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Transparency in Coverage Determination

Johns Hopkins Health Plans wants to make certain that our plan members are always in control of their health care decisions. The best way to keep members empowered is by providing transparency regarding the information we use to make our decisions. We make our Medicare Advantage Clinical Guidelines, Medical Policies and Coverage Criteria available and accessible to all our members as well as the public.

Among the useful resources included are:

  • Clinical Practice Guidelines
  • Medical Policies
  • Part B Drugs (Medical Injectable) Criteria

As health care consumers, members have an important role to play in controlling health care costs. To achieve lower costs and reduce health care spending, though, members must have easy access to meaningful information. Explore these essential criteria, policies and guidelines.


Living Well October 2023 newsletter

11/09/2023

October 2023 Newsletter

Johns Hopkins Health Plans wants to make certain that our plan members are always in control of their health care decisions. The best way to keep…

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PPO: 877-293-5325 (TTY: 711)
HMO: 877-293-4998 (TTY: 711)

8 a.m. to 8 p.m., Monday-Friday

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