{"id":170770,"date":"2015-06-25T15:40:00","date_gmt":"2015-06-25T22:40:00","guid":{"rendered":"https:\/\/www.hometownhealth.com\/servicio-y-asistencia-a-los-afiliados\/precertificaciones\/"},"modified":"2024-10-22T15:49:19","modified_gmt":"2024-10-22T22:49:19","slug":"precertificaciones","status":"publish","type":"page","link":"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/precertificaciones\/","title":{"rendered":"Precertificaciones"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"170770\" class=\"elementor elementor-170770 elementor-3764\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1282c61 e-flex e-con-boxed e-con e-parent\" data-id=\"1282c61\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-dd07b3b e-con-full e-flex e-con e-child\" data-id=\"dd07b3b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-949002b elementor-widget elementor-widget-jet-custom-menu\" data-id=\"949002b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"jet-custom-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"menu-member-service-support-spanish-container\"><div class=\"jet-custom-nav jet-custom-nav--dropdown-right-side jet-custom-nav--animation-fade\"><div class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-home jet-custom-nav__item jet-custom-nav__item-173645\"><a href=\"https:\/\/www.hometownhealth.com\/es\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Inicio<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173646\"><a href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Servicio y asistencia a los afiliados<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173647\"><a href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/eres-nuevo-en-hometown-health-empecemos\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">\u00bfEres nuevo en Hometown Health? Empecemos<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173648\"><a href=\"https:\/\/www.hometownhealth.com\/es\/farmacia\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Farmacia<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173649\"><a href=\"https:\/\/www.hometownhealth.com\/es\/mychart\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">MyChart<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173650\"><a href=\"https:\/\/www.hometownhealth.com\/es\/para-los-empresarios\/beneficios-oftalmologicos-para-empresas\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Beneficios oftalmol\u00f3gicos para empresas<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173651\"><a href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/formularios-de-afiliacion\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Formularios de afiliaci\u00f3n<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173652\"><a href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/tu-tarjeta-de-afiliacion\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Tu Tarjeta de Afiliaci\u00f3n<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173653\"><a href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/procedimiento-de-reclamacion-de-los-afiliados\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Procedimiento de reclamaci\u00f3n de los afiliados<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173654\"><a href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/derechos-y-responsabilidades-de-los-afiliados\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Derechos y responsabilidades de los afiliados<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173655\"><a href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/afiliacion-y-elegibilidad-de-los-dependientes\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Afiliaci\u00f3n y elegibilidad de los dependientes<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173656\"><a href=\"https:\/\/www.hometownhealth.com\/es\/salud-mental\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Salud mental<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173657\"><a href=\"https:\/\/www.hometownhealth.com\/es\/directorios-de-proveedores\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Directorios de proveedores<\/span><\/span><\/a><\/div>\n<div class=\"menu-item menu-item-type-post_type menu-item-object-page jet-custom-nav__item jet-custom-nav__item-173658\"><a href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/acontecimientos-vitales-que-cumplen-los-requisitos\/\" class=\"jet-custom-nav__item-link\"><span class=\"jet-menu-link-text\"><span class=\"jet-custom-item-label top-level-label\">Acontecimientos vitales que cumplen los requisitos<\/span><\/span><\/a><\/div>\n<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8cab218 e-con-full e-flex e-con e-child\" data-id=\"8cab218\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-995c2f0 elementor-widget elementor-widget-heading\" data-id=\"995c2f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Precertificaciones<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53cee08 elementor-widget elementor-widget-text-editor\" data-id=\"53cee08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h6>Para aprovechar al m\u00e1ximo tus ventajas como miembro de Hometown Health, debes comprender qu\u00e9 servicios requieren precertificaci\u00f3n. Eres responsable de asegurarte de que avisas a Hometown Health antes de que se realicen determinados servicios y procedimientos. <\/h6>\n<h6>Los siguientes servicios pueden requerir precertificaci\u00f3n de Hometown Health:<\/h6>\n<ul>\n<li>\n<h6>Todas las hospitalizaciones<\/h6>\n<\/li>\n<li>\n<h6>Toda la rehabilitaci\u00f3n hospitalaria<\/h6>\n<\/li>\n<li>\n<h6>Todas las intervenciones quir\u00fargicas en el mismo d\u00eda (las colonoscopias diagn\u00f3sticas y de cribado no requieren autorizaci\u00f3n)<\/h6>\n<\/li>\n<li>\n<h6>Ingresos en centros de enfermer\u00eda especializada<\/h6>\n<\/li>\n<li>\n<h6>Equipos m\u00e9dicos duraderos de m\u00e1s de 100<\/h6>\n<\/li>\n<li>\n<h6>Servicios sanitarios a domicilio<\/h6>\n<\/li>\n<li>\n<h6>Servicios de trasplante (excluidas las pruebas diagn\u00f3sticas ambulatorias, de laboratorio o radiograf\u00edas)<\/h6>\n<\/li>\n<li>\n<h6>Servicios de tratamiento del dolor, incluidas las inyecciones de puntos gatillo<\/h6>\n<\/li>\n<li>\n<h6>Visitas a especialistas (excepto quiropr\u00e1ctica y procedimientos en consulta)<\/h6>\n<\/li>\n<li>\n<h6><strong>Atenci\u00f3n<\/strong>: la PPO no requiere autorizaci\u00f3n para las visitas a especialistas.