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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

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Search our online provider directory when you need a doctor, hospital or other health care provider.

Pre-existing waiting periods to be removed beginning January 1, 2014

The Affordable Care Act (or ACA) includes a provision that eliminates pre-existing condition waiting periods from all health plans. Please note that this provision applies to health plans upon their renewal on or after January 1, 2014. This means that pre-existing waiting periods will be removed from health plans at various times throughout 2014, based upon the renewal date of the member’s policy. After January 1, 2014, please continue to verify eligibility and benefits for all members. This verification process will provide you with member specific benefit information and whether or not pre-existing waiting periods still apply to a member’s health plan. 
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