Included in Plan G Coverage are the Part A deductible and emergency room visits. $188 per day, days 21-100 in-network, for more information see Evidence of Coverage. Aetna Dental www.aetnafeds.com 1-800-554-2042 . Stop spending time searching for medical policy changes and let us do it for you! (Few people sit down and read them cover to cover.) Si tu intencin no era salir del sitio web, cierra este mensaje. Medicare coverage for the whole you body, mind and spirit, Discover coverage that takes a total approach to health, See how we help you get the right resources and care, Take full advantage of everything your plan offers you. Depending on the plan, there may be deductibles, copays or coinsurance costs for some covered care. Skilled Nursing Facility Care. Therefore, thismedication is excluded from coverage for members enrolled in prescription drug benefit plan that uses a closed formulary or that requires step-therapy criteria, unless a medical exception is granted. Language Assistance: Espaol | | Ting Vit | | Tagalog | | | Kreyl | Franais | Polski | Portugus | Italiano | Deutsch | | | Other Languages, Summary of Benefits Guide 2022 Aetna Medicare Advantage for MHBP Standard Option members, Medicare Rewards Program Medicare Advantage. Why choose ${company} Medicare Solutions? Your InstaMed log-in may be different from your Caremark.com secure member site log-in. If you have a Medicare Advantage plan, this section will tell you where you can find a list of doctors who are in your plans network. Standard Plan code Z2: AETNA ADVANTAGE Coverage Period: 01/01/2022 - 12/31/2022 Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Aetna Assure Premier Plus (HMO D-SNP) complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age . 24 hours a day, 7 days a week, except major holidays. cbs6jQx pk)1.&ag @a|bs@IuR!CCh1NaeS&Uqmj Cochrane Database System Review 2009:CD004425.11. hWmOH+ *IJV(-Q>KlhwqB;Dk #ZA8K$*T4Q9KwJFBepPLD$U4MAJ.wt|;86-O\Uz1>W 8NzR ~j9 All EOCs have a section where you can find important details about your costs, including premiums, copays and coinsurance. Includes PPO, HMO, HMO-POS medical plans with or without drugs. If you do not intend to leave our site, close this message. December 31, 2022. Drug coverage Find a covered drug Search another plan or year Aetna Standard Plan drug guide (PDF) Plan guide changes You can also use the find function on your computer to search the terms you're interested in. Your EOC will be more useful and less intimidating if you think of it as a kind of Medicare encyclopedia that you refer to as needed. If you do not intend to leave Aetna Medicare, close this message. Click here to view the Cigna Medical Policy Updates September 2022 Cigna Medical Policy, Click here to view the Blue Cross Blue Shield BCBS Excellus Medical Policy Updates , Click here to view the Health Care Service Corporation (HCSC) Medical Policy Updates September. Your Payer Express log-in may be different from your Aetna secure member site log-in. 7. SS Please keep it in a safe place. The cost of an Aetna Medicare Advantage plan with dental coverage varies, but many plans are available with $0 monthly premiums. Product information for LoSeasonique accessed 3-20-09 at http://www.fda.gov/cder/foi/label/2008/022262lbl.pdf. MHBP gives you the tools you need to make good health care decisions. This means that plans vary in cost and coverage. Call us at 1-833-329-0412(TTY: 711) to chat about any Medicare questions you have. Under Aetna Assure Premier Plus (HMO D-SNP), some drugs may have special requirements or coverage limits. If you have questions about your Medicare plan, start here. The Affordable Care Act allows plans and issuers to apply reasonable medical management techniques to determine the frequency, method, treatment or setting for an item or service to the extent not specified in the preventive recommendation. May 26, 2022 Mr. Dan Finke President, Health Care Benefits Segment Aetna Inc. 151 Farmington Avenue Hartford, CT 06156 Dear Mr. Finke: The Oversight Committee is seeking information regarding no cost-sharing coverage of contraceptives and related services for individuals enrolled in private health plans, as required by Aetna considers the Formulary Excluded, oral contraceptives to be medically necessary for members who meet ANY of the criteria listed below: Formulary Excluded contraceptives are Non-Preferred Brand contraceptives and have a higher copay for members enrolled in prescription drug benefit plans that use an open formulary. . Start with the sections shown below to learn about your plan's costs and coverage. For those who qualify for both Medicare and Medicaid benefits, Aetna expanded . Formulary Excluded contraceptives are excluded from coverage for members enrolled in a closed formulary unless a medical exception is obtained. 