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
03.001.009 Digital Health Therapies For Substance Abuse Aug 2024 The world health organization defines substance use disorder as “the harmful or hazardous use of... Ver
03.001.010 Digital Health Therapies For Attention Deficit/Hyperactivity Disorder Aug 2026 Digital health technologies is a broad term that includes categories such as mobile health, health... Ver
03.003.001 Therapeutic Radiopharmaceuticals for Prostate Cancer Nov 2025 ... Ver
04.001.001 Evaluación fetal anteparto Jun 2022 In humans as well as in animals, the fetal heart rate pattern, activity level, and degree of fetal muscle... Ver
04.001.003 Home Uterine Activity Monitoring May 2019 The home uterine activity monitor (huam) is a device that can be worn by pregnant women and is intended to... Ver
04.001.007 Occlusion Of Uterine Arteries Using Transcatheter Embolization Sep 2020 ... Ver
04.001.009 Laparoscopic And Percutaneous Techniques For The Myolysis Of Uterine Fibroids Mar 2026 Various minimally invasive treatments for uterine fibroids have been proposed as alternatives to surgery.... Ver
04.001.010 Oclusión histeroscópica de los tubos de falopio como método contraceptivo May 2016 ... Ver
04.001.011 Ovarian And Internal Iliac Vein Endovascular Occlusion As A Treatment Of Pelvic Congestion Syndrome Sep 2026 Pelvic congestion syndrome is characterized by chronic pelvic pain that is often aggravated by standing;... Ver
04.001.012 Progesterone Therapy As A Technique To Reduce Preterm Delivery In High-Risk Pregnancies Oct 2024 Preterm birth is the leading cause of neonatal morbidity and mortality, and effective primary preventive... Ver
04.001.013 Ablación del Endometrio Aug 2017 ... Ver
04.001.019 Robotic Surgery In Gynecology Oct 2023 In the decade of the ‘80s, the idea of having a military ambulance in the battlefield; equipped with a... Ver
04.001.020 Obstetric Ultrasonography Sep 2024 Obstetric ultrasonography is an ultrasound examination with an instrument in real time, using transabdominal... Ver
04.001.024 Services For Intra-Uterine Device Management Nov 2022 The intrauterine device (iud) is the most commonly used method of long-acting reversible contraception... Ver
04.002.002 Cirugía fetal para malformaciones congénitas diagnosticadas en periodo perinatal Dec 2022 Fetal surgery is used for specific congenital abnormalities associated with a poor postnatal prognosis.... Ver
04.002.004 GENDER AFFIRMING SURGERY Aug 2026 This policy addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex... Ver
04.002.005 Reproductive Techniques Sep 2026 A variety of techniques are available to establish a viable pregnancy for couples who have been diagnosed... Ver
05.001.004 Botulinum Toxin Nov 2025 Botulinum is a family of toxins produced by the anaerobic organism clostridia botulinum. multiple... Ver
05.001.005 Human Growth Hormone Nov 2025 Recombinant human growth hormone (gh) is approved by the u.s. food and drug administration (fda) for various... Ver
05.001.006 Recombinant And Autologous Platelet-Derived Growth Factors For Wound Healing And Other Non‒Orthopedic Conditions Feb 2026 The use of blood-derived growth factors, including recombinant platelet-derived growth factors (pdgfs) and... Ver