Description:
Most Blue Cross Blue Shield of South Carolina accounts require advance approval for all admissions and certain other services in order for maximum benefits to be provided. If an advance approval is not obtained, a reduction in benefits may be assessed as a penalty.

Policy:
Advance approval may be waived or is not required in the following situation:

• Advance approval is not required when the Blue Cross Blue Shield policy is providing a secondary benefit. If the primary plan does not provide a benefit, the secondary plan will then provide the benefit with no penalties assessed.

NOTE:
Some accounts may require that advance approval be obtained whether providing a primary benefit or a secondary benefit. Please refer to the Plan of Benefits for determination.