Medical Policies

By accessing our medical policies you signify your agreement to our Terms of Use. Learn more about how medical policies are developedOpen a PDF and about experimental & investigational procedures .

Please refer member-specific questions to the Customer Care number on the back of the member card. Final determination of coverage is subject to the member’s benefits and eligibility on the date of service.

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Showing 351– 357 of 357 Results
Title Last Updated Category
Vagus Nerve Stimulation and Vagus Nerve Blocking Therapy Open a PDF 7.01.05 2026-08-25 Nervous Systems (Neurology)
Varicose Vein Treatments Open a PDF 7.01.47 2025-10-22 Cosmetic / Reconstructive Surgery
Ventricular Assist Device (VAD) and Total Artificial Heart (TAH) Open a PDF 7.01.114 2026-03-24 Heart & Blood Vessels (Cardiovascular)
Vision Therapy Open a PDF 9.01.04 2025-11-25 Eyes (Ophthalmology)
Vitrectomy Chair/ Face-Down Positioning System Open a PDF 1.01.52 2026-04-20 Durable Medical Equipment & Supplies
Wheelchairs and Power Operated Vehicles (POVs) Open a PDF 1.01.16 2026-08-25 Durable Medical Equipment & Supplies
Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic Disorders Open a PDF 2.02.46 2026-09-21 Genetic Disease (Inherited Disease)
Showing 351– 357 of 357 Results

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