Políticas Médicas

Las políticas médicas son documentos que definen el reconocimiento de cubierta para tecnologías, procedimientos y tratamientos. Las declaraciones de necesidad médica en las políticas, sobre si una tecnología, procedimiento, tratamiento, suplido, equipo, medicamento u otro servicio mejora el resultado en la salud de la población para la cual dicha tecnología o tratamiento fue diseñado se basan en evidencia científica, estudios clínicos y opiniones profesionales de nuestros proveedores y de las organizaciones médicas reconocidas.

Cada documento desplegado en este sitio Web se provee con propósitos informativos solamente y no es una autorización, explicación de beneficios o un contrato. El recibir beneficios está sujeto a la satisfacción de todos los términos y condiciones de la cubierta. La tecnología médica cambia constantemente y nos reservamos el derecho de revisar y actualizar nuestras políticas periódicamente.

Tabla de Políticas Médicas

ID Título Revisión Descripción Acceso
02.001.104 Desensitization Treatment For Peanut Allergies Jul 2025 While peanut allergy is the most common cause of food allergy among children in the united states, deaths... Ver
02.001.110 Digital Health Technologies: Eye-Tracking Diagnostic Device for Autism Spectrum Disorder Sep 2026 Eye-tracking–based diagnostic aids for autism spectrum disorder (asd) are computerized cognitive... Ver
02.001.111 Mammography-based AI (Image-only) Risk Prediction Models Sep 2026 This evidence review addresses the use of mammography-based ai risk prediction software intended to generate... Ver
05.001.057 Foscarbidopa-Foslevodopa (Vyalev) Sep 2026 Parkinson’s disease is a progressive neurodegenerative condition caused by a loss of dopaminergic... Ver
06.001.030 Ultrasonografia Endoscópica Aug 2023 Endoscopic ultrasonography (eus) has evolved from a diagnostic imaging modality to one that can also be used... Ver
06.001.057 Intensity Modulated Radiation Therapy (Imrt) Oct 2024 ... Ver
07.001.003 Breast Duct Endoscopy May 2019 Breast duct endoscopy is a technique that provides for direct visual examination of the breast ducts through... Ver
07.001.032 Phototherapeutic  Keratectomy Jun 2023 Phototherapeutic keratectomy is considered for payment when used as an alternative to lamellar keratoplasty... Ver
07.001.069 Isolated Limb Perfusion/Infision for Malignant Melanoma Apr 2019 Isolated limb perfusion (ilp) when used as a therapeutic treatment of local recurrence of nonresectable... Ver
07.001.109 Vagus Nerve Bloking Therapy For Treatment Of Obesity Apr 2021 Vagus nerve blocking therapy for obesity consists of an implantable device that delivers electrical... Ver
07.001.158 Three-Dimensional Printed Orthopedic Implants Sep 2020 This evidence review addresses orthopedic implants that are constructed by additive manufacturing, commonly... Ver
07.001.186 Navigated Transcranial Magnetic Stimulation for Preoperative Neurosurgical Mapping Sep 2026 Navigated transcranial magnetic stimulation (ntms) is a noninvasive method of mapping functional cortical... Ver
07.001.187 Genicular Artery Embolization Sep 2026 Osteoarthritis (oa) of the knee is a progressive degenerative joint disease and the most common form of... Ver
07.001.188 Urethral Drug-Coated Balloon for Urethral Stricture and Benign Prostatic Hyperplasia Sep 2026 Urethral stricture disease is a fibrotic narrowing of the urethral lumen, most commonly involving the... Ver
08.001.038 Radio 223 Injection (Xofigo) Nov 2021 Approximately 240,000 men in the united states are expected to be diagnosed with prostate cancer in 2016.... Ver
08.001.040 Diagnosis And Treatment Of Chronic Cerebrospinal Venous Insufficiency In Multiple Sclerosis Dec 2019 Chronic cerebrospinal venous insufficiency (ccsvi) may be associated with multiple sclerosis (ms), although... Ver
08.003.005 Endobronchial Brachytherapy Aug 2024 Endobronchial brachytherapy is the delivery of radiotherapy directly to endobronchial lesions, either... Ver
10.001.004 Cirugía ambulatoria Aug 2017 ... Ver
10.001.009 Procedimientos con asteriscos en la tarifa Aug 2017 ... Ver
10.002.002 Servicios de Sicólogos Clínicos Jul 2025 A clinical psychologist refers to a person or health professional who holds a master's or doctoral... Ver