Coverage policy updates

Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 2026. Changes appear here after Backwork reviews and applies a refresh, so this page can trail the payers’ own sites.

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Recorded changes

86,510 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
May 25, 2026	UnitedHealthcare	Ustekinumab – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-USTEKINUMAB-IEX	New policy
May 25, 2026	UnitedHealthcare	Upper Extremity Prosthetic DevicesPayerPolicy · UHC-EXCH-MD-UPPER-EXTREMITY-PROSTHETIC-DEVICES	New policy
May 25, 2026	UnitedHealthcare	Uplizna (Inebilizumab-Cdon) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-UPLIZNA-IEX	New policy
May 25, 2026	UnitedHealthcare	Umbilical Cord Blood Harvesting and Storage for Future UsePayerPolicy · UHC-EXCH-MD-UMBILICAL-CORD-BLOOD-HARVESTING-AND-STORAGE-FUTURE-USE	New policy
May 25, 2026	UnitedHealthcare	Tzield (Teplizumab-Mzwv) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TZIELD	New policy
May 25, 2026	UnitedHealthcare	Trogarzo (Ibalizumab-Uiyk) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TROGARZO-IBALIZUMAB-UIYK-INDIVIDUAL-EXCH-22DA727B1B	New policy
May 25, 2026	UnitedHealthcare	Tremfya (Guselkumab) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TREMFYA	New policy
May 25, 2026	UnitedHealthcare	Treatment of Temporomandibular Joint DisordersPayerPolicy · UHC-EXCH-MD-TEMPOROMANDIBULAR-JOINT-DISORDERS	New policy
May 25, 2026	UnitedHealthcare	Transcranial Magnetic Stimulation for Treating Physical Health ConditionsPayerPolicy · UHC-EXCH-MD-TRANSCRANIAL-MAGNETIC-STIMULATION	New policy
May 25, 2026	UnitedHealthcare	Transcatheter Procedures for Heart Valve ConditionsPayerPolicy · UHC-EXCH-MD-TRANSCATHETER-HEART-VALVE-PROCEDURES	New policy
May 25, 2026	UnitedHealthcare	Transarterial Radioembolization (TARE)/ Selective Internal Radiation Therapy (SIRT) for the Treatment of Malignant Cancers of the LiverPayerPolicy · UHC-EXCH-MD-TRANSARTERIAL-RADIOEMBOLIZATION	New policy
May 25, 2026	UnitedHealthcare	Total Artificial Disc Replacement for the SpinePayerPolicy · UHC-EXCH-MD-TOTAL-ARTIFICIAL-DISC-REPLACEMENT-SPINE	New policy
May 25, 2026	UnitedHealthcare	Tocilizumab (Actemra, Tofidence, & Tyenne) Injection for Intravenous Infusion – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TOCILIZUMAB-ACTEMRA-TOFIDENCE-TYENNE-INJ-EEB4337D63	New policy
May 25, 2026	UnitedHealthcare	Tezspire (Tezepelumab-Ekko) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TEZSPIRE-TEZEPELUMAB-IEX	New policy
May 25, 2026	UnitedHealthcare	Testosterone Replacement or Supplementation Therapy – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TESTOSTERONE-REPLACEMENT-SUPP-THERAPY-IEX	New policy
May 25, 2026	UnitedHealthcare	Tepezza (Teprotumumab-Trbw) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-TEPEZZA-IEX	New policy
May 25, 2026	UnitedHealthcare	Synagis (Palivizumab) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SYNAGIS-PALIVIZUMAB-INDIVIDUAL-EXCHANGE-0318D80D01	New policy
May 25, 2026	UnitedHealthcare	Sympathetic BlockadePayerPolicy · UHC-EXCH-MD-SYMPATHETIC-BLOCKADE	New policy
May 25, 2026	UnitedHealthcare	Susvimo (Ranibizumab Injection) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SUSVIMO-RANIBIZUMAB-INJECTION-INDIVIDUAL-5DE2DE824C	New policy
May 25, 2026	UnitedHealthcare	Surgical and Ablative Procedures for Venous Insufficiency and Varicose VeinsPayerPolicy · UHC-EXCH-MD-SURGICAL-ABLATIVE-PROCEDURES-VENOUS-INSUFFICIENCY-VARICOSE-VEINS	New policy
May 25, 2026	UnitedHealthcare	Surgery of the ShoulderPayerPolicy · UHC-EXCH-MD-SURGERY-SHOULDER	New policy
May 25, 2026	UnitedHealthcare	Surgery of the KneePayerPolicy · UHC-EXCH-MD-SURGERY-KNEE	New policy
May 25, 2026	UnitedHealthcare	Surgery of the HipPayerPolicy · UHC-EXCH-MD-SURGERY-HIP	New policy
May 25, 2026	UnitedHealthcare	Surgery of the Hand or WristPayerPolicy · UHC-EXCH-MD-SURGERY-OF-THE-HAND-OR-WRIST-6512FA4CA2	New policy