<\/h6>\n<\/li>\n<li>\n<h6>Algunos medicamentos tambi\u00e9n requieren autorizaci\u00f3n. Consulta el formulario para obtener informaci\u00f3n sobre medicamentos concretos. <\/h6>\n<\/li>\n<\/ul>\n<h5 style=\"text-align: center;\"><strong>Llama a nuestro Departamento de Atenci\u00f3n al Cliente al 775-982-3232 para solicitar una precertificaci\u00f3n antes de obtener el servicio o procedimiento.<\/strong><\/h5>\n<h6>Hometown Health realiza la Revisi\u00f3n de Utilizaci\u00f3n s\u00f3lo para precertificar la necesidad m\u00e9dica de los servicios mencionados para el cuidado y tratamiento de una enfermedad o lesi\u00f3n. Hometown Health tambi\u00e9n revisar\u00e1 si existen m\u00e9todos alternativos de atenci\u00f3n o tratamiento m\u00e9dico. La precertificaci\u00f3n por parte de Hometown Health no garantiza que todos los cargos est\u00e9n cubiertos por la p\u00f3liza. Los cargos presentados para su pago est\u00e1n sujetos a todos los t\u00e9rminos de la p\u00f3liza.   <\/h6>\n<h6>Si un afiliado no obtiene una precertificaci\u00f3n antes de recibir los servicios arriba indicados, las prestaciones se reducen a un nivel de coseguro del 50 por ciento. Esta reducci\u00f3n se suma a cualquier otra franquicia y copago de la p\u00f3liza. <\/h6>\n<h6>Es importante que recuerdes a tu m\u00e9dico estos requisitos de precertificaci\u00f3n. Tanto t\u00fa como tu m\u00e9dico pod\u00e9is poneros en contacto con nuestro Departamento de Atenci\u00f3n al Cliente para completar el proceso de precertificaci\u00f3n. <\/h6>\n<p style=\"text-align: center;\"><strong>Horario de la oficina de Hometown Health:<\/strong><br \/>De lunes a viernes, de 8 a 17 h.<br \/>10315 Professional Circle, Reno, NV 89521<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a423e6d e-con-full e-flex e-con e-child\" data-id=\"a423e6d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-e2310a2 e-con-full e-flex e-con e-child\" data-id=\"e2310a2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-34b864e elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"34b864e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-phone\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M493.4 24.6l-104-24c-11.3-2.6-22.9 3.3-27.5 13.9l-48 112c-4.2 9.8-1.4 21.3 6.9 28l60.6 49.6c-36 76.7-98.9 140.5-177.2 177.2l-49.6-60.6c-6.8-8.3-18.2-11.1-28-6.9l-112 48C3.9 366.5-2 378.1.6 389.4l24 104C27.1 504.2 36.7 512 48 512c256.1 0 464-207.5 464-464 0-11.2-7.7-20.9-18.6-23.4z\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tLl\u00e1manos\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c14211 elementor-widget elementor-widget-text-editor\" data-id=\"4c14211\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul class=\"contact-callout__items\" data-icon=\"phone\">\n<li class=\"contact-callout__item\"><a class=\"contact-button\" href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/#\" data-icon=\"phone\"><strong>775-982-3232<\/strong> (Information in English)<\/a><\/li>\n<li class=\"contact-callout__item\"><a class=\"contact-button\" href=\"https:\/\/www.hometownhealth.com\/es\/servicio-y-asistencia-a-los-afiliados\/#\" data-icon=\"phone\"><strong>Asistencia grabada 24 horas:<br \/>Llamada gratuita 800-336-0123<\/strong><\/a><\/li>\n<li class=\"contact-callout__item\"><strong>Servicio de Retransmisi\u00f3n TTY 711<\/strong><\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7b44a18 e-con-full e-flex e-con e-child\" data-id=\"7b44a18\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1e2a7c5 elementor-view-default elementor-position-block-start elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"1e2a7c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fal fa-mail-bulk\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tEnv\u00edanos un correo electr\u00f3nico\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-127828a elementor-align-center elementor-widget elementor-widget-button\" data-id=\"127828a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"mailto:customer_service@hometownhealth.com\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-mailbox\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Env\u00edanos un mensaje<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Home Member Service &#038; Support New To Hometown Health? Let\u2019s Get Started Pharmacy MyChart Employer Group Vision Benefits Member Forms Your Membership Card Member Grievance Procedure Member Rights and Responsibilities Membership and Dependent Eligibility Behavioral Health Provider Directories Qualifying Life Events COVID-19 INFORMATION Precertificaciones Para aprovechar al m\u00e1ximo tus ventajas como miembro de Hometown Health, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":170733,"menu_order":50,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-170770","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/pages\/170770","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/comments?post=170770"}],"version-history":[{"count":0,"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/pages\/170770\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/pages\/170733"}],"wp:attachment":[{"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/media?parent=170770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}