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What is a Part D exception?

exception. A type of Medicare prescription drug coverage determination. A formulary exception is a drug plans decision to cover a drug thats not on its drug list or to waive a coverage rule. A tiering exception is a drug plans decision to charge a lower amount for a drug thats on its non-preferred drug tier.

Does Blue Shield of California require a prior authorization?

Prior authorization means that your doctor must get approval from Blue Shield before prescribing specific medications or performing a particular medical service or operation. Without this prior approval, Blue Shield may not pay for your medication or medical procedure, and you will have to pay out of pocket.

Does Blue Cross Blue Shield Federal cover stem cell therapy?

The answer to whether or not Blue Cross Blue Shield covers stem cell therapy depends on several factors, including the particular plan you have and where you live. Generally speaking, most plans do not specifically list stem cell therapy as an item they will cover, but it may be considered on a case-by-case basis.

Does Fepblue cover MRI?

Imaging (CT /PET scans, MRIs) 30% coinsurance Not covered Prior approval is required. There is a $100 penalty if prior approval is not obtained. More information about prescription drug coverage is available at fepblue.org/formulary Tier 1 (Preferred generic drugs) $5/prescription (30-day supply).

Does BCBS Federal require prior authorization?

Prior authorization means that your doctor must get approval from Blue Shield before prescribing specific medications or performing a particular medical service or operation. Without this prior approval, Blue Shield may not pay for your medication or medical procedure, and you will have to pay out of pocket.

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