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The policy bulletins on this web site were developed to assist Highmark Blue Cross Blue Shield West Virginia (Highmark West Virginia) in administering standard plan benefits and do not constitute a description of plan benefits. If you are a Highmark West Virginia member, please review and discuss any questions regarding medical policies with your treating provider and refer to your specific benefit plan for the terms, conditions, limitations and exclusions of your coverage. The benefit plan will define which supplies and services are covered, excluded and/or subject to limitations and may differ from the medical policy bulletins.
Information contained in the policy bulletins does not constitute an offer or a guarantee of payment. Please note that if there is a conflict between the policy bulletin and a member’s benefit plan, the terms of the benefit plan will govern and will supersede the policy bulletin.
Medical policies do not constitute medical advice, nor are they intended to govern the practice of medicine. They are intended to reflect Highmark West Virginia’s reimbursement and coverage guidelines. Treating providers are solely responsible for medical advice and related treatment of members. Coverage for services may vary for individual members based on the terms of their specific benefit plan and the specific facts of a particular situation.
Highmark West Virginia retains the right to review and revise its medical policy guidelines at its sole discretion at any time without prior notice. These guidelines are the proprietary information of Highmark West Virginia. Any sale, copying or dissemination of the medical policies is prohibited; however, limited copying of the policy bulletins is permitted for individual use.
