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Medical Policy Reference Manual

The CareFirst BlueCross BlueShield (CareFirst) online Medical Policy Reference Manual contains approved medical policies and operating procedures for all products offered by CareFirst.

Medical policies, which are based on the most current research available at the time of policy development, state whether a medical technology, procedure, drug or device is:
  • experimental/investigational
  • cosmetic
  • medically necessary

Operating procedures provide specific benefit information and/or instructions.

Additional information about the online Medical Policy Reference Manual is available by reading the introduction section of the manual.

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Serving Maryland, Delaware, the District of Columbia and portions of Virginia. CareFirst of Maryland, Inc., Blue Cross Blue Shield of Delaware, Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc. and Preferred Health Network are independent licensees of the Blue Cross and Blue Shield Association. ®Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc.