Select Health Policies
Policy Development
Select Health medical, dental, and coding/reimbursement policies represent our determination of whether services or devices are standard medical practice, experimental/investigational, cosmetic, or within coding standards.
Pharmacy policies:
- View pharmacy policies state by state and by drug here.
- Use PromptPA to obtain preauthorization for prescriptions and infusible drugs and to see pharmacy coverage requirements.
- To submit a pharmacy related appeal, please follow this simple process:
- Step 1: Access the online appeals form.
- Step 2: Select plan, fill in required fields, and attach supporting documentation (if necessary).
- Step 3: Click the submit button.
NOTE: By accessing and/or downloading Select Health policies, you automatically agree to the Medical and Coding/Reimbursement Policy Manual Terms and Conditions.
Policy Resources