Dean Health Plan Medical management
Authorization and coverage
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Medical injectables (PDF)
Medical benefit prior authorization form (PDF)
Exception to coverage request form for new FDA-approved that have been on the market less than a year. (PDF)
Medicare Part B prior authorization list (PDF)
Medicare prior authorization review (in absence of NCD or LCD) policy (PDF) -
Non-covered services (PDF)
Information and forms
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Dean Advantage
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Prior authorization forms
Durable medical equipment (PDF)
General (PDF)
Skilled nursing facility/swing bed (PDF)
Mental health (PDF)
