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PRIOR AUTHORIZATION REQUIREMENTS - alliantplans.com

PRIOR AUTHORIZATION REQUIREMENTS - alliantplans.com

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PRIOR AUTHORIZATION REQUIREMENTS AHP – PRIOR AUTHORIZATION REQUIREMENTS April 2018 RECONSTRUCTIVE SURGERY Reconstructive Surgery, including, but not limited to breast reconstruction, is covered only to the extent Medically Necessary. NOTE: Beautification Procedures are not covered. Refer to the Certificate of Coverage

  Procedures, Coverage

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