Provider Portal

Medical Policies

Learn about QualCare’s medical coverage policies which describe our evaluation and coverage of medical procedures, devices, and medications. We rely on evidenced-based medical research and peer-reviewed literature to establish coverage policies.

Effective December 3, 2018; QualCare, Inc., a Cigna company, is using Cigna medical coverage policies, including injectable drugs and biologic therapy policies, to make medical necessity and other clinical coverage determinations.
View the Cigna coverage policies on the Cigna for Health Care Professionals website ( > Resources > Coverage Policies ).
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