Select Health Medical Policies

Access Select Health Medical Policies as a collection (in PDF form) for each category below.

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 collaboration between Select Health and Concert. Learn more by accessing the frequently asked questions.

For Select Health Medicare Nevada: MCG Criteria

InterQual

Select Health uses InterQual coverage criteria when medical policy is not available. This information can be obtained by signing into the One Healthcare ID portal.