Is Approval Needed?

Prior Authorization, Referral and Benefit Tool

The Prior Authorization, Referral and Benefit Tool allows you to easily determine:

  • approval requirements from Health Net Federal Services, LLC (HNFS)
  • benefit limitations and
  • how to locate applicable copayments or cost-shares.

This tool only identifies whether a HNFS approval is needed. It does not provide the approval. If it is determined that an approval is needed, please follow up with your provider so he/she can submit the request for review.