Before a Covered Person enters a Medical Care Facility on a non-emergency basis, or receives other listed medical services, the utilization review administrator will, in conjunction with the attending Physician, certify the care as appropriate. A non-emergency stay in a Medical Care Facility is one that can be scheduled in advance. The Physician or Covered Person must contact CareLink at 406-245-3575 or 866-894-1505, 7:00 am - 7:00 pm Monday - Thursday, and 7:00 am - 5:00 pm, Friday, prior to the following treatments:
* Inpatient admissions to a Hospital
* Inpatient admissions to free-standing chamical dependancy, mental health, and rehabilitation facilities.
* Cancer treatment programs, administered on an inpatient or outpatient basis.
* Inpatient or outpatient surgeries relating to hysterectomies, spine surgery, or bariatric surgery.