Select Health Medical Policies (By Category)

Access Select Health Medical Policies as a collection (in PDF form) for each category below. You can access individual policies via a searchable database on the Select Health Provider Access Point (secure login required).

Medical policies are based on Select Health determination of whether services or devices are standard medical practice, experimental/investigational, cosmetic, or within coding standards. These conclusions reflect our review of currently available clinical information including

• Research in peer-reviewed published medical literature
• Regulatory status of the technology
• Evidence-based guidelines of public health and health research agencies
• Evidence-based guidelines and positions of leading national health professional organizations
• Views of physicians practicing in relevant clinical areas
• Other relevant factors

Laboratory utilization policies reflect a partnership between Select Health and Avalon Healthcare.  NOTE: Post-service automated policy adherence applies to outpatient laboratory services regardless of place of service. Learn more by accessing:

• Laboratory Utilization Policies: Part 1 and Part 2
• Avalon Frequently Asked Questions

Select Health may use additional coverage criteria where a medical policy is not available: InterQual Criteria

For Select Health Medicare Nevada: MCG Criteria