2025 PLAN OPTIONS FOR FEHB
We encourage you to learn more about our plan options by taking a look at our Plan Benefit Overview for 2025. For more information on finding the right benefit package for yourself, please contact our FEHB team directly at 916.563.2250 or email.
Notable Documents
Utilization Management
Western Health Advantage’s Clinical Resources Department is responsible for determining health care services that are covered and payable under the health plan. Utilization management decisions are based on appropriately and consistently applying objective, written evidence-based criteria. Western Health Advantage provides a mechanism that ensures fair and consistent prior, concurrent, and retrospective medical decisions based on established protocols and pre-approved written criteria and review protocols or regulatory required criteria.
To continue reading and for additional information regarding criteria, please click here.
Last review date: December 2, 2024