• Medical Policies

    Premera offers access to more than 300 medical policies online. Since we’re continually updating these pages, we encourage you to visit often. The policies are in Adobe PDF format. Individual plans use different medical policies. View individual plan medical policies and also View our HMO medical policies.

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467 results found for policy
https://www.premera.com/medicalpolicies/7.01.600.pdf#search=policy
MEDICAL POLICY - 7.01.600 Abdominal Wall Hernia Repair in Adults Effective Date: Jan. 2, ... POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | CODING RELATED INFORMATION | EVIDENCE ...
https://www.premera.com/medicalpolicies/7.01.602.pdf#search=policy
MEDICAL POLICY - 7.01.602 Shoulder Arthroscopy in Adults BCBSA Ref. Policy: N/A Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED MEDICAL POLICIES: ...
https://www.premera.com/medicalpolicies/7.03.15.pdf#search=policy
MEDICAL POLICY - 7.03.15 Urinary Test for Renal Allograft Dysfunction BCBSA Ref. Policy: 7.03.15 Effective Date: Oct. 1, 2025 Last Revised: Sep. 9, 2025 Replaces: N/A RELATED ...
https://www.premera.com/medicalpolicies/5.01.626.pdf#search=policy
PHARMACY / MEDICAL POLICY - 5.01.626 Amyloid Antibodies for the Treatment of Alzheimer's Disease BCBSA Ref. Policy: 5.01.38 Effective Date: Nov. 1, 2025 Last Revised: Oct. 14, ...
https://www.premera.com/medicalpolicies/5.01.635.pdf#search=policy
PHARMACY / MEDICAL POLICY - 5.01.635 Pharmacologic Treatment of Epidermolysis Bullosa BCBSA Ref. Policy: 5.01.47 Effective Date: Dec. 1, 2025 Last Revised: Nov. 24, 2025 Replaces: ...
https://www.premera.com/medicalpolicies/7.01.605.pdf#search=policy
MEDICAL POLICY - 7.01.605 Shoulder Arthrotomy in Adults Effective Date: Mar. 4, 2026 Last ... below to be directed to that section. POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | ...
https://www.premera.com/medicalpolicies/11.01.508.pdf#search=policy
below to be directed to that section. POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | ... not cover non-skilled home care.) This policy describes when home health care services ...
https://www.premera.com/medicalpolicies/15.01.001.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.001 Allergen Testing Ref. Policy: G2031 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: 15.01.036 ...
https://www.premera.com/medicalpolicies/5.01.560.pdf#search=policy
POLICIES: 10.01.511 Medical Policy and Clinical Guidelines: Definitions and Procedures Select a hyperlink below to be directed to that section. POLICY CRITERIA | DOCUMENTATION ...
https://www.premera.com/medicalpolicies/7.01.604.pdf#search=policy
MEDICAL POLICY - 7.01.604 Gastroesophageal Reflux Surgery in Adults BCBSA Ref. Policy: Not Applicable Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A ...
https://www.premera.com/medicalpolicies/1.01.528.pdf#search=policy
Feb. 1, 2025* Last Revised: Jan. 14, 2025 Replaces: N/A *This policy has been revised. ... Hearing aids are only covered when the member has a specific benefit. This policy explains ...
https://www.premera.com/medicalpolicies/15.01.005.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.005 Immunohistochemistry Ref. Policy: P2018 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: None ...
https://www.premera.com/medicalpolicies/15.01.017.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.017 Testosterone Ref. Policy: G2013 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: N/A Select a ...
https://www.premera.com/medicalpolicies/2.02.518.pdf#search=policy
MEDICAL POLICY - 2.02.518 Transcatheter Tricuspid Valve Repair or Replacement BCBSA Ref. Policy: 2.02.34 Effective Date: Jan. 2, 2026* Last Revised: Sep. 9, 2025 Replaces: N/A ...
https://www.premera.com/medicalpolicies/2.04.127.pdf#search=policy
MEDICAL POLICY - 2.04.127 Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis BCBSA Ref. Policy: 2.04.127 Effective Date: Jun. 6, 2025 Last Revised: ...
https://www.premera.com/medicalpolicies/2.02.517.pdf#search=policy
MEDICAL POLICY - 2.02.517 Electrophysiology (EP) studies Effective Date: Mar. 4, 2026 ... below to be directed to that section. POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | ...
https://www.premera.com/medicalpolicies/7.01.601.pdf#search=policy
MEDICAL POLICY - 7.01.601 Endovascular Stent Grafts for Abdominal Aortic Aneurysms BCBSA Ref. Policy: 7.01.67 Effective Date: Mar. 4, 2026 Last Revised: Nov. 11, 2025 Replaces: N/...
https://www.premera.com/medicalpolicies/15.01.002.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.002 Flow Cytometry Ref. Policy: F2019 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: N/A Select a ...
https://www.premera.com/medicalpolicies/15.01.043.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.043 Pathogen Panel Testing Ref. Policy: G2149 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.003.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.003 Thyroid Disease Testing Ref. Policy: G2045 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: N/A ...