Member Prior Authorization Resources:
Cigna PPO Network
Cigna PPO Network
Call Customer Success for support: (800) 362-3310
Prior authorizations under your health plan
Below is a list of in-network prior authorizations currently required under your health plan. We’re always working to minimize these requirements and regularly update this list.
If you are out of network, you will need to contact Quartz by calling customer success for help with out of network care. Call us at (800) 362-3310.
The following Prior Authorization List is not an all-inclusive list and will be updated periodically.
These services require Prior Authorization:
- Behavioral Health Services:
- Inpatient mental health hospital
- Mental health residential
- Inpatient substance abuse hospital
- Substance abuse residential
- Chiropractic
- Cochlear Implants
- Diagnostic Radiology
- Durable Medical Equipment
- Erectile Dysfunction
- Gastric Bypass
- Home Health Care
- Home Infusion Therapy
- Injectable Medications
- Acute Inpatient
- Acute inpatient rehabilitation
- Long term acute care hospital (LTACH)
- Skilled nursing facility
- Orthotics and Prosthetics
- Outpatient Procedures (select specialty outpatient procedures)
- Potential experimental and investigational
- Transplant
- Unlisted Procedures
To learn more about Cigna’s coverage policies, click here.
*The Cigna PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration. Cigna is an independent company and not affiliated with Quartz. Access to the Cigna PPO Network is available through Cigna’s contractual relationship with Quartz. All Cigna products are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.