Medical Coverage Guidelines for BCBSAZ Members

Disclaimer Statement: 

The Medical Coverage Guidelines include criteria to assist BCBSAZ to determine whether a service, procedure, medical device or drug is eligible for benefits under a member’s benefit plan. The guidelines do not guarantee coverage under a member’s benefit plan and are subject to change at any time. If you have questions concerning a Medical Coverage Guideline or your BCBSAZ benefits, please contact BCBSAZ customer service.

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Medical Coverage Guidelines for BlueCard (Out-of-Area) Members - visit the BlueCard Medical Policy  page

Medical Coverage Guidelines for CHS Group Members – contact the group’s TPA on the back of the member ID card

Medical Policies for FEP Members – go to > Policies & Guidelines