Select Health Medical Policies (By Category)

Access Select Health Medical Policies as a collection (in PDF form) for each category below (or you can access individual policies via a searchable database on the Select Health Provider Portal, which requires a secure login).

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:

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:


Navigating Medical Policy Collections (Find the exact policy you need within each collection.)

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

For Select Health Medicare Nevada: MCG Criteria