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.
Medical policies and payment policies are now hosted on PolicyTech, a third-party website. Please utilize the links below to access these policies in their new location.
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.
- Medical Policies
- Payment Policies
- Pharmacy Policies
- Durable Medical Equipment Policies
- Radiology Policies
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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You are now leaving the WellSense website, and are being connected to a third party web site. Please note that WellSense is not responsible for the information, content or product(s) found on third party web sites.
By accessing the noted link you will be leaving our website and entering a website hosted by another party. Please be advised that you will no longer be subject to, or under the protection of, our privacy and security policies. We encourage you to read and evaluate the privacy and security policies of the site you are entering, which may be different than ours.