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Does Medicare require prior authorization?

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Andrey_Popov // Shutterstock Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many older adults choose original Medicare (Part A and Part B) to avoid prior authorization. This step, which can delay and deny care, is common with private Medicare Advantage plans. Starting Jan. 1, 2026, a six-year pilot …

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Montana Standard

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Does Medicare require prior authorization?

GoodRx reports that starting January 2026, original Medicare will require prior authorization for certain services in six states, ending previous exemptions.

1 month ago

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