How to Get Pre-Approved

Work with your provider to get your meds and services pre-approved before you get them.


Medical Services That Need Pre-Approval

  • Hospice
  • Inpatient hospital admission
  • Organ and tissue transplants
  • Behavioral health (mental health and substance use disorder)

If you’re thinking about one of these services, have your doctor or provider call us at 1-800-222-4739 before you make your appointment.


Medications That Need Pre-Approval

Work with your provider to make sure you get your medications and prescription drugs pre-approved by Blue Cross NC before you buy them. Here's how:

Behavioral Health Services that Need Pre-Approval 

Have your doctor or provider complete the form you need to request approval for mental health and substance use disorder services.

Your provider should submit the form by fax to 1-866-987-4159.