6670 0 obj <>/Filter/FlateDecode/ID[]/Index[6655 34]/Info 6654 0 R/Length 89/Prev 440028/Root 6656 0 R/Size 6689/Type/XRef/W[1 3 1]>>stream Dysfunctional uterine bleeding (DUB) is characterized by abnormal uterine bleeding in pattern, frequency, regularity or quantity and can include: Hypermenorrhea: cycles regular and menses of normal duration, but blood loss excessive (>80mL per cycle), Menorrhagia: interval normal but duration and flow excessive, Metrorrhagia: interval irregular, duration and flow excessive, Menometrorrhagia: interval irregular, duration and flow excessive and intermenstrual bleeding, Oligomenorrhea: interval >35 days, normal flow, Polymenorrhea: interval <21 days, normal flow, Hypomenorrhea: cycles regular, but blood loss abnormally decreased, Dysmenorrhea (painful or difficult menstruation), Hirsutism secondary to ovarian dysfunction (excessive hairiness), Polycystic ovary syndrome (many cysts on the ovary/cystic ovaries), Perimenopausal symptoms - hormone replacement for menopause. Unless otherwise required by law and if covered as indicated above, Aetna will cover contraceptives in accordance with the criteria below. Youll also find a list of pharmacies that work with your plan. You will find a detailed list of topics at the beginning of each chapter. 6688 0 obj <>stream hbbd```b``>"9{9-d bs7H80H2D02HU20 {A To view the form just select Continue. Background Health Care Reform- Womens Preventive Services Requirements: The guidelines issued by the Health Resources Services Administration (HRSA) for contraceptive services recommend the full range of FDA-approved contraceptive methods, including drugs for women with reproductive capacity. Medicare Supplement Plan G from Aetna is one of ten standardized insurance plans available to seniors to help cover out-of-pocket costs associated with their health care. The campaign for patient care ultimately prevailed. Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. 1. A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of one preferred generic extended-cycle 91-day contraceptive alternative, i.e. Look for this heading if you have questions about: Every EOC has a section on plan benefits. A licensed insurance agent can use Aetna Medicare plan formularies to help you find Aetna Medicare prescription drug coverage that fits . NOTE: Information about the cost of this plan (called the premium) will be provided . Its usually in the same chapter as the cost information shown above. Abramowicz M. In Brief: Plan B for 17-Year Olds. formulary for . Copayment for Routine Foot Care $20.00. Clinical Pharmacology [Internet database]. Spencer AL, Bonnema R, McNamara MC. Policy Alerts monitors Commercial and Medicare medical policies for changes. Aetna covers contraceptives where mandated by law, in certain non-HMO plans, and under our contraceptives option to the pharmacy rider. 2022 Aetna Medicare Advantage for MHBP Standard Option members: PDF: . 2022 Aetna Standard Plans You can find a list of the most commonly covered drugs under your plan (your formulary) below. ''}iT _lbooksemWSlpxxkz5x POx3~',!Kv6qz#=zdSuL1 .A(!xsD2 Arowojulu AO, Gallo MF, Lopez LM et al. Aetna handles premium payments through InstaMed, a trusted payment service. It's generally available starting in September and describes costs and benefits of your plan that will take effect on January 1 of the following year. Dual Eligible Special Needs Plans (D-SNP). Caremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options. Use of them does not imply any affiliation with or endorsement by them. Tip: Printed EOCs can run as long as 200 pages. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. Combined oral contraceptives pills for treatment of acne. 6655 0 obj <> endobj Updated periodically.4. In total, Aetna will offer MAPD plans in 1,875 counties in 2022, accessible by 53.2 million Medicare beneficiaries. Based on available clinical literature, contraceptives may be considered medically necessary for any of the following documented conditions: Note: Aetna does not cover contraceptives for treatment of headaches orpremenstrual syndrome (PMS), except as noted above. Am J Medicine 2009;122:497-506.10. Your plan may provide other materials, like a membership card or a prescription drug benefit card. Aetna 2022 OTC DSNP catalog - click here to download Click here to download Aetna OTC 2022 Value Catalog