Pre-Authorisations are your responsibility

Avoid Unexpected Hospital Costs

Getting care in hospital is only part of preparing for a hospital stay; you also have to get ready to go to hospital. Let us know about your planned procedure on 0860 103 933 at least 48 hours before you have to go to hospital, and carefully read your preauthorisation letter to find out how we will pay for your hospital stay.

When we give you preauthorisation, we tell you what we pay for, what we don’t pay for. If your doctor called us for preauthorisation, make sure they send you all the preauthorisation details. Having preauthorisation may not mean that we will pay all the costs related to your hospital stay in full.

What pre-authorisation means

Preauthorisation means that your planned treatment meets our conditions for cover. Your cover depends on your benefit option, if you use a network hospital or day clinic, and if all the doctors who treat you (like the surgeon and anaesthetist) are part of our Designated Service Provider network. On the LA KeyPlus and LA Focus benefit options, you only have cover at a specific network of day clinics and hospitals.

As part of preauthorisation, we show you what cover you will have if you use the healthcare providers you or your treating doctor chose. You might have to go to another healthcare provider, day clinic or hospital to get the most cover possible. Contact us if you are unsure.

Read your letter carefully even if your doctor called us

Some doctors call LA Health for you to get approval for your hospital stay. While this makes the work of getting ready for a hospital stay less, you still have to make sure you ask the doctor for the preauthorisation letter and read it carefully.

When you use the authorisation number at the hospital, it tells LA Health that you read and accepted the cover we approved, and that you are willing to pay part of the cost if you do not have full cover.

Don’t be caught by surprise costs when you check out of hospital! Read your reauthorisation and call us on 0860 103 933 if you have any questions.