Medicare Advantage: Prior Authorization Updates

Effective immediately for members of our StrideSM (HMO) Medicare Advantage plans, Harvard Pilgrim no longer requires prior authorization for:

  • Surgeries for temporomandibular joint disorders(including therapeutic arthroscopy, arthroplasty/arthrotomy including discectomy, and joint replacement)
  • Reconstructive and restorative nasal procedures (including rhinophyma treatment, rhinoplasty, and septoplasty)
  • Invasive and surgical procedures for urinary incontinence (including artificial urinary sphincter, bladder neck suspension/sling, periurethral bulking agents, and urethral sling)

Publication Information

Helen Connaughton,
Director, Network Operations

Annmarie Dadoly,

Joseph O’Riordan,

Kristin Edmonston,
Production Coordinator