Out of Network Services

MedStar Family Choice wants to know what you think. In the next couple of weeks you may receive a satisfaction survey in the mail. If you do, please take the time to complete it and let us know how we are doing. Thank you.

In some instances, if MedStar Family Choice is unable to provide a medically necessary and covered service to a member within the MedStar Family Choice network, MedStar Family Choice may allow the service to be provided out of network. In order for this to happen, the provider must contact MedStar Family Choice to request prior authorization. In these cases, MFC has 2 business days to process a request once all necessary information has been received. In all cases, MFC must make a decision within 7 days of receiving a request for authorization. The decision may be shorter depending on the urgency of the request. MedStar Family Choice will review all requests on an individual basis. In cases where out of network services have been approved, you are not responsible for the cost of these services.

Information current as of: 01/26/18