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Medical Policies

NHP medical policies, or clinical coverage criteria, help us evaluate the safety and effectiveness of a service or technology to determine if it should be covered.

To see the medical policy or clinical coverage criteria for a specific condition, simply click a link below*. The documents outline coverage criteria for all NHP members. However, the NHP medical policies will not tell you whether a service or technology is covered under your plan.

For more information about our medical policies or about your plan, please call the Customer Service number on the back of your member ID card or email memberservices@nhp.org.

Log into MyNHP.org to find personalized information about your covered benefits.

Medical policies managed by eviCore

NHP partners with eviCore, an industry leader, to maintain the following research-based medical policies. Click a link below to visit the eviCore website to find and review that policy.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

*Please note that these Clinical Criteria are not intended to certify coverage availability.