Documentos de planes de salud
Acceda a formularios, documentos y recursos para todos los planes Medicare Advantage.
Elija su plan para ver o descargar los materiales del plan. También puede seleccionar documentos específicos para ver o descargar los que necesite.
When Medicare does not fully define coverage for a service through statute, regulation, National Coverage Determinations, or Local Coverage Determinations, we use clinical coverage criteria based on current evidence, treatment guidelines, and clinical literature. These criteria comply with CMS requirements and are publicly available.
Click on the link and please refer to the PDF under “Other Documents” titled: “Healthplex Dental Claim Review Guidelines (Comprehensive & Limited Plans)”
Information on how to get interpreter services at no cost