May 25, 2026	UnitedHealthcare	Surgery of the FootPayerPolicy · UHC-EXCH-MD-SURGERY-FOOT	New policy
May 25, 2026	UnitedHealthcare	Surgery of the ElbowPayerPolicy · UHC-EXCH-MD-SURGERY-ELBOW	New policy
May 25, 2026	UnitedHealthcare	Surgery of the AnklePayerPolicy · UHC-EXCH-MD-SURGERY-ANKLE	New policy
May 25, 2026	UnitedHealthcare	Surgery for the Prevention and Treatment of LymphedemaPayerPolicy · UHC-EXCH-MD-SURGICAL-TREATMENT-LYMPHEDEMA	New policy
May 25, 2026	UnitedHealthcare	Subcutaneous Implantable Naltrexone Pellets – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SUBCUTANEOUS-IMPLANT-NALTREXONE-PELLETS-IEX	New policy
May 25, 2026	UnitedHealthcare	Stereotactic Body Radiation Therapy and Stereotactic RadiosurgeryPayerPolicy · UHC-EXCH-MD-STEREOTACTIC-BODY-RADIATION-THERAPY-RADIOSURGERY	New policy
May 25, 2026	UnitedHealthcare	Spinraza (Nusinersen) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SPINRAZA-NUSINERSEN-IEX	New policy
May 25, 2026	UnitedHealthcare	Spinal Fusion and DecompressionPayerPolicy · UHC-EXCH-MD-SPINAL-FUSION-DECOMPRESSION	New policy
May 25, 2026	UnitedHealthcare	Spinal Fusion and Bone Healing Enhancement ProductsPayerPolicy · UHC-EXCH-MD-SPINAL-FUSION-BONE-HEALING-PRODUCTS	New policy
May 25, 2026	UnitedHealthcare	Spevigo (Spesolimab-Sbzo) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SPEVIGO-SPESOLIMAB-SBZO-INDIVIDUAL-EXCHA-AAFEC81018	New policy
May 25, 2026	UnitedHealthcare	Somatostatin Analogs – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SOMATOSTATIN-ANALOGS	New policy
May 25, 2026	UnitedHealthcare	Sodium Hyaluronate – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SODIUM-HYALURONATE-IEX	New policy
May 25, 2026	UnitedHealthcare	Sleep StudiesPayerPolicy · UHC-EXCH-MD-SLEEP-STUDIES	New policy
May 25, 2026	UnitedHealthcare	Skyrizi (Risankizumab-Rzaa) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SKYRIZI-RISANKIZUMAB-RZAA-INDIVIDUAL-EXC-1EFEE4DDF7	New policy
May 25, 2026	UnitedHealthcare	Skin and Soft Tissue SubstitutesPayerPolicy · UHC-EXCH-MD-SKIN-SOFT-TISSUE-SUBSTITUTES	New policy
May 25, 2026	UnitedHealthcare	Sinus Surgeries and InterventionsPayerPolicy · UHC-EXCH-MD-SINUS-SURGERIES-INTERVENTIONS	New policy
May 25, 2026	UnitedHealthcare	Simponi Aria (Golimumab) Injection for Intravenous Infusion – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SIMPONI-ARIA-GOLIMUMAB-INJECTION-IV-INFUSION-IEX	New policy
May 25, 2026	UnitedHealthcare	Sensory Integration Therapy and Auditory Integration TrainingPayerPolicy · UHC-EXCH-MD-SENSORY-INTEGRATION-THERAPY-AUDITORY-INTEGRATION-TRAINING	New policy
May 25, 2026	UnitedHealthcare	Self-Administered Medications – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SELF-ADMINISTERED-MEDICATIONS-IEX	New policy
May 25, 2026	UnitedHealthcare	Screening Colonoscopy Procedures – Site of ServicePayerPolicy · UHC-EXCH-MD-SCREENING-COLONOSCOPY-PROCEDURES-SITE-SERVICE	New policy
May 25, 2026	UnitedHealthcare	Scenesse (Afamelanotide) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SCENESSE-AFAMELANOTIDE-INDIVIDUAL-EXCHAN-077B36D58D	New policy
May 25, 2026	UnitedHealthcare	Saphnelo (Anifrolumab-Fnia) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SAPHNELO-ANIFROLUMAB-FNIA-INDIVIDUAL-EXC-5EB7A12173	New policy
May 25, 2026	UnitedHealthcare	Sacroiliac Joint InterventionsPayerPolicy · UHC-EXCH-MD-SACROILIAC-JOINT-INTERVENTIONS	New policy
May 25, 2026	UnitedHealthcare	Sacral Nerve Stimulation for Urinary and Fecal IndicationsPayerPolicy · UHC-EXCH-MD-SACRAL-NERVE-STIMULATION	New policy
May 25, 2026	UnitedHealthcare	Ryplazim (Plasminogen, Human-Tvmh) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RYPLAZIM-PLASMINOGEN-HUMAN-TVMH-IEX	New policy
May 25, 2026	UnitedHealthcare	Roctavian (Valoctocogene Roxaparvovec-Rvox) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ROCTAVIAN-IEX	New policy