Aetna National OTC catalog 2022 - click here Additional information about the Aetna OTC catalog 2022: Each item has a quantity limit of 9 per quarter except for the following: - Blood pressure monitors have a limit of 1 per calendar year. AHFS Drug Information with AHFSfirstReleases. To find out which drugs are covered by Aetna Medicare plans in your area, you can speak with a licensed insurance agent. You can reach one by calling 1-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week. OPM Brochure Standard Option and Value Plan 2023, Summary of Benefits and Coverage, 2023 Standard Option, Summary of Benefits and Coverage, 2023 Value Plan, Summary of Benefits and Coverage, 2023 Consumer Option, 2023 Medicare 2023 Schedule of Cost Sharing Medicare Advantage, 2023 Medicare 2023 Evidence of Coverage Medicare Advantage, OPM Brochure Standard Option and Value Plan 2022, Summary of Benefits and Coverage, 2022 Standard Option, Summary of Benefits and Coverage, 2022 Value Plan, Summary of Benefits and Coverage, 2022 Consumer Option, OPM Brochure Standard Option and Value Plan 2021, Learn more about contraception resources at, Please contact OPM if you have difficulty accessing contraceptive coverage or other reproductive health by contacting, For additional information members can learn more about their reproductive rights at, Dental Claim Form (MHBP Dental Plan only), Prescription, Mail Order Caremark Mail Order Service Claim Form, Consumer Option HRA Reimbursement Request, Consumer Option HSA Excess Contribution Form, Health Savings Account (HSA) Custodial Agreement, Health Savings Account (HSA) Fee Schedule, Authorization for Release of Protected Health Information (PHI), The National Postal Mail Handlers Union, (MHBP plan sponsor), has met nationally recognized standards for the provision of quality health care set by. (When this Evidence of Coverage says "we," "us," or "our," it means Aetna Medicare. The formulary lists the drugs that your plan covers. This section defines what is considered an emergency. First, you can look at it anytime without having to worry about where you filed away your hard copy. Cochrane Database System Review 2005:CD004695.7. /uA"b0aM+*(;nh)Oo&j0TNU3'jX((MlIE SjAv\,yN_}^ez%)EJCDrCLt&tx~%ta2$$*n KX2Z(BBI,F%&{h.| {XC",EiWxR:Z HpMOM wpX})mQ> gREI[G]^'nY^L?Yr kvYk&c8D/njO? After your effective date, just log in to your member website to check costs and coverage for a specific drug. Aetna considers this medication to be medically necessary for those members who meet the following step-therapy criteria: If it is medically necessary for a member to be treated initially with a medication subject to step-therapy, the member, a person appointed to manage the members care, or the member's treating physician may contact the Aetna Pharmacy Management Precertification Unit to request coverage as a medical exception at 1-800-414-2386. 2022 . Aetna considers Non-Preferred Brand oral contraceptives medically necessary for members who meet ANY of the following criteria listed below: Quartetteis currently listed on the Aetna Formulary Exclusion and Step Therapy lists. Updated periodically.6. The Appointment of Representative form is on CMS.gov. Im turning 65 or just starting to explore Medicare, How much youll be charged each month for coverage, What youll pay when you visit the doctor, What percentage of a bill youll be responsible for paying for covered health care services. One of the first things you learn when shopping for a Medicare plan is that you have a range of options, especially if you choose a Medicare Advantage plan. Below is a listing of plan forms, brochures and documents to help you manage and understand your benefits. Gold Standard Inc. Tampa, FL. Aetna - Traditional Plan : Coverage for: All Tier Levels Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of one preferred alternative, A documented contraindication or intolerance or allergy or failure of an adequate trial of one month of one preferred generic alternative, A documented mental or physical handicap preventing the reasonable use of an oral contraceptive. bw34 ha NC0epwa`=@z 4d3Hcl=m Q!I&d_0^o %I3``$3 I %Nb8!HaM0d`eI*|89(c`8A 49p6Gx:8j$t5$)Z44@z*7t.0u>D' While some insurance companies still send a copy of your EOC in the mail, many simply send a notice telling you where you can find it online. Make the most of your MHBP membership and take advantage of these discounts today! Mark Pabsthas worked as a writer and researcher in the health care field for almost two decades. Unless otherwise required by law and if covered as indicated above, Aetna will cover contraceptives in accordance with the criteria below. