our review. Please call Member Services at 1-855-624-1- 855 - 624 - 6463 and ask for a referral to our pharmacy team to continue a prescription from your prior insurance carrier.