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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