Search, view, and print our current medical coverage and payment policies. Please note this is not a complete listing—policies are updated on a regular basis and are subject to change.

Please note: Policies are subject to change. If you can't find a policy for a specific service, please always refer to the following two policies:

  • Preauthorization via Web-Based Tool for Procedures
  • Preauthorization via Web-Based Tool for Durable Medical Equipment (DME)

The below policies exclude FEP products. For FEP policies, please reference www.fepblue.org.

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