Why do health plans require prior authorization? - Community Health Plan of Washington - Medicare Advantage

Why do health plans require prior authorization?

The prior authorization process gives the health plan a chance to review how necessary certain services or medications may be in treating your medical condition. For example, some brand name medications are very costly. During the review, the health plan may decide a generic or another lower cost alternative may work equally well in treating your medical condition.

Prior authorization restricts access to costly services and therapies – particularly new treatments. It is also used to determine medical necessity and appropriateness of care.


A Nap a Day Could Keep The Doctor Away

An older man taking a nap on the couch.Many Americans do not get enough sleep and this can contribute to a number of health issues. Taking a nap during the day can help your body restore itself and promotes brain and heart health. A 20-minute nap has a variety of health benefits – from improved mood, to better focus and memory function. In some cultures, napping is even prescribed as a health treatment by doctors!

If you have trouble sleeping, take steps to improve your quality of sleep.


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