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	Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment DecisionsPayerPolicy · UHC-EXCH-MD-MOLECULAR-ONCOLOGY-HEMATOLOGIC-CANCER-DIAGNOSIS	New policy
May 25, 2026	UnitedHealthcare	Minimally Invasive Spine Surgery ProceduresPayerPolicy · UHC-EXCH-MD-MINIMALLY-INVASIVE-SPINE-SURGERY	New policy
May 25, 2026	UnitedHealthcare	Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal DiseasesPayerPolicy · UHC-EXCH-MD-MINIMALLY-INVASIVE-PROCEDURES-GERD-ACHALASIA	New policy
May 25, 2026	UnitedHealthcare	Medical Therapies for Enzyme Deficiencies – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ENZYME-REPLACEMENT-THERAPY-IEX	New policy
May 25, 2026	UnitedHealthcare	Mechanical Stretching DevicesPayerPolicy · UHC-EXCH-MD-MECHANICAL-STRETCHING-DEVICES	New policy
May 25, 2026	UnitedHealthcare	Maximum Dosage and Frequency – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-MAXIMUM-DOSAGE-AND-FREQUENCY-INDIVIDUAL-320E4E9568	New policy
May 25, 2026	UnitedHealthcare	Manipulative TherapyPayerPolicy · UHC-EXCH-MD-MANIPULATIVE-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Manipulation Under AnesthesiaPayerPolicy · UHC-EXCH-MD-MANIPULATION-UNDER-ANESTHESIA	New policy
May 25, 2026	UnitedHealthcare	Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of ServicePayerPolicy · UHC-EXCH-MD-MRI-CT-SCAN-SITE-OF-SERVICE	New policy
May 25, 2026	UnitedHealthcare	Luxturna (Voretigene Neparvovec-Rzyl) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-LUXTURNA-VORETIGENE-NEPARVOVEC-RZYL-IEX	New policy
May 25, 2026	UnitedHealthcare	Lower Extremity ProstheticsPayerPolicy · UHC-EXCH-MD-LOWER-EXTREMITY-PROSTHETICS	New policy
May 25, 2026	UnitedHealthcare	Lower Extremity Endovascular ProceduresPayerPolicy · UHC-EXCH-MD-LOWER-ENDOVASCULAR-PROCEDURES	New policy
May 25, 2026	UnitedHealthcare	Long-Acting Injectable Antiretroviral Agents for HIV – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-LONG-ACTING-INJECTABLE-ANTIRETROVIRAL-AGENTS-IEX	New policy
May 25, 2026	UnitedHealthcare	Liposuction for LipedemaPayerPolicy · UHC-EXCH-MD-LIPOSUCTION-LIPEDEMA	New policy
May 25, 2026	UnitedHealthcare	Light and Laser TherapyPayerPolicy · UHC-EXCH-MD-LIGHT-LASER-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Leqvio (Inclisiran) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-LEQVIO-INCLISIRAN-IEX	New policy
May 25, 2026	UnitedHealthcare	Leqembi (Lecanemab-Irmb) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-LEQEMBI-LECANEMAB-IRMB-IEX	New policy
May 25, 2026	UnitedHealthcare	Lemtrada (Alemtuzumab) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-LEMTRADA-ALEMTUZUMAB	New policy
May 25, 2026	UnitedHealthcare	Krystexxa (Pegloticase) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-KRYSTEXXA-PEGLOTICASE-IEX	New policy
May 25, 2026	UnitedHealthcare	Korsuva (Difelikefalin) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-KORSUVA-DIFELIKEFALIN-INDIVIDUAL-EXCHANG-02D763F2FC	New policy
May 25, 2026	UnitedHealthcare	Kisunla (Donanemab-Azbt) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-KISUNLA-IEX	New policy
May 25, 2026	UnitedHealthcare	Ketalar (Ketamine) and Spravato (Esketamine) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-KETALAR-SPRAVATO	New policy
May 25, 2026	UnitedHealthcare	Kebilidi (Eladocagene Exuparvovec-Tneq) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-KEBILIDITM-ELADOCAGENE-EXUPARVOVEC-TNEQ-7BA81299DB	New policy
May 25, 2026	UnitedHealthcare	Itvisma (Onasemnogene Abeparvovec-Brve) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ITVISMA	New policy
May 25, 2026	UnitedHealthcare	Intravenous Iron Replacement Therapy (Feraheme, Injectafer, & Monoferric) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-INTRAVENOUS-IRON-REPLACEMENT-THERAPY-FER-77E39326F4	New policy