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. The National Postal Mail Handlers Union, (MHBP plan sponsor), has met nationally recognized standards for the provision of quality health care set byAccreditation Association for Ambulatory Health Care (AAAHC). Its generally known as the Evidence of Coverage (EOC). Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. Please contact OPM if you have difficulty accessing contraceptive coverage or other reproductive health by contacting contraception@opm.gov. When reviews occur out of cycle they often go unnoticed. Aetna Medicare Supplement Plan G works in conjunction with Original Medicare (Medicare Part A and Part B). Select a state below to update coverage details. =%>=iR_bgbHG&_ 0"} }~ '%d7[U{{%e}[?M>#7Y\R S About 2.7 million people are enrolled in an Aetna Medicare Advantage Plan 1. In this section, you can learn whether your plan covers follow-up care and when your plan considers an emergency episode over. Aetna considers this medicationto be medically necessary for those members who meet the criteria below: For all otherFormulary Excluded, Non-Preferred Brand Oral Contraceptives, For all Formulary Excluded, Non-Preferred Brand Non-Oral Contraceptives (i.e. Medicare Part A will pay for certain dental services when you're in the hospital. In accordance with the Healthcare Reform Act, Non-preferred brand contraceptives are eligible to some members at zero copay. As youre getting settled in, youll want to start thinking about your health plan. Its a good idea to skim your EOC highlights every year. Includes contraceptive drugs & devices -approved women's from preferred pharmacy. Note: In accordance with the Healthcare Reform Act, claims for Non-Preferred Brand, Formulary Excluded contraceptives that meet medical exception criteria above are eligible to some members at zero copay. You are leaving our Medicare website and going to our non-Medicare website. Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. (See criteria below). When it says "plan . Greenwood Village, Colo: Thomson Micromedex. Edelman AB, Gallo MF, Jensen JT et al. It can help you decide whether to go to the emergency room, urgent care or walk-in clinic. Pharmacy Benefit Plans without Contraceptive coverage: if determined that a preferred oral or non-oral contraceptive is not medically appropriate for a reason not included in criteria above, http://www.fda.gov/cder/foi/label/2008/022262lbl.pdf. 2022 Evidence of Coverage for Aetna Assure Premier Plus (HMO D-SNP) Table of Contents 2022 Evidence of Coverage Table of Contents This list of chapters and page numbers is your starting point. Our plan selection pages will be down for maintenance starting Friday, April 16, at 9 p.m. and returning by 1 p.m. Saturday, April 17. Certain Aetna Medicare Advantage plans may offer coverage for dental care. New Employees Dont Miss the chance to Enroll in a Better Health Plan La informacin a la que acceder es proporcionada por otra organizacin o proveedor. Updated periodically.3. The EOC is the legal contract between you and the Medicare plan. Aetna covers contraceptives where mandated by law, in certain non-HMO plans, and under our contraceptives option to the pharmacy rider. Many plans offer prescription drug coverage and routine vision and dental benefits. Greenwood Village, Colo: Thomson Micromedex. Updated periodically.2. Learn more.. All MHBP plans include comprehensive prescription drug coverage with access to nationwide network pharmacies, low copays for generic medications, and mail-order pharmacy services. This site has its own login. This is usually called your Evidence of Coverage (EOC). If you're wondering whether your plan helps pay for certain services, such as dental care or depression screening, come directly here. Preventive dental care is often fully covered by Medicare Advantage plans, with some restrictions. Youll also get your member ID card and a notice that tells you how to get other important documents online or by mail. This is important because EOCs can be over 200 pages long. Continuous or extended cycle vs cyclic use of combined contraceptives for contraception. 2. