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Prior authorization can slow down tests, rehab, and equipment

Prior authorization is a plan approval step that can apply to imaging, procedures, rehab services, home health, or equipment—especially in Medicare Advantage plans. Delays often happen when paperwork is missing or the request doesn’t match plan rules.

Why it Matters

Even a short delay can matter when symptoms are worsening or rehab is time-sensitive.

Action Steps
  • Ask: “Does this require prior authorization?” 

  • Ask: “Who submits it—your office or the facility?” 

  • Ask for the expected approval timeline and next steps if denied.

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Educational only — not medical, legal, or financial advice, and not a guarantee of coverage. For guidance, see Medicare.gov/SHIP, your plan documents, and your doctor.
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