In compliance with the Centers for Medicare & Medicaid Services (CMS) effective January 1, 2024, Banner Medicare Advantage will provide new members up to a 90-day transition period when a member is undergoing an active course of treatment and switches from a previous Medicare Advantage plan or Medicare Fee for Service to a Banner Medicare Advantage plan.
If a member has newly enrolled with Medicare and joins a Banner Medicare Advantage plan, the transition policy will also apply. The option to request extended coverage up to 90 days from their previous benefit, out-of-network health care professional at network rates for a limited time due to a specific medical condition, until the safe transfer to a network health care professional can be arranged. BMA members may submit a Continuity of Care form by visiting Banner Medicare Advantage - Continuity of Care Form.
Effective 4/01/22, providers have a new process with eviCore for requesting prior authorization.
The eviCore provider portal is experiencing technical difficulty, some members and/or facilities are not populating within the portal. Providers will need to call in their requests while eviCore works to resolve.
Rad/Card requests – (888) 693-3211 & Rad Therapy/Med Onc/MSK Requests – (888) 444-9261
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