Policies - New Hampshire

WellSense Health Plan uses criteria for reimbursing and covering specific services or medications. The following policies are used as a guide by the plan to make determinations regarding health care reimbursement and healthcare coverage. Our policies undergo regular updates; check back often for the most up-to-date information.

Providers are reminded that member eligibility is determined before medical coverage policies and reimbursement guidelines are applied to any claim. As a result, the Plan can not guarantee payment when a member is ineligible or a non-covered benefit is rendered. Please review our Provider Manual for more information.

Providers are reminded that member eligibility is determined before medical coverage policies and reimbursement guidelines are applied to any claim. As a result, the Plan can not guarantee payment when a member is ineligible or a non-covered benefit is rendered. Please review our Provider Manual for more information.

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