28 PHS+ Precertification Program The Plan requires that certain outpatient surgical procedures, diagnostic testing and all non - emergency inpatient hospital admissions be certified in advance. Failure to obtain precertification through Cigna’s PHS+ precertificatio n program can result in your claim being denied. PHS+ precertification will help you and your dependents get the right care, at the right time, in the right place. With PHS+ and its precertification process, you can: • Get the most appropriate inpatient a nd outpatient care • Find lower cost services • Avoid unnecessary or non - covered medical treatment or procedures • Improve your health with earlier case management services that help to identify when you might need e xtra assistance How Precertification Works Y o u don’t need to do anything for precertification. The Open Access Plus network (OAP) contracted provider is responsible for getting the precertification for all required non - emergency in - network services.

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