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Commercial (non-Medicare) may develop their own medical policies which do not follow Medicare guidelines and are specified in

User Jim Kane
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Final answer:

Commercial health insurance companies have the autonomy to create their own medical policies, which are specified in the insurance plan documents and may not follow Medicare guidelines.

Step-by-step explanation:

Commercial health insurance companies may develop their own medical policies, which can differ from Medicare guidelines. These policies are outlined in the insurance plan documents and include details on coverage, benefits, and procedures for filing claims. Organizations offering these plans have the flexibility to set their own coverage criteria and reimbursement rates, which may not align with those established by Medicare. It's important for healthcare providers and insured individuals to familiarize themselves with the specific policies of their chosen commercial insurance plan to understand what services are covered and to what extent.

User Gkunz
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