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Practice Guidelines

We applaud the role you play in our members' health. To support your efforts and continuously improve the satisfaction of our members, we have adopted national practice parameters for disease management. Our goal in adopting national parameters is to help our members attain optimal quality of life. The parameters are provided to physicians for use as guidelines to assist them in clinical decision-making, and are not intended to be rigid standards.

 

Preventive Services Guidelines

Preventive services include a broad range of services (including screening tests, counseling, immunizations/vaccines). We have adopted the U.S. Preventive Services Task Force (USPSTF) Guide to Clinical Preventive Services (childhood and adolescent immunization schedule approved by: the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP), adult immunization schedule approved by: the Advisory Committee on Immunization Practices (ACIP), the American College of Obstetricians and Gynecologists (ACOG), and the American Academy of Family Physicians (AAFP).

Immunization Schedules (Childhood, Adolescent and Adult)

Please have your patient refer to his or her contract, Evidence of Coverage, member handbook, certification of coverage, or any endorsement or rider, if applicable, to determine coverage. If your patient is unsure about particular coverage/benefits or has questions, please have the member call the Customer Service number on his or her ID card.