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 |
|---|---|---|---|---|---|
| 11.003.140 | Somatic Biomarker Testing for Immune Checkpoint Inhibitor Therapy (BRAF, MSI/MMR, PD-L1, TMB) | May 09, 2025 | May 20, 2026 | 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 |
| 11.003.142 | Circulating Tumor-Tissue-Modified Viral DNA Testing | Apr 14, 2025 | Apr 20, 2026 | This evidence review addresses the use of circulating tumor-tissue-viral modified (ttmv) human papillomavirus... | 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 | Sep 25, 2025 | Sep 20, 2026 | The main objective of the periodontal surgical procedures is to be able to preserve the periodontal tissues... | Ver |
| 13.004.002 | Periodontal Non-Surgical Services | Oct 24, 2024 | Policy Archived | Periodontal non- surgical services include all post-operative care. they are a range of therapeutic... | Ver |
| 13.005.001 | Dental Implants | Sep 25, 2025 | Sep 20, 2026 | Dental implants are attachments that replace the root function of a tooth that are placed in the edentulous... | Ver |
| 13.005.002 | Implant Services; Crowns, bridges (retainers and Pontics) and Prostheses Supported by Implants | Sep 25, 2025 | Sep 20, 2026 | The crown on implants is a fixed prosthesis that is placed on an osseointegrated implant. retainers of... | Ver |
| 13.006.001 | Visit To Ambulatory Surgical Center And / Or Hospital | Nov 11, 2020 | Policy Archived | When a participating dentist leaves his office to perform dental services in an ambulatory surgical center or... | Ver |
| 13.007.001 | Maxillofacial Prosthesis | Oct 24, 2024 | Policy Archived | These are specialized and extensive prosthesis services to replace the loss of a great part of the facial and... | Ver |
| 13.008.001 | Frenectomy | Oct 26, 2023 | Policy Archived | It is the surgical procedure of the extirpation, dissection or muscular liberation of the frenulum that... | Ver |
| 13.009.001 | Maxillary Obturators | Aug 22, 2023 | Policy Archived | Maxillary obturators are considered a maxillofacial prosthesis. maxillary prosthetic devices are generally... | Ver |
| 13.009.002 | Oral Surgical Splint, Impression And Preparation | Nov 11, 2020 | Policy Archived | The oral splints are molds manufactured by the oral and maxillofacial surgeon prior to surgery. these molds... | Ver |
| 13.009.003 | Orthognathic Surgery | Sep 25, 2025 | Sep 20, 2026 | Are procedures that include surgical manipulation of the maxilla and /or the mandible to restore the correct... | Ver |
| 13.009.004 | Temporomandibular Joint Disorder | Mar 03, 2025 | Mar 20, 2026 | Temporomandibular joint disorder (tmjd) refers to a group of disorders characterized by pain in the... | Ver |
