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August 2026 Medical and Pharmacy Policy updates now available
May 1, 2026
We’ve posted new, revised, clarified, and retired medical and pharmacy medical policies, effective in August 2026.
Medicare Advantage policies
Medical policy 132, Medicare Advantage Management
(This document explains whether we use CMS criteria—or our own—to make coverage determinations for our Medicare Advantage members.)
Medicare Advantage section of our medical policy site.
FEP medical policies
Visit fepblue.org and search for medical policies.
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