Prior Authorization for Medical Plan Benefits

SummaCare utilizes one prior authorization list for all fully-insured PPO/POS/HMO health insurance plans and Medicare (Secure) plans.

To view prior authorization lists for self-funded groups, please visit Plan Central and click on "Related Documents" after logging in.

• After Hour Authorizations 
• Elements of Informed Consent for Genetic Testing (For Provider Use Only, Do Not Fax)
• Prior Authorization Form
• Prior Authorization List