6.5.2 EXCEPTIONS TO PRECERTIFICATION REVIEW Precertification Review is NOT REQUIRED when this Plan is the secondary payor. Precertification Review is NOT REQUIRED for Participants with Medicare as the primary payor, as Medicare has its own review program. Precertification Review is NOT REQUIRED for a Medically Necessary emergency room visit. Precertification is NOT REQUIRED for the following services and procedures. However, since these services are frequently in connection with potentially serious medical conditions, you may wish to contact the Utilization Management Organization to review any concerns you have. You may request Precertification of any health care service that is not required in order to be assured that the service is Medically Necessary. Outpatient surgical procedures; other than those specifically listed Diagnostics: includes heart catherizations, CT scans, MRIs, ultrasounds, IVPs (radiographic exam of kidneys, ureter & bladder), etc. Nursing and Rehabilitation Facility services Physical therapy, Occupational therapy, and Speech therapy Durable Medical Equipment Hospice Care Orthotics and Prosthetics over $100 Second Surgical Opinions