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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 |
|---|---|---|---|---|---|
| 08.001.016 | Extracorporeal Photopheresis | Nov 15, 2024 | Nov 20, 2025 | Organ rejection after solid organ transplant extracorporeal photopheresis may be considered medically... | Ver |
| 08.001.017 | Accelerated Breast Irradiation and Brachytherapy Boost After Breast-Conserving Surgery for Early-Stage Breast Cancer | Aug 19, 2024 | Aug 20, 2025 | When using radiotherapy after breast-conserving surgery for early-stage breast cancer: accelerated... | Ver |
| 08.001.019 | Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders | Jul 16, 2024 | Jul 20, 2025 | Measurement of exhaled nitric oxide is considered investigational in the diagnosis and management of... | Ver |
| 08.001.020 | Neutron Beam Radiotherapy | May 10, 2019 | Policy Archived | Neutron beam radiotherapy of advanced salivary gland tumors and soft tissue sarcomas is considered medically... | Ver |
| 08.001.021 | Scintimammography and Gamma Imaging of the Breast and Axilla | Oct 22, 2024 | Oct 20, 2025 | Scintimammography, breast-specific gamma imaging, and molecular breast imaging are... | Ver |
| 08.001.022 | Intracavitary Balloon Catheter Brain Brachytherapy for Malignant Gliomas or Metastasis to the Brain | Aug 09, 2024 | Aug 20, 2025 | Intracavitary balloon catheter brain brachytherapy is considered investigational,alone or as part of a... | Ver |
| 08.001.023 | ERWINAZE | Nov 10, 2021 | Policy Archived | Erwinaze is considered for payment in the treatment of acute lymphocytic leukemia and acute myeloid leukemia... | Ver |
| 08.001.024 | CORRECCION DE LOS TRASTORNOS DE LA REFRACCION | May 22, 2017 | Policy Archived | Corrección de trastornos de la visión no proceden para pago irrespectivo de la técnica o modalidad... | Ver |
| 08.001.025 | Adoptive Immunotherapy | Nov 12, 2024 | Nov 20, 2025 | The spontaneous regression of certain cancers (eg, renal cell carcinoma, melanoma) supports the idea that a... | Ver |
| 08.001.027 | Cellular Immunotherapy for Prostate Cancer | Aug 23, 2024 | Aug 20, 2025 | Sipuleucel-t therapy may be considered medically necessary in the treatment of asymptomatic or minimally... | Ver |
| 08.001.028 | Lysis of Epidural Adhesions | Dec 29, 2020 | Dec 29, 2021 | Catheter-based techniques for lysis of epidural adhesions, with or without endoscopic guidance, are... | Ver |
| 08.001.029 | Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers | Apr 09, 2024 | Apr 20, 2025 | Single-compartment or multichamber nonprogrammable lymphedema pumps applied to the limb may be... | Ver |
| 08.001.030 | OCCUPATIONAL THERAPY | Jan 29, 2020 | Policy Archived | Occupational therapy services are considered for payment when they are performed to address the need of a... | Ver |
| 08.001.031 | Chemical Peels | Jan 15, 2025 | Jan 20, 2026 | A chemical peel is a controlled removal of various layers of the skin with the use of a chemical agent. the... | Ver |
| 08.001.033 | Hematopoietic Cell Transplantation for Plasma Cell Dyscrasias, Including Multiple Myeloma and POEMS Syndrome | Feb 05, 2025 | Feb 20, 2026 | Multiple myeloma a single or second (salvage) autologous hematopoietic cell transplantation may be... | Ver |
| 08.001.034 | DYSPHAGIA THERAPY | Oct 24, 2024 | Oct 20, 2025 | Therapy for the treatment of dysphagia is considered medically necessary and proceeds for payment when any... | Ver |
| 08.001.035 | Aquatic Therapy | Sep 10, 2024 | Policy Archived | Aquatic therapy to improve or restore physical function after illness, trauma or physical damage or loss of... | Ver |
| 08.001.036 | Allogeneic Hematopoietic Cell Transplantation | Feb 12, 2024 | Feb 20, 2025 | Chronic myeloid leukemia (cml) is a hematopoietic stem cell disorder characterized by the presence of a... | Ver |
| 08.001.037 | Hematopoietic Cell Transplantation for Hodgkin Lymphoma | Feb 12, 2024 | Feb 20, 2025 | Hodgkin lymphoma (hl) results from a clonal expansion of a b-cell lineage, characterized by the presence of... | Ver |
| 08.001.038 | Radio 223 Injection (Xofigo) | Nov 10, 2021 | Policy Archived | The radium 223 injection (xofigo) is considered for payment when all of the following criteria for prostate... | Ver |
