We are excited to share that MedCost has been acquired by Health Plans, Inc. (HPI), a national leader in self-funded health plan solutions. Read the full press release.
Some benefit plans include precertification requirements for certain outpatient procedures and procedures that require a hospital stay. Two outpatient review program options are available from MedCost: Advanced Imaging and Comprehensive Outpatient Review. If a member’s benefit plan includes any precertification requirements, it will be indicated on the member’s ID card.
Note: Precertification is not a guarantee of payment.