https://www.premera.com/medicalpolicies/15.01.045.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.045 Prostate Biopsy Specimen Analysis Ref. Policy: G2007 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED ...
https://www.premera.com/medicalpolicies/15.01.052.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.052 Serum Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases Ref. Policy: G2123 Effective Date: Feb. 6, 2026 Last ...
https://www.premera.com/medicalpolicies/15.01.007.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.007 Evaluation of Dry Eyes Ref. Policy: G2138 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: N/A ...
https://www.premera.com/medicalpolicies/15.01.010.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.010 Immune Cell Function Assay Ref. Policy: G2098 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.011.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.011 Bone Turnover Markers Testing Ref. Policy: G2051 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.018.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.018 Diagnostic Testing of Influenza Ref. Policy: G2119 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED ...
https://www.premera.com/medicalpolicies/15.01.025.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.025 Pancreatic Enzyme Testing for Acute Pancreatitis Ref. Policy: G2153 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/...
https://www.premera.com/medicalpolicies/15.01.033.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.033 Epithelial Cell Cytology in Breast Cancer Risk Assessment Ref. Policy: G2059 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 ...
https://www.premera.com/medicalpolicies/15.01.034.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.034 Biomarkers for Myocardial Infarction and Chronic Heart Failure Ref. Policy: G2150 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, ...
https://www.premera.com/medicalpolicies/15.01.035.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.035 Immunopharmacologic Monitoring of Therapeutic Serum Antibodies Ref. Policy: G2105 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, ...
https://www.premera.com/medicalpolicies/15.01.050.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.050 Urinary Tumor Markers for Bladder Cancer Ref. Policy: G2125 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A ...
https://www.premera.com/medicalpolicies/15.01.015.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.015 Urine Culture Testing for Bacteria Ref. Policy: G2156 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED ...
https://www.premera.com/medicalpolicies/15.01.051.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.051 Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease Ref. Policy: G2121 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, ...
https://www.premera.com/medicalpolicies/5.01.546.pdf#search=policy
This policy describes when a compounded drug may be considered medically necessary. This policy is not intended to apply to infused admixtures. Note: The Introduction section is ...
https://www.premera.com/medicalpolicies/1.01.519.pdf#search=policy
Note: The Introduction section is for your general knowledge and is not to be taken as policy coverage criteria. The rest of the policy uses specific words and concepts familiar to ...
https://www.premera.com/medicalpolicies/3.01.521_2026-10-09.pdf#search=policy
below to be directed to that section. POLICY CRITERIA | CODING | EVIDENCE REVIEW | ... This policy supplements the medical necessity criteria by indicating what types of ...
https://www.premera.com/medicalpolicies/5.01.542.pdf#search=policy
In such cases, this policy describes the steps to ensure how a person can get their needed ... section is for your general knowledge and is not to be taken as policy coverage criteria. ...
https://www.premera.com/medicalpolicies/5.01.622.pdf#search=policy
Continuity of Coverage for Maintenance Medications This policy ONLY applies to Washington fully-insured members. This policy does not apply to member plans outside of Washington ...
https://www.premera.com/medicalpolicies/5.01.607.pdf#search=policy
This policy discusses when continuing coverage of maintenance medications may be ... section is for your general knowledge and is not to be taken as policy coverage criteria. ...
https://www.premera.com/medicalpolicies/1.01.526.pdf#search=policy
Sometimes this equipment needs to be repaired or replaced. This policy explains when ... section is for your general knowledge and is not to be taken as policy coverage criteria. ...