Customer Service
1-800-247-2583

Prior Approval Program

 

Importance of Prior Approval

BCBSVT provides benefits for certain services, drugs and supplies only if you get approval in advance.

  • Obtaining prior approval for these services ensures that the procedures are diagnostically appropriate, medically necessary and cost effective. 
  • If prior approval is denied or not sought you (the member) must cover the full cost of care.

Services Requiring Prior Approval

Who's responsible?

  • Members are responsible (and liable) for obtaining prior approval before receiving services
  • Providers typically submit the necessary documentation for prior approval but it is the responsibility of the member to make sure it's obtained
  • To check prior approval status, call customer service:
    • 1-800-247-2583 (non Catamount Bluesm members)
    • 1-888-445-5805 (Catamount Bluesm)

To get Prior Approval: 

  • Your physician must send appropriate documentation to BCBSVT.
  • The medical staff at BCBSVT will review the information and respond in writing to you and to your doctor.
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Male Customer Service Rep Check Prior Approval Status


1-800-247-2583 (non-Catamount Bluesm members)

 

1-888-445-5805 (Catamount Bluesm)