Review Medical Policies
The policies below summarize Well Sense Health Plan's criteria for covering specific services. The plan uses policies as a guide to make determinations regarding healthcare coverage and payment. To ensure you are viewing the most recent version of the policy, you may want to clear your browser's cache.
Please note that the member must be eligible for services before medical coverage policies are applied to any claim. As a result, Well Sense Health Plan can not guarantee payment when a member is ineligible or a non-covered benefit is rendered. Review pharmacy policies here.