Benefits corner- When is pre-certification needed with my Priority Health insurance plan?

The following services require a Pre-Authorization- subject to deductible requirements:

  1. Imaging Services- MRI, CAT Scans, PET Scans, CT/CTA and Nuclear Cardiac Studies
  2. Inpatient Hospital Facility Services EXCEPT in emergencies or hospital stays for a mother and her newborn of up to 48 hours following a vaginal delivery and 96 hours following a cesarean section
  3. Inpatient Mental Health & Substance Abuse Services- including rehabilitation and partial hospitalization except in emergencies.

Pre-certification phone number is 800-269-1260.

If you fail to receive pre-certification you may be subject to a $250 fee.

Always feel free to call the customer service number on your Priority card, and access the Health Benefit Plans at

https://www.nmc.edu/departments/human-resources/salaries-benefits/medical-benefits.html#medical

 

Military & Veteran Outreach Services support third annual Traverse City Patriot Game

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Traverse City native Brad Kent (third from right) and his crew in Afghanistan show their support for the TC Patriot Game. (Photo Courtesy: Bad Kent)

Area new car dealerships have begun selling T.C. Patriot Game shirts today. This is the third year that the annual football clash between Central and West high schools will become a way to honor local veterans and those who have died while serving in the military.

This year Central supporters will wear red shirts, while those backing West will don blue shirts. Organizers say they hope to have both sides of Thirlby Field flooded with a sea of red and blue shirts. The contest between the two schools is the biggest football event of the year with the stadium filled to capacity. It will be held Friday, September 12.

A ceremony will be held before the game to honor northern Michigan veterans and give special recognition to those who have been killed in recent wars in Afghanistan and Iraq.

Veterans will be allowed into the game again this year at no charge. (more…)