The Preventive Services Zero Copay Exception Criteria, Contraceptive Zero Copay Exception Criteria and the Preventive Services Statins Zero Copay Exception Criteria applies to HMSA Commercial formularies (Select, Essential, Fed 87, HMSA Plan for Postal Service Employees, Metallic and Optimal).
- Preventive Services (excluding Contraceptives) Zero Copay Exception Criteria [PDF]
- Preventive Services Contraceptive Zero Copay Exception Criteria [PDF]
- Preventive Services Statins Zero Copay Exception Criteria [PDF]
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform.
|