What is prior authorization? If you’ve ever been told that a medication, test or procedure needs prior authorization, you’re not alone. It’s a common part of using health insurance, but it can still be inconvenient to many people. In fact, a 2026 KFF poll found that 1 in 3 insured adults say prior authorizations are a “major burden” for getting health care. An additional 4 in 10 adults say that prior authorization is a “minor burden,” meaning about 7 in 10 adults find the process taxing. While prior authorization can feel like an extra hurdle, understanding how it works can help you avoid surprises and get the care you need with less stress. This article explains prior authorization, including why and when the process is needed.
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