OneShare Health does not require preauthorization for bona fide health emergencies.
But you do need to get prior approval for certain non-emergency procedures. This is partly so that the eligibility for cost sharing can be verified, and partly so that OneShare Health staff can help you negotiate the very best pricing available for that procedure.
Pre-notification is required for the following procedures:
Inpatient Hospital Confinements (including hospitals, skilled nursing, and inpatient rehabilitation Facilities).
Outpatient Surgery (including but not limited to: surgical centers, clinics, hospitals).
Maternity.
Organ/Tissue Transplant Services.
Home Health Care Services.
Cancer Services.
Equivalent/Alternative Care including Chiropractic Care and Manipulation Therapy in lieu of surgery.