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
07.003.007 Heart Transplant Oct 2025 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 2025 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 2025 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 2025 This evidence review addresses transplantation and retransplantation of an intestinal allograft in... Ver
07.003.011 Islet Transplantation Oct 2025 Performed in conjunction with pancreatectomy for chronic pancreatitis, autologous islet transplantation is... Ver
07.003.012 Amniotic Membrane And Amniotic Fluid Jun 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 2025 Composite tissue allotransplantation (also referred to as vascularized composite allotransplantation) is... Ver
07.003.014 Kidney Transplant Sep 2025 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 2021 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 2025 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 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 2025 Physical therapy is the treatment of an illness or injury with the use of therapeutic exercises or... Ver
08.001.002 Physical Therapy Services Jun 2026 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 2020 ... Ver
08.001.004 Speech Therapy Aug 2025 Developmental language disorder is the most common developmental disability of childhood, occurring in 5 to... Ver
08.001.005 Photodynamic Therapy For Choroidal Neovascularization Apr 2026 Verteporfin photodynamic therapy is a treatment modality designed to selectively occlude ocular choroidal... Ver
08.001.006 Vertebral Axial Decompression May 2026 Vertebral axial decompression applies traction to the vertebral column to reduce intradiscal pressure and, in... Ver
08.001.007 Dry Needling Of Myofascial Trigger Points May 2026 Trigger points are discrete, focal, hyperirritable spots within a taut band of skeletal muscle fibers that... Ver
08.001.008 Oncologic Applications Of Photodynamic Therapy, Including Barrett Esophagus Aug 2025 Photodynamic therapy (pdt; also called phototherapy, photoradiotherapy, photosensitizing therapy, or... Ver
08.001.009 Low-Level Laser Therapy Jun 2026 Low-level laser therapy (lllt), also called photobiomodulation, is being evaluated to treat various... Ver