The application of each Blue Shield of California medical policy is subject to regulatory requirements and/or plan specific benefits and limitations (Evidence of Coverage - EOC).
Goals of medical policy include:
- Ensuring safe and effective technologies
- Supporting an evidence-based approach to technology
- Providing current and pertinent information regarding technologies (devices, procedures for medical and behavioral health)
- Improving the quality of care and services provided through Blue Shield
Use medical policy information to provide Blue Shield members with the highest standard of evidence-based medical care that is safe and effective.
Medical Benefit Drug Policy
View medical benefit drug policy in our Medication Policy section:
Medical policy index
Use this alphabetical index to find Blue Shield medical policies, and review requirements and criteria for new technologies, devices and procedures. The policies are updated frequently - see latest updates.
Preventive Health Guidelines (PDF, 148KB)