This version of the policy will become effective 07/01/2020.
When services can be administered in various settings, the Company reserves the right to reimburse only those services that are furnished in the most appropriate and cost-effective setting that is appropriate to the member’s medical needs and condition. This decision is based on the member’s current medical condition and any required monitoring or additional services that may coincide with the delivery of this service.
This Medical Policy Bulletin document describes the status of medical technology at the time the document was developed. Since that time, new technology may have emerged or new medical literature may have been published. This Medical Policy Bulletin will be reviewed regularly and be updated as scientific and medical literature becomes available. For more information on how Medical Policy Bulletins are developed, go to the About This Site section of this Medical Policy Web site.
Pre-procedure Consultations for Colorectal Cancer Screening Procedures
Coverage of Preventive Well Visits through Telemedicine in Response to COVID-19 for AmeriHealth Pennsylvania Members
Coverage of Preventive Well Visits through Telemedicine in Response to COVID-19 for AmeriHealth New Jersey Members
Coverage of Vaxelis, diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed, inactivated poliovirus, Hemophilus b conjugate and Hepatitis B vaccine
Policy: 07.02.09g:Ambulatory Blood Pressure Monitoring (ABPM) and Home Blood Pressure Monitoring (HBPM) Devices
Policy: 07.13.12d:Instrument-Based Vision Screening
Policy: 09.00.04k:Bone Mineral Density (BMD) Testing
Policy: 11.03.12s:Colorectal Cancer Screening