View Medical Policies

Showing 1– 20 of 290 Results
Title Last Updated Category
Whole Exome and Whole Genome Sequencing for the Diagnosis of Genetic Disorders Open a PDF 2.02.46 2021-11-22 Genetic Disease (Inherited Disease)
Surgical Ventricular Restoration Open a PDF 7.01.71 2021-11-22 Heart & Blood Vessels (Cardiovascular)
Gas-Permeable Scleral Contact Lens (e.g., Boston Ocular Surface Prosthesis) Open a PDF 9.01.17 2021-11-22 Eyes (Ophthalmology)
Radiofrequency Treatment for Fecal Incontinence Open a PDF 7.01.66 2021-11-22 Digestive System (Gastroenterology)
Radiofrequency Facet and Sacroiliac Joint Ablation/Denervation Open a PDF 7.01.42 2021-11-22 Bone & Joints (Orthopedic)
Refractive Procedures Open a PDF 9.01.08 2021-11-22 Eyes (Ophthalmology)
Medical/Non-Surgical Weight Management Programs and Services Open a PDF 11.01.01 2021-11-22 Miscellaneous
Physical Therapy (PT) Open a PDF 8.01.12 2021-11-22 Therapy & Rehabilitation
Phototherapy for the Treatment of Seasonal Affective Disorder Open a PDF 1.01.24 2021-11-22 Behavioral Health (Psychiatry/Psychology)
Oral Appliances for the Treatment of Sleep Related Breathing Disorders Open a PDF 1.01.07 2021-11-22 Lungs (Respiratory)
Molecular Markers in Fine Needle Aspirates of the Thyroid Open a PDF 2.02.49 2021-11-22 Genetic Disease (Inherited Disease)
Medical Services for Transgender Individuals Open a PDF 11.01.26 2021-11-22 Behavioral Health (Psychiatry/Psychology)
Intraocular Lens (IOL) Implants Open a PDF 9.01.14 2021-11-22 Eyes (Ophthalmology)
Home Birth by Certified Nurse Midwives Open a PDF 11.01.23 2021-11-22 Women's Health (Obstetrics & Gynecology)
Genetic Testing for Susceptibility to Hereditary Cancers Open a PDF 2.02.44 2021-11-22 Genetic Disease (Inherited Disease)
Genetic Testing for Inherited Susceptibility to Colorectal Cancer Open a PDF 2.02.11 2021-11-22 Genetic Disease (Inherited Disease)
Genetic Testing for Hereditary BRCA Mutations Open a PDF 2.02.06 2021-11-22 Genetic Disease (Inherited Disease)
Early Intervention Services Open a PDF 10.01.09 2021-11-22 Children's Health (Pediatrics)
Continuous Passive Motion Device in the Home Setting Open a PDF 1.01.02 2021-11-22 Durable Medical Equipment & Supplies
Coverage for Dependents with Disabilities Open a PDF 10.01.08 2021-11-22 Miscellaneous
Showing 1– 20 of 290 Results
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