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports. Medicare Advantage members, you can request a copy of your 2023 Evidence of Coverage or Formulary if you need one. If you have a plan that includes prescription drug benefits, this section will direct you to where you can find your plans formulary. Click here to view the Aetna Medical Policy Updates . The SBC shows you how you and the plan would share the cost for covered health care services. If you do not intend to leave our site, close this message. endstream endobj 6656 0 obj <>/Metadata 212 0 R/Names<>/OpenAction 6657 0 R/Outlines 534 0 R/Pages 6646 0 R/StructTreeRoot 563 0 R/Type/Catalog/ViewerPreferences<>>> endobj 6657 0 obj <> endobj 6658 0 obj <>/MediaBox[0 0 612 792]/Parent 6647 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 6659 0 obj <>stream PDR Electronic Library [Internet database]. DRUGDEX System [Internet database]. OrthoEvra, Nuvaring), Pharmacy Benefit Plans without Contraceptive coverage:Medical Necessity Review. The information you will be accessing is provided by another organization or vendor. But no matter which plan you choose, youll be able to read a document that provides important details about your plan. Youll get your EOC, which is a great resource for understanding your plans benefits and coverage. When changes occur, instant email alerts are delivered to your inbox. 0 Its generally available starting in September and describes costs and benefits of your plan that will take effect on January 1 of the following year. Having your Evidence of Coverage online can be convenient for several reasons. Q8la-WrDmm9C ?^ Summary of Benefits and Coverage, 2022 Standard Option: PDF: SBC - 2022 Value Plan: . We'll help you find the information you need. A Nationwide Dental PPO Plan Who may enroll in this plan: All Federal employees, annuitants, and certain TRICARE beneficiaries in the United States and overseas who are eligible to enroll in the Federal Employees Dental and Vision Insurance Program IMPORTANT Rates: Back Cover Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. If you still have questions, dont hesitate to contact your plans customer service department. View your benefits. Customer Service hours for our Dental and Vision plans are 8 a.m. to 6 p.m. Eastern. You'll also find more information about costs. All product and company names are trademarks or registered trademarks of their respective holders. Providers can use the appeal process if determined that a preferred oral or non-oral contraceptive is not medically appropriate for a reason not included in criteria above, outlined in initial denial communication to request a case review by a medical director. endstream endobj 6660 0 obj <>stream Were bringing you to our trusted partner to help process your payments. HVRV}Wj!SSe`p@I&yDO+kx(lsOo:%ezyY3SB (/R`9\2H0S*ReU(G+Uw/ It may be different from your Aetna secure member site login. You have 60 days from the day you start working to select a plan. Members of the ophthalmology community joined forces over the past year to educate policymakers and the media about the impact of Aetna's overreaching mandate requiring prior authorization for all cataract surgeries regardless of the patient's status and the surgeon's medical decision-making. HOc`5V kl[OC3 Acne, recalcitrant (resistant to treatment). If your plan covers out-of-network care, this is where you will see the price difference between services by a network provider versus an out-of-network provider. This is an important legal document. Drug Facts and Comparisons on-line. Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. The Medical Letter. Pharmacy Benefit Plans with Contraceptive coverage: Under some plans, including plans that use an open or closed formulary, Quartetteis subject to step-therapy. You can contact MHBP whenever you need us. %%EOF Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business! For more help in finding information you need, go to the first page of a chapter. $0 per day, days 1-20. The graphic below can help you review important sections. %PDF-1.6 % Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business. 2009;(Issue 1312) p.40.9. Yes, I'm a memberNo, I'm looking for a plan. Immediate start of hormonal contraceptive for contraception. September 2022 Aetna Medical Policy Updates: Policy Alerts monitors Commercial and Medicare medical policies for changes. However, despite his best efforts he still has a few unhealthy habits he cant shake, most notably a weakness for jelly donuts. . Want to see options for a different location? Second, you can use the search function on your computer to scan your EOC for key terms. n6{Ye5MQ_Z9}[F;PY' TD?M?WB$)U~(6qey*t9s* o/&W2qTZSUQEUp BFXY*WsVUIQd0:|EI#q1Mes"_Q q xH]O |aAa>|R8HHc'RK;y}{5Out/`hl.A1`]w|< 8Q>:i4.t~H{j[AOSt`/Q^vhp"O Helping women choose appropriate hormonal contraception: update on risks, benefits, and indications. This section will tell you what to expect. You can read your EOC online and quickly