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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
07.003.002 Placental And Umbilical Cord Blood As A Source Of Stem Cells Mar 19, 2021 Policy Archived This evidence review addresses the collection, storage, and transplantation of placental and umbilical cord... Ver
07.003.003 Isolated Small Bowel Transplant Oct 20, 2025 Oct 20, 2026 A small bowel transplant may be performed as an isolated procedure or in conjunction with other visceral... Ver
07.003.005 Allogeneic Pancreas Transplant Oct 10, 2025 Oct 20, 2026 Transplantation of a healthy pancreas is a treatment for individuals with insulin-dependent diabetes.... Ver
07.003.006 Liver Transplant And Combined Liver-Kidney Transplant Dec 31, 1969 Sep 20, 2026 Liver transplantation is currently the treatment of last resort for individuals with end-stage liver disease.... Ver
07.003.007 Heart Transplant Oct 10, 2025 Oct 20, 2026 A heart transplant and a retransplant consist of replacing a diseased heart with a healthy donor heart.... Ver
07.003.008 Lung And Lobar Lung Transplant Oct 22, 2025 Sep 20, 2026 A lung transplant consists of replacing all or part of diseased lungs with healthy lung(s) or lobes.... Ver
07.003.009 Heart/Lung Transplant Oct 20, 2025 Oct 20, 2026 Heart/lung transplantation involves a coordinated triple operative procedure consisting of procurement of a... Ver
07.003.010 Small Bowel/Liver And Multivisceral Transplant Oct 20, 2025 Oct 20, 2026 This evidence review addresses transplantation and retransplantation of an intestinal allograft in... Ver
07.003.011 Islet Transplantation Oct 17, 2025 Oct 20, 2026 Performed in conjunction with pancreatectomy for chronic pancreatitis, autologous islet transplantation is... Ver
07.003.012 Amniotic Membrane And Amniotic Fluid Jan 23, 2026 May 20, 2026 Several commercially available forms of human amniotic membrane (ham) and amniotic fluid can be administered... Ver
07.003.013 Composite Tissue Allotransplantation Of The Hand And Face Oct 16, 2025 Oct 20, 2026 Composite tissue allotransplantation (also referred to as vascularized composite allotransplantation) is... Ver
07.003.014 Kidney Transplant Sep 05, 2025 Sep 20, 2026 Kidney transplant, a treatment option for end-stage renal disease, involves the surgical removal of a kidney... Ver
07.004.001 Implantation Of Intrastromal Corneal Ring Segments Archived May 17, 2021 Policy Archived Intrastromal corneal ring segments (icrs) are composed of microthin soft plastic inserts of variable... Ver
07.004.002 Vascular Endothelial Growth Factor Inhibitors for the Treatment of Ophthalmological Diseases Sep 25, 2025 Sep 20, 2026 Vascular endothelial growth factor has been implicated in the pathogenesis of a variety of ocular vascular... Ver
07.004.003 Vascular Endothelial Growth Factor Inhibitors for Sickle Cell Retinopathy Apr 18, 2025 Apr 20, 2026 Sickle cell retinopathy is a known complication of sickle cell disease. sickle cell retinopathy is... Ver
08.001.001 Physical Therapy In The Home Apr 23, 2025 Policy Archived Physical therapy is the treatment of an illness or injury with the use of therapeutic exercises or... Ver
08.001.002 Physical Therapy Services Jul 23, 2025 Policy Archived Physical therapy is the treatment of illness or physical damage through the use of therapeutic exercise,... Ver
08.001.003 Home Based Occupational Therapy Nov 11, 2020 Policy Archived ... Ver
08.001.004 Speech Therapy Aug 06, 2025 Policy Archived Developmental language disorder is the most common developmental disability of childhood, occurring in 5 to... Ver
08.001.005 Photodynamic Therapy For Choroidal Neovascularization Oct 16, 2025 Apr 20, 2026 Verteporfin photodynamic therapy is a treatment modality designed to selectively occlude ocular choroidal... Ver
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