Before you call
Have your plan name, member information and the service you are asking about ready. Keep personal plan details off public forms.
Questions for your health plan
- Is this specific provider in network for my plan?
- Is the proposed service covered, and are there eligibility requirements?
- Is a referral or prior authorization required?
- What deductible, copayment or coinsurance applies?
- Are there visit limits, exclusions or out-of-network options?
- Can you send the information in writing and give me a call reference?
Questions for the center
Ask the center to confirm your exact plan, provide written fee information and explain which approvals it needs before the first visit.
A useful term: prior authorization
Your plan may require approval before a service for it to be covered. Ask your plan which services need this step.
Source: HealthCare.gov glossary ↗
Coverage depends on your plan. This checklist does not confirm eligibility or guarantee payment. Updated November 1, 2026; clinical/legal review not completed.