Medical Policy

Effective Date:07/22/2004	Title:Printed Materials
Revision Date:	Document:BI056:00
CPT Code(s):
Public Statement
New Page 1 Printed materials recommended by a practitioner and for which a fee is charged (books, pamphlets on health, exercise, nutrition, etc) are not covered. Health education materials such as brochures, leaflets, and fact sheets distributed to members are considered part of the health care service and not separately reimbursed.
Medical Statement
New Page 3 Printed materials recommended by a practitioner and for which a fee is charged (books, pamphlets on health, exercise, nutrition, etc) are not covered. Health education materials such as brochures, leaflets, and fact sheets distributed to members are considered part of the health care service and not separately reimbursed. No authorization will be entered instruction payment for printed materials.
Limits
Intentially left empty
Reference
Intentially left empty
Application to Products
This policy applies to all health plans administered by QualChoice, both those insured by QualChoice and those that are self-funded by the sponsoring employer, unless there is indication in this policy otherwise or a stated exclusion in your medical plan booklet. Consult the individual plan sponsor Summary Plan Description (SPD) for self-insured plans or the specific Evidence of Coverage (EOC) for those plans insured by QualChoice. In the event of a discrepancy between this policy and a self-insured customer’s SPD or the specific QualChoice EOC, the SPD or EOC, as applicable, will prevail. State and federal mandates will be followed as they apply.
Changes: QualChoice reserves the right to alter, amend, change or supplement benefit interpretations as needed.