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
02.005.007 Espirometría Casera Aug 2017 ... Ver
02.005.009 Non-Invasive Positive Airway Pressure for Chronic Obstructive Pulmonary Disease Oct 2026 Respiratory failure is characterized by low arterial blood oxygen (hypoxemia, pao2) and/or high arterial... Ver
02.005.010 Medical Management of Obstructive Sleep Apnea Syndrome Jul 2026 Obstructive sleep apnea (osa) syndrome is characterized by repetitive episodes of upper airway obstruction... Ver
02.007.001 ESTIMULACION REPETITIVA DEL NERVIO (RNS) Jun 2023 Repetitive nerve stimulation (rns) and single-fiber electromyography (sfemg) are important confirmatory tests... Ver
02.007.004 Somatosensory Evoked Potential Studies Visual/Auditory Nov 2021 Evoked potentials are somatosensory stimuli, visual and/or auditory. the same, when applied activate... Ver
02.007.006 Topografía cerebral (“Topographic Brain Mapping”) Nov 2017 ... Ver
02.007.007 Electroencefalografía digital Jul 2025 It is the technological method of acquiring and recording the electroencephalogram without the use of paper.... Ver
02.007.008 Electroencephalograms (Eeg) Jul 2023 An electroencephalogram (eeg) is a recording of electrical current potentials spontaneously from nerve cells... Ver
02.007.009 Autonomic Nervous System Testing Jun 2026 The autonomic nervous system (ans) controls physiologic processes that are not under conscious control.... Ver
02.007.011 Neuropsychological Test Nov 2024 Neuropsychology is defined as the study (knowledge, evaluation and modification) of the brain-behavior... Ver
02.007.012 Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions Sep 2026 Peripheral nerve stimulation (pns) is a percutaneous system consisting of leads, electrodes, and a pulse... Ver
02.007.013 Tonic Motor Activation (TOMAC) for Restless Leg Syndrome Nov 2025 Tonic motor activation (tomac) is a peroneal nerve stimulation device that uses electrodes worn on the lower... Ver
02.009.003 Cernimiento auditivo neonatal Feb 2026 The diagnosis of congenital hearing loss was previously made at an average age of 13 months for infants with... Ver
02.009.004 PRUEBAS DE FUNCIÓN PULMONAR EN INFANTES May 2016 ... Ver
03.001.001 Psycotheraphy Nov 2020 The description of codes 90785-90840 contemplates the treatment of a mental condition or behavioral... Ver
03.001.004 Terapia Electroconvulsiva May 2016 ... Ver
03.001.005 Autism Disorders / Pervasive Develoment Disorders Dec 2024 ... Ver
03.001.006 Psychiatry Services Nov 2019 Psychiatric evaluation psychiatric evaluation is the method by which the physician establishes a diagnosis of... Ver
03.001.007 Home Psychiatry Services Nov 2019 Home psychiatric services are those psychiatric, psychological or psychotherapeutic services rendered by a... Ver
03.001.008 Quantitative Electroencephalography As A Diagnostic Aid For Attention-Deficit/Hyperactivity Disorder Nov 2025 Patients with attention-deficit/hyperactivity disorder (adhd) may have alterations in their brain wave... Ver