What happens to a member’s coverage when they are in college or out of area?
A dependent child is eligible for coverage until their 26th birthday, regardless of whether or not t...
Learn MoreAre members covered if they obtain medical care outside the network?
If a member receives routine care from out-of-network providers, neither the member’s health plan ...
Learn MoreWhere can I call for questions or additional information regarding the authorization/referral process?
Our Call Center is here to assist you. Please call 415-884-1840 or 800-874-0840 (TTY 415-884-1801). ...
Learn MoreWhat in office procedures require authorization?
Services that are potentially cosmetic in nature, e.g. skin tags, vascular procedures, certain ENT s...
Learn MoreWhat happens if a member presents to a specialist without a referral?
Referrals can be verified through MIPAnet or by calling the Primary Care Physician’s office. If th...
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