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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 |
|---|---|---|---|---|---|
| 11.003.110 | Genetic Testing For Statin-Induced Myopathy | Dec 09, 2024 | Dec 20, 2025 | Hmg-coa reductase inhibitors, or statins, which are widely used to treat hypercholesterolemia, can cause... | Ver |
| 11.003.111 | Next Generation Sequencing For The Assessment Of Measurable Residual Disease | Jan 22, 2025 | Jan 20, 2026 | Measurable residual disease (mrd), also known as minimal residual disease, refers to residual clonal cells in... | Ver |
| 11.003.130 | Acupuncture For Pain Management, Nausea And Vomiting, And Opioid Dependence | Dec 16, 2024 | Dec 20, 2025 | Acupuncture describes a group of procedures intended to stimulate anatomical points with the goal of... | Ver |
| 11.003.131 | Sphenopalatine Ganglion Block For Headache | Dec 09, 2024 | Dec 20, 2025 | Chronic migraine and severe headaches are common conditions and the available treatments are not universally... | Ver |
| 11.003.133 | Serologic Genetic And Molecular Screening For Colorectal Cancer | Aug 20, 2024 | Aug 20, 2025 | It is well established that early detection of colorectal cancer (crc) reduces disease-related mortality. for... | Ver |
| 11.003.134 | Molecular Testing For Variants Associated With Hereditary Ovarian Cancer | Dec 16, 2024 | Sep 20, 2025 | It is estimated that approximately 20% of women presenting for assessment for hereditary ovarian cancer (oc)... | Ver |
| 11.003.135 | Germline and Somatic Biomarker Testing (Including Liquid Biopsy) for Targeted Treatment and Immunotherapy in Breast Cancer | Jan 20, 2025 | Jan 20, 2026 | Multiple biomarkers are being evaluated to predict response to targeted treatments for patients with advanced... | Ver |
| 11.003.136 | Tumor-informed Circulating Tumor DNA Testing for Cancer Management | Oct 15, 2024 | Oct 20, 2025 | This evidence review addresses the use of tumor-informed circulating tumor dna (ctdna) testing for cancer... | Ver |
| 11.003.137 | Germline Genetic Testing for Hereditary Diffuse Gastric Cancer (CDH1, CTNNA1) | Sep 20, 2024 | Sep 20, 2025 | Hereditary diffuse gastric cancer (hdgc, sometimes called signet ring gastric cancer) is an autosomal... | Ver |
| 11.003.138 | Germline and Somatic Biomarker Testing (Including Liquid Biopsy) for Targeted Treatment and Immunotherapy in Prostate Cancer (BRCA1/2, Homologous Recombination Repair Gene Alterations, Microsatellite Instability/Mismatch Repair, Tumor Mutational Burden) | Oct 08, 2024 | Oct 20, 2025 | Biomarker-targeted therapy has shown a clear survival benefit in individuals with metastatic prostate cancer.... | Ver |
| 11.003.139 | Germline and Somatic Biomarker Testing (Including Liquid Biopsy) for Targeted Treatment and Immunotherapy in Ovarian Cancer (BRCA1, BRCA2, Homologous Recombination Deficiency, Tumor Mutational Burden, Microsatellite Instability/Mismatch Repair) | Oct 16, 2024 | Oct 20, 2025 | Biomarker-targeted therapy has shown a clear survival benefit in patients with ovarian cancer. more recently,... | Ver |
| 11.003.140 | Somatic Biomarker Testing for Immune Checkpoint Inhibitor Therapy (BRAF, MSI/MMR, PD-L1, TMB) | May 12, 2024 | May 20, 2025 | Multiple biomarkers are being evaluated to predict response to immunotherapy for individuals with cancer.... | Ver |
| 11.003.141 | Laboratory Testing Investigational Services | Dec 05, 2024 | Nov 20, 2024 | There are numerous commercially available genetic and molecular diagnostic, prognostic, and therapeutic tests... | Ver |
| 12.002.001 | Regional Anesthesia In Vaginal Birth | Mar 31, 2019 | Policy Archived | Regional anesthesia is one that is selectively applied to a specific region of the body. under the term of... | Ver |
| 13.001.001 | Restorative Single Crowns, Inlays And Onlays | Oct 26, 2023 | Policy Archived | A crown, inlay or onlay is the prosthetic construction that is placed fixed in a previously prepared tooth... | Ver |
| 13.002.001 | Removable Prostheses; Complete And Partial Removable Dentures | Oct 26, 2023 | Policy Archived | It is an artificial removable device designed to restore the anatomy of one, several or all the teeth,... | Ver |
| 13.002.002 | Fixed Prosthesis | Oct 24, 2024 | Policy Archived | Fixed partial denture is a series of crowns that replace one or more of the edentulous spaces. retainers or... | Ver |
| 13.002.003 | Other Fixed Partial Dentures Services | Oct 26, 2023 | Policy Archived | They are components that help with the construction of fixed partial dentures when the condition or position... | Ver |
| 13.003.001 | Endodontic Retreatment | Nov 11, 2020 | Policy Archived | It is remaking of a contaminated endodontic, in a tooth with a previously root canal treatment. <a... | Ver |
| 13.004.001 | Periodontal Surgical Services | Oct 24, 2024 | Oct 20, 2025 | The main objective of the periodontal surgical procedures is to be able to preserve the periodontal tissues... | Ver |
