Get Optum/aarp Prior Authorization Form - Medicare Plans

This guide provides a structured approach to completing the Optum/AARP Prior Authorization Form for Medicare Plans online. By following these steps, users can ensure their requests are accurately submitted for timely processing.

Follow the steps to successfully complete the prior authorization form.

1. Click ‘Get Form’ button to initiate the process of acquiring the form. This action opens the form in an online editor for completion.
2. Fill out the enrollee’s information including their name, date of birth, address, phone number, and member ID number. Ensure accuracy as this information is essential for processing.
3. If the request is being submitted by someone other than the enrollee or prescriber, complete the requestor’s section with their name, relationship to enrollee, address, and phone number.
4. Attach any necessary representation documentation if the requestor is not the enrollee or prescriber. This may include a completed Authorization of Representation Form.
5. Specify the name of the prescription drug being requested, including details such as strength and quantity needed per month.
6. Select the type of coverage determination request from the options provided, ensuring to check associated requirements, especially if a prescriber’s statement is needed.
7. Provide any additional information or attach supporting documents that may assist in the determination process.
8. If applicable, check the box to request an expedited review and attach the required prescriber’s statement.
9. Sign the form to authenticate the request, including the date of submission.
10. Submit the completed form via mail or fax to the appropriate address or number provided, or ensure that you have saved any needed copies for your records.

Complete your documents online today to streamline your prior authorization requests.