Some services and supplies require approval by Ingham Health Plan in order to be covered. Certain services require a special medical review so that the plan can decide if the service is medically necessary and a covered benefit.
No authorization needed:
Office visits with your PCP or a Specialist
Routine outpatient diagnostic laboratory
Routine outpatient radiology services
Needs authorization before service:
Any procedure, surgery or other diagnostic test
Needs a special review to determine coverage:
- Genetic testing
- Reconstruction Surgery
- Skin Procedures
- Vein Treatments & Surgery
- Any service that could be considered cosmetic or not medically necessary
- Unclassified procedure codes
Ingham Health Plan Authorization News: Ingham Health Plan has a new authorization request form available through the IHP portal. Providers are required to login to access the form.