Confirm benefits, care need review, network status, prior authorization, and your cost share. Use Living Longer Recovery admissions questions to gather facility facts. Then compare those facts with the residential drug and alcohol detox program record. Each check answers a different part of your decision, so do not treat one answer as full approval.
First, ask if your plan covers this care type. Second, ask how it reviews care need. This review is often called medical necessity. It means the plan tests need against its rules. Third, confirm the network status. Use the facility's legal name and address. Fourth, ask about prior authorization. Ask who must send the request. Fifth, ask what you may owe. Include deductibles, copays, and coinsurance. Ask about any daily or service limits. Request written proof for each answer. Note if answers come from separate plan teams.
Use one worksheet for every call. Put one question on each line. Add the date and local time. Write the agent's name or ID. Record the call reference number. Note the exact service term used. Ask what documents remain missing. Record all due dates. Repeat the answer back slowly. Ask the agent to correct errors. Mark each item confirmed or open. Do not fill blanks with guesses. A family member may help if you choose. Ask your plan about consent rules first. Store the sheet where you can find it quickly.
- Is this care type covered?
- How does the plan review care need?
- Is this legal entity in network?
- Is prior authorization needed?
- What costs may I owe?