An Important Notice About Your Medical Benefits!

To ensure the quality of your health care and to help control spiraling health care costs, the City of Sarasota requires precertification (by WEBTPA) for the following:

Precertification is no longer required for endoscopies, colonoscopies, sigmoidoscopies, bronchoscopies, EGD's and ERCP's.

Please Note:

• Participant, family member or physician must notify WebTPA prior to non-emergency hospitalization. Penalty for noncompliance is no benefits payable for hospitalization and related expense.
• Prior authorization is not a guarantee of coverage. The precertification department of WebTPA is designed ONLY to determine whether whether or not a course of treatment is Medically Necessary and appropriate.
• It is the employee or covered persons responsibility to make certain that the needed precertification process has been followed by the doctor's office.

PRECERTIFICATION: To verify if procedure needs precertification OR to verify if your procedure has been precertified by your physician, call
1-877-697-2299. It is your responsibility to verify that your surgery/procedure has been precertified. Failure to obtain precertification will result in your benefits being reduced by as much as 50%. Take a minute to call 1-877-697-2299 and double check.

Providers need to call 1-800-697-9757 to authorize your procedure for precertification. If you call 1-877-697-2299 and are not in the system, please contact your physician's office and refer them to 1-800-697-2235.

Complete precertification requirements may be found in your Summary Plan Description (SPD).