Healthy Blue has developed Medical Policies which include medical guidelines that are used to make coverage decisions.

The inclusion of a Medical Policy on this website does not indicate that the referenced service (or supply) is necessarily available to a member. For a determination of the benefits that a particular member is entitled to receive under their health plan, such member’s health plan must be reviewed. In the event of a conflict between a Medical Policy and a member’s health plan, the terms of the health plan will govern.

A Medical Policy IS NOT medical advice, DOES NOT guarantee any results or outcomes and IS NOT an authorization with respect to the service (or supply) outlined in the Medical Policy.

Medical guidelines are based on appropriate and available medical research available at the time they are written. Because of the changing nature of medical science, medical guidelines are reviewed and updated periodically. The information on this web site is provided for information only. The Medical Policies are subject to change without notice, in Healthy Blue’s sole discretion.


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