Prior authorization requires insurer approval before certain tests, procedures, or treatments to reduce costs and prevent unnecessary care. It is common for chronic conditions, especially for equipment like glucose monitors, insulin pumps, and wheelchairs, as well as surgeries, prescription drugs, therapies, and imaging tests. Many patients find it a major administrative burden. Some insurers are beginning to eliminate prior authorization for select outpatient surgeries, therapies, diagnostic tests, and chiropractic care.
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