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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

View requirements for Local Plan and BlueCard Out-of-Area members.

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Preventive Health Guidelines


Below are the Preventive Health Guidelines. These guidelines are based on the recommendations of independent national health care organizations including the American Academy of Pediatrics, the American College of Obstetricians, and Gynecologists, the American Cancer Society, and the U.S. Preventive Services Task Force. 
If you are ever in doubt about which immunizations or tests you or your child(ren) may need, please ask your primary care physician (PCP).  
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.