View Medical Policies

Showing 1– 20 of 268 Results
Title Last Updated Category
Radiopharmaceuticals Open a PDF 6.01.44 2022-08-10 Cancer Treatment (Oncology)
Immunizations Open a PDF 2.01.42 2022-07-28 Vaccines (Immunizations)
Molecular Testing of Tumor Tissue to Identify Targeted Therapies for Cancers Open a PDF 2.02.51 2022-07-19 Genetic Disease (Inherited Disease)
Genetic Testing for Familial Alzheimer's Disease Open a PDF 2.02.16 2022-07-19 Genetic Disease (Inherited Disease)
Wheelchairs and Power Operated Vehicles Open a PDF 1.01.16 2022-07-15 Durable Medical Equipment & Supplies
Speech Pathology and Therapy Open a PDF 8.01.13 2022-07-15 Therapy & Rehabilitation
Sinus Ostial Dilation for Treatment of Chronic Sinusitis (i.e., Balloon Sinuplasty/Balloon Ostial Dilation) Open a PDF 7.01.85 2022-07-15 Ear, Nose & Throat (Otorhinolaryngology)
Radiofrequency Tumor Ablation Open a PDF 7.01.32 2022-07-15 Cancer Treatment (Oncology)
Patient Lifts (e.g., Hoyer, Saralift), Seat Lift Chair Mechanisms and Ceiling Lifts Open a PDF 1.01.08 2022-07-15 Home Care
Physical Therapy (PT) Open a PDF 8.01.12 2022-07-15 Therapy & Rehabilitation
Proton Beam Radiation Therapy Open a PDF 6.01.11 2022-07-15 Radiation Treatment
Periodontal Scaling and Root Planing Open a PDF 13.01.04 2022-07-15 Dental
Periodontal Maintenance Open a PDF 13.01.05 2022-07-15 Dental
Pelvic Floor Electrical Stimulation as a Treatment for Urinary or Fecal Incontinence Open a PDF 1.01.19 2022-07-15 Urinary System (Genitourinary)
Occupational Therapy Open a PDF 8.01.17 2022-07-15 Therapy & Rehabilitation
Magnetic Resonance Imaging (MRI) of the Breast Open a PDF 6.01.35 2022-07-15 Radiology (x-rays) & Imaging
Minimally Invasive / Minimal Access Techniques for Lumbar Interbody Fusion Open a PDF 7.01.83 2022-07-15 Bone & Joints (Orthopedic)
Lumbar Traction: Vertebral Axial Decompression and Home Lumbar Traction Devices Open a PDF 1.01.50 2022-07-15 Bone & Joints (Orthopedic)
Augmentative and Alternative Communication Systems (e.g., Speech-generating Devices) Open a PDF 1.01.03 2022-07-15 Durable Medical Equipment & Supplies
Lumbar Microdiscectomy Open a PDF 7.01.98 2022-07-15 Bone & Joints (Orthopedic)
Showing 1– 20 of 268 Results
IE Browser Modal