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June 2025 Medical and Pharmacy Policy updates now available
March 1, 2025
We’ve posted new, revised, clarified, and retired medical and pharmacy medical policies, effective in June 2025.
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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