May 25, 2026	UnitedHealthcare	Intravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-INTRAVENOUS-ENZYME-REPLACEMENT-THERAPY-E-F84D5A9421	New policy
May 25, 2026	UnitedHealthcare	Intracanalicular and Intravitreal Corticosteroid Implants – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-INTRACANALICULAR-AND-INTRAVITREAL-CORTIC-711B209460	New policy
May 25, 2026	UnitedHealthcare	Interspinous Fusion and Decompression DevicesPayerPolicy · UHC-EXCH-MD-INTERSPINOUS-FUSION-DECOMPRESSION-DEVICES	New policy
May 25, 2026	UnitedHealthcare	Intensity-Modulated Radiation TherapyPayerPolicy · UHC-EXCH-MD-INTENSITY-MODULATED-RADIATION-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Injectable Dermal Fillers and Bulking AgentsPayerPolicy · UHC-EXCH-MD-INJECTABLES-RECONSTRUCTIVE-PROCEDURES	New policy
May 25, 2026	UnitedHealthcare	Inhaled Nitric Oxide TherapyPayerPolicy · UHC-EXCH-MD-INHALED-NITRIC-OXIDE-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Infliximab (Avsola, Inflectra, Remicade, & Renflexis) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-INFLIXIMAB-REMICADE-INFLECTRA-IEX	New policy
May 25, 2026	UnitedHealthcare	Infertility Diagnosis, Treatment, and Fertility PreservationPayerPolicy · UHC-EXCH-MD-INFERTILITY-DIAGNOSIS-TREATMENT	New policy
May 25, 2026	UnitedHealthcare	Implanted Spinal Drug Delivery SystemsPayerPolicy · UHC-EXCH-MD-IMPLANTED-SPINAL-DRUG-DELIVERY-SYSTEMS	New policy
May 25, 2026	UnitedHealthcare	Implanted Electrical Stimulator for the Spinal CordPayerPolicy · UHC-EXCH-MD-IMPLANTED-ELECTRICAL-STIMULATOR-SPINAL-CORD	New policy
May 25, 2026	UnitedHealthcare	Implantable Loop Recorders and Wearable Heart Rhythm MonitorsPayerPolicy · UHC-EXCH-MD-IMPLANTABLE-RECORDERS-WEARABLE-MONITORS	New policy
May 25, 2026	UnitedHealthcare	Immune Globulin (IVIG and SCIG) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-IMMUNE-GLOBULIN-IVIG-SCIG-IEX	New policy
May 25, 2026	UnitedHealthcare	Ilumya (Tildrakizumab-Asmn) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ILUMYA-TILDRAKIZUMAB-IEX	New policy
May 25, 2026	UnitedHealthcare	Ilaris (Canakinumab) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ILARIS-CANAKINUMAB-IEX	New policy
May 25, 2026	UnitedHealthcare	HysterectomyPayerPolicy · UHC-EXCH-MD-HYSTERECTOMY	New policy
May 25, 2026	UnitedHealthcare	Hyperbaric Oxygen Therapy and Topical Oxygen TherapyPayerPolicy · UHC-EXCH-MD-HYPERBARIC-TOPICAL-OXYGEN-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Hospital Services: Observation and InpatientPayerPolicy · UHC-EXCH-MD-HOSPITAL-SERVICES-OBSERVATION-INPATIENT	New policy
May 25, 2026	UnitedHealthcare	Home Traction TherapyPayerPolicy · UHC-EXCH-MD-HOME-TRACTION-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Home Health, Skilled, and Custodial Care ServicesPayerPolicy · UHC-EXCH-MD-HOME-HEALTH-CARE	New policy
May 25, 2026	UnitedHealthcare	Hereditary Angioedema (HAE), Treatment and Prophylaxis – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-HEREDITARY-ANGIOEDEMA-TREATMENT-PROPHYLAXIS-IEX	New policy
May 25, 2026	UnitedHealthcare	Hearing Aids and Devices Including Wearable, Bone-Anchored, and Semi-ImplantablePayerPolicy · UHC-EXCH-MD-HEARING-AIDS-DEVICES-INCLUDING-WEARABLE-BONE-ANCHORED-SEMI-IMPLANTABLE	New policy
May 25, 2026	UnitedHealthcare	Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech)PayerPolicy · UHC-EXCH-MD-HABILITATIVE-SERVICES-OUTPATIENT-REHABILITATION-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Gynecomastia SurgeryPayerPolicy · UHC-EXCH-MD-GYNECOMASTIA-SURGERY	New policy
May 25, 2026	UnitedHealthcare	Gonadotropin Releasing Hormone Analogs – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-GONADOTROPIN-RELEASING-HORMONE-ANALOGS-IEX	New policy
May 25, 2026	UnitedHealthcare	Glaucoma Surgical TreatmentsPayerPolicy · UHC-EXCH-MD-GLAUCOMA-SURGICAL-TREATMENTS	New policy