What services will not be covered for Empower Members?
Below is a list of services that Empower does not cover.
- Services that are experimental or investigational in nature
- Services that are provided by a provider that is not in the Empower network, unless Empower has given prior authorization
- Services that are provided without a required prior authorization
- Elective cosmetic surgery
- Infertility care
- Any service that is not medically necessary
- Services provided through local education agencies
- Extended stays in special needs facilities or nursing homes
- Other services excluded from the PASSE:
- Nonemergency transportation (NET)
- Dental benefits in a capitated program
- School-based services provided by school employees
- Skilled nursing facility services unless it is rehabilitative in nature
- Assisted living facility services
- Human Development Centers (HDCs)
- Waiver services provided to the elderly and adults with physical disabilities through the ARChoices in Homecare program or the Arkansas Independent Choices program
- If you are unsure if a service is covered, call Member Services at 866-2611286 I TTY: 711.