Final Medical Policies
Our draft medical policies and final medical policies are displayed on this site. Medical policies are based on the most current medical research available at the time of the policy development.
Policies are written to cover a given condition for the majority of people. Each individual's unique clinical circumstances may be considered in light of current scientific literature. Medical policies are based on constantly changing medical science and the Plan reserves the right to review and update our policies as necessary.
We encourage practicing physicians to provide input related to developing, adopting and reviewing criteria for medical policy. Any licensed practitioner is welcome to provide comments, suggestions or concerns. Our internal policy committee will review and take your comments into consideration. For medical policy feedback, email comments to MPC@ExploreMyPlan.com.
Search Medical Policies
Use the search function above to locate policies by name, number or keyword.
Medical Policies by Category
Click on the links below to browse our Blue Advantage medical policies by category: