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Clinical Guidelines

The following are GEHA’s clinical guidelines for common conditions. These guidelines are intended to inform network providers and health plan members of the health plan’s position on the treatment of certain common conditions. These guidelines apply to GEHA's HDHP, Standard and High Option medical plan members.

The clinical guidelines represent published guidelines from nationally recognized medical organizations and societies. The guidelines are not intended to be used for medical necessity decision-making, but rather for education on the nationally accepted treatment of certain conditions.