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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 |
|---|---|---|---|---|---|
| 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 | Oct 24, 2024 | Oct 20, 2025 | 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 | Oct 24, 2024 | Oct 20, 2025 | 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 | Oct 24, 2024 | Oct 20, 2025 | 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 |
| 13.010.001 | Orthodontic Services | Oct 24, 2024 | Policy Archived | The branch of dentistry that is responsible for the study, prevention, diagnosis and treatment of anomalies... | Ver |
| 7.001.168 | Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial Fibrillation | Sep 07, 2022 | Sep 07, 2023 | Atrial fibrillation (af) is the most common type of cardiac arrhythmia. stroke associated with af is... | Ver |
| M3.001.001 | Therapeutic Radiopharmaceuticals for Prostate Cancer | Aug 22, 2024 | Aug 20, 2025 | Radiopharmaceuticals are composed of a radioisotope (ie, a radioactive particle) bond to an organic molecule... | Ver |
| M5.001.001 | Viscosupplementation Therapy For Knee | May 10, 2024 | May 20, 2025 | Viscosupplementation therapy is part of the therapy used in the treatment of osteoarthritis of the knee.... | Ver |
| M5.001.002 | Rituximab | May 10, 2024 | May 20, 2025 | Rituximab is a genetically engineered chimeric murine/human monoclonal igg1 kappa antibody directed against... | Ver |
| M5.001.003 | Trastuzumab – Trastuzumab Biologics | May 10, 2024 | May 20, 2025 | Trastuzumab is a monoclonal antibody, one of a group of drugs designed to attack specific cancer cells.... | Ver |
| M5.001.005 | Bevacizumab | May 10, 2024 | May 20, 2025 | Bevacizumab is a humanized monoclonal antibody directed against vascular endothelial growth factor a... | Ver |
| M5.001.006 | G-Csf Filgrastim | May 10, 2024 | May 20, 2025 | White blood cell growth factors, also known as granulocyte colony stimulating factors (g-csf), are... | Ver |
| M5.001.007 | Somatuline® Depot; Lanreotide | May 10, 2024 | May 20, 2025 | Somatuline® depot; lanreotide is used to treat people with acromegaly (condition in which the body... | Ver |
| M5.001.008 | Simponi ARIA® (golimumab) | May 10, 2024 | May 20, 2025 | Golimumab is in a class of drugs called biologics. golimumab is a treatment for adults with moderate to... | Ver |
