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Coverage Policy for Walmart

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What You Will See

When you select a policy, you will see its title, category and effective date at the top of the page. A description of the treatment and the actual policy, which explains what is covered, follow. At the bottom of the page, you will see related CPT codes and references.

Additional Information

Disclaimer

(Specific to Discrete Procedures or Technologies)

Medical Directors for BlueAdvantage Administrators of Arkansas have established specific Coverage Policies addressing various medical treatments, medical procedures, drugs and devices.

The purpose of a Coverage Policy is to inform members and their physicians why certain medical treatments, procedures, drugs and devices may or may not be covered under the Walmart Associates’ Health Plan.