Prior Authorization Forms
Please complete prior authorization forms for your Individual and Family plan, Medicare Advantage plan, and US Family Health (USFH) plan.
Individual and Family Plan
Medicare Advantage Plan
US Family Health Plan (USFHP)
Prior Authorization Lists
CHRISTUS Health Plan has prior authorization requirements for some covered services. Please refer to the attached lists and contact Member Services by calling the following phone lines for any questions regarding the list.
For Individual and Family Plan (Texas and Louisiana) prior authorization inquiry, call:1-844-282-3025, 711 for TTY
For MA prior authorization inquiry, call:1-844-282-3026 TTY at 711
For US Family Health Plan prior authorization inquiry, call:1-800-678-7347 , 711 for TTY