The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services.

The following BMC HealthNet Plan medical policies will be updated with revisions to clinical review criteria and/or applicable coding included in the medical policies (excluding industry-wide code updates and/or codes that do not require prior authorization) .

Sep 15, 2022 · policies/medications may differ by plan product. Please visit the Pharmacy section of bmchp.org for complete policies and forms.

medical necessity definitions in various Plan products, review of current literature, consultation with practicing Providers in the Plan’s service area who are medical experts in the particular field, and adherence to FDA and other government agency policies.