Hogar y Estilo de Vida
5 hábitos para añadir años a tu vida
Ver más
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.
| ID | Título | Última Revisión | Siguiente Revisión | Descripción | Acceso |
|---|---|---|---|---|---|
| 06.001.069 | Whole Body Dual X-Ray Absorptiometry to Determine Body Composition | Oct 08, 2024 | Oct 20, 2025 | Dual-energy x-ray absorptiometry body composition studies are... | Ver |
| 06.001.070 | Magnetic Resonance Imaging to Monitor the Integrity of Silicone Gel-Filled Breast Implants | Oct 05, 2021 | Policy Archived | This evidence review addresses the use of magnetic resonance imaging (mri) to monitor the integrity of... | Ver |
| 06.001.076 | Radioimmunoscintigraphy (Monoclonal Antibody Imaging) With Indium 111 Capromab Pendetide for Prostate Cancer | Nov 10, 2020 | Policy Archived | Radioimmunoscintigraphy using indium 111 capromab pendetide (prostascint®) is considered investigational for... | Ver |
| 06.001.077 | Radioembolization for Primary and Metastatic Tumors of the Liver | Aug 22, 2024 | Aug 20, 2025 | Radioembolization may be considered medically necessary to treat primary hepatocellular carcinoma that is... | Ver |
| 06.001.078 | Adjunctive Techniques for Screening, Surveillance, and Risk Classification of Barrett Esophagus and Esophageal Dysplasia | Dec 26, 2024 | Dec 20, 2025 | Wide-area transepithelial sampling with three-dimensional computer-assisted analysis (wats3d) is considered... | Ver |
| 07.001.001 | Insulin Pump | Nov 14, 2018 | Nov 14, 2019 | The use of the insulin pump is considered for payment for adults and pediatric population with diabetes under... | Ver |
| 07.001.002 | Implantable Infusion Pump for Pain and Spasticity | Mar 11, 2020 | Mar 11, 2021 | Implantable infusion pumps are considered medically necessary when used to deliver drugs having u. food and... | Ver |
| 07.001.003 | Breast Duct Endoscopy | May 07, 2019 | Policy Archived | Breast duct endoscopy is a technique that provides for direct visual examination of the breast ducts through... | Ver |
| 07.001.004 | Percutaneous Balloon Valvuloplasty | Dec 20, 2023 | Policy Archived | Pulmonic balloon valvotomy for pulmonary stenosis percutaneous balloon valvuloplasty may be considered... | Ver |
| 07.001.005 | Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty) | May 17, 2024 | May 20, 2025 | Laser discectomy and radiofrequency coblation (disc nucleoplasty) are considered investigational as... | Ver |
| 07.001.006 | Cryoablation of Tumors Located in the Kidney, Lung, Breast, Pancreas, or Bone | Aug 09, 2024 | Aug 20, 2025 | Cryosurgical ablation (hereafter referred to as cryosurgery or cryoablation) involves freezing of target... | Ver |
| 07.001.007 | Gastric Electrical Stimulation | Mar 05, 2024 | Mar 20, 2025 | Gastric electrical stimulation is considered investigational for the treatment of gastroparesis of diabetic,... | Ver |
| 07.001.008 | Endovascular Stent Grafts for Disorders of the Thoracic Aorta | Sep 23, 2024 | Jul 20, 2025 | Thoracic endovascular aortic repair (tevar) involves the percutaneous placement of a stent graft in the... | Ver |
| 07.001.009 | Computer-Assisted Navigation for Orthopedic Procedures | May 17, 2024 | May 20, 2025 | Computer-assisted surgical navigation for orthopedic procedures is considered... | Ver |
| 07.001.010 | ARTROPLASTIA DE CADERA POR METODO MINIMAMENTE INVASIVO | May 16, 2016 | Policy Archived | La artroplastia minimamente invasiva para reemplazo de cadera o reemplazo de rodilla se considera para pago... | Ver |
| 07.001.011 | Transurethral Water Vapor Thermal Therapy for Benign Prostatic Hyperplasia | Jul 16, 2024 | Jul 20, 2025 | Transurethral water vapor thermal therapy and transurethral waterjet ablation (aquablation) have been... | Ver |
| 07.001.012 | Whole Gland Cryoablation of Prostate Cancer | Oct 15, 2024 | Policy Archived | Whole gland cryoablation of the prostate may be considered medically necessary as treatment of clinically... | Ver |
| 07.001.013 | Treatment of Varicose Veins/Venous Insufficiency | Jun 07, 2024 | Jun 20, 2025 | Saphenous veins great or small saphenous veins treatment of the great or small saphenous veins by... | Ver |
| 07.001.014 | Reduction Mammaplasty for Breast-Related Symptoms | Mar 14, 2024 | Mar 20, 2025 | Macromastia, or gigantomastia, is a condition that describes breast hyperplasia or hypertrophy. macromastia... | Ver |
| 07.001.015 | Reconstructive Breast Surgery/Management of Breast Implants | Jul 10, 2024 | Jul 20, 2025 | Coverage eligibility of breast implants for the purposes of augmentation may depend on contract language.... | Ver |
