Medical policy updates 

Below are links to updated or new policies. Remember, you can always find the latest updates to policies, as well as brief descriptions of what changed, under Authorizations > Medical policies > Policy changes list.

Effective September 25, 2018

NEW Gender Dysphoria, Non-Surgical Treatment 91622

  • New policy developed to clarify coverage criteria for non-surgical treatments for gender dysphoria.  Prior authorization is required for certain pharmaceuticals.

Effective November 26, 2018

  • Stereotactic Radiosurgery and Stereotactic Body Radiotherapy 91127

Language added to reflect Stereotactic Radiosurgery by Gamma Knife, CyberKnife or linear accelerator is a covered benefit for ocular melanomas not amendable to surgical excision. In addition, new section added to specifically address Stereotactic Body Radiation Therapy (SBRT) and the covered indications. Please see policy for additional details.