Select Health will be enforcing the CMS guidelines for the Special Enrollment Periods (SEP) for marriages as of September 1, 2017. The CMS guidelines states that at least one of the applicants has had one day of coverage in the past 60 days, at a minimum. Proof of both the marriage and prior coverage is required to process a SEP application.
Changes to Preventive Lab Services also in effect as of January 1, 2017.
The following lab procedures are covered under the adult medical benefit when billed with a covered diagnosis codes:
- Basic Metabolic Panel
- Comprehensive Metabolic Panel
- General Health Panel
Questions? Please give us a call.