New Jersey, typically more progressive on social services issues, remains among the most restrictive on hepatitis C coverage. The state leaves decisions up to its managed care contractors, which generally require evidence of severe fibrosis a score of F 3 on the scale of 0 to 4 that is used to measure liver damage from hepatitis. Standard medical guidelines recommend treatment beginning with a score of F 0; they are followed by Medicare and most private insurers, although some require hefty co pays..
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