skim through the sections. H6399_27937_2022. Lopez LM, Newsmann SJ, Grimes DA et al. This plan, Aetna Medicare Plan (PPO), is offered by Aetna Medicare. When reviews occur out of cycle they often go unnoticed. (www.drugfacts.com), Wolters Kluwer Health, St. Louis, MO. hb```b``a`211 P9* Accreditation Association for Ambulatory Health Care (AAAHC). endstream endobj startxref When not writing about health he tries to stay healthy through activities like hiking, climbing and paddling in the far flung corners of his native state of California. Below are some sections included in every EOC, along with quick tips on how to find the important information in each section. Prescription drug plan members (SilverScript Choice, Plus, or SmartRx), you can request a copy of your Evidence of Coverage, formulary and pharmacy directory. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice. In-Network: Copayment for Medicare-Covered Podiatry Services $20.00. It explains how to get coverage for the health care services you need. A listing of plan forms, brochures and documents to help you manage and understand your benefits. The EOC is the legal contract between you and the Medicare plan. It helps to know how your plan covers emergency services before you actually need them. ( www.statref.com), American Society Of Health-System Pharmacists, Bethesda, MD. Have questions about your Medicare plan? Acoustic Heart Sound Recording and Computer Analysis, Adoptive Immunotherapy and Cellular Therapy, Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs), Bone and Tendon Graft Substitutes and Adjuncts, Broth Culture Testing for Interstitial Cystitis, Color-Flow Doppler Echocardiography in Adults, Diphtheria, Tetanus, and Pertussis Vaccines, Dry Hydrotherapy (Hydromassage, Aquamassage, Water Massage), Electrical Stimulation for Nausea, Vomiting and Motion Sickness (PrimaBella and ReliefBand) and Other Selected Indications, Electromagnetic Navigation-Guided Bronchoscopy, Erythropoiesis Stimulating Agents [Medicare], Extracorporeal Immunoadsorption (Prosorba Column), Extracorporeal Shock-Wave Therapy for Musculoskeletal Indications and Soft Tissue Injuries, Functional Electrical Stimulation and Neuromuscular Electrical Stimulation, Golimumab (Simponi and Simponi Aria) [Medicare], Growth Hormone (GH) and Growth Hormone Antagonists, Hematopoietic Cell Transplantation for Aplastic Anemia and other Bone Marrow Failure Syndromes, Hematopoietic Cell Transplantation for Chronic Myelogenous Leukemia, Hematopoietic Cell Transplantation for Ovarian Cancer, Hematopoietic Cell Transplantation for Selected Leukemias, Hematopoietic Cell Transplantation for Testicular Cancer, Hematopoietic Cell Transplantation for Thalassemia Major and Sickle Cell Anemia, Hematopoietic Colony-Stimulating Factors (CSFs), Hematopoietic Colony-Stimulating Factors (CSFs) [Medicare], Histamine Desensitization Therapy for Intractable Headaches, Indirect Measurement of Left Ventricular Filling Pressure (LVFP): The VeriCor System, Intra-oral Appliances for Headaches and Trigeminal Neuralgia, Magnetic Resonance Angiography (MRA) and Magnetic Resonance Venography (MRV), Magnetic Resonance Cholangiopancreatography, Magnetic Resonance Imaging (MRI) of the Breast, Neuralgia Inducing Cavitational Osteonecrosis (NICO) and Ultrasonograph Bone Densitometer to Detect NICO, Non-myeloablative Hematopoietic Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant), Osteochondral Autografts (Mosaicplasty, OATS), Paclitaxel, Albumin-Bound (Abraxane) [Medicare], Polymerase Chain Reaction Testing: Selected Indications, Psoriasis and Psoriatic Arthritis: Targeted Immune Modulators, Psoriasis and Psoriatic Arthritis: Targeted Immune Modulators [Medicare], Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy, Signal-Averaged Electrocardiography (SAECG), Stem Cells for Hematopoietic Cell Transplant, Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow, Trastuzumab (Herceptin and biosimilars), Trastuzumab and Hyaluronidase-oysk (Herceptin Hylecta), Trastuzumab (Herceptin and biosimilars), Trastuzumab and Hyaluronidase-oysk (Herceptin Hylecta) [Medicare], Vascular Endothelial Growth Factor Inhibitors for Ocular Indications, Vascular Endothelial Growth Factor Inhibitors for Ocular Indications [Medicare], Cigna Medical Policy Updates September 2022, BCBS Excellus Medical Policy Updates September 2022, Health Care Service Corporation (HCSC) Medical Policy Updates September 2022, Aetna Medical Policy Updates September 2022, BCBS Massachusetts Medical Policy Updates September 2022.
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