Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
83,427 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Aug 2, 2026 | Oscar Health | Pedmark (sodium thiosulfate) (PG133, Ver. 6)PayerPolicy · OSCAR-PG133-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Papzimeos (zopapogene imadenovec-drba) (PG275, Ver. 1)PayerPolicy · OSCAR-PG275-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Palforzia [Peanut (Arachis hypogaea) Allergen Powder-dnfp] (PG245, Ver. 2)PayerPolicy · OSCAR-PG245-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Pain Management: Sacroiliac Intra-Articular Joint Injections (CG056, Ver. 8)PayerPolicy · OSCAR-CG056-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Pain Management: Facet Joint Injections/Medial Branch Blocks and Radiofrequency Facet Denervation (CG047, Ver. 9)PayerPolicy · OSCAR-CG047-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Pain Management: Epidural Steroid Injections, Selective Nerve Root Blocks (SNRB), and Intradiscal Steroid Injections (CG048, Ver. 9)PayerPolicy · OSCAR-CG048-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Oxygen Therapy (CG005, Ver. 12)PayerPolicy · OSCAR-CG005-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Outpatient Physical Therapy (PT) and Occupational Therapy (OT) (CG044, Ver. 10)PayerPolicy · OSCAR-CG044-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Optical Coherence Tomography (OCT) (CG025, Ver. 11)PayerPolicy · OSCAR-CG025-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Omisirge (omidubicel-onlv) (PG149, Ver. 4)PayerPolicy · OSCAR-PG149-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Ocrelizumab (Ocrevus, Ocrevus Zunovo) (PG235, Ver. 6)PayerPolicy · OSCAR-PG235-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Noninvasive Positive Pressure Ventilation (CG003, Ver. 14)PayerPolicy · OSCAR-CG003-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Niktimvo (axatilimab) (PG252, Ver. 3)PayerPolicy · OSCAR-PG252-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | NexoBrid (anacaulase-bcdb) (CG112, Ver. 3)PayerPolicy · OSCAR-CG112-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Negative Pressure Wound Therapy and Negative Pressure Infusion/Instillation Therapy for the Treatment of Complicated Wounds for Outpatient and Home Care Settings (CG068, Ver. 5)PayerPolicy · OSCAR-CG068-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Natalizumab and Natalizumab Biosimilars (Tysabri, Tyruko) (PG195, Ver. 6)PayerPolicy · OSCAR-PG195-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Mitoxantrone (Novantrone) (PG126, Ver. 5)PayerPolicy · OSCAR-PG126-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Methotrexate Injectable Solution (PG249, Ver. 3)PayerPolicy · OSCAR-PG249-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Medical Nutrition Therapy (Dietary Evaluation and Counseling) (CG010, Ver. 12)PayerPolicy · OSCAR-CG010-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Manual and Electric Breast Pumps (CG002, Ver. 12)PayerPolicy · OSCAR-CG002-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Lyfgenia (lovotibeglogene autotemcel) (CG114, Ver. 3)PayerPolicy · OSCAR-CG114-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Luxturna (voretigene neparvovec-rzyl) (CG060, Ver. 7)PayerPolicy · OSCAR-CG060-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Long-Term Acute Care Hospital (LTACH) (CG062, Ver. 7)PayerPolicy · OSCAR-CG062-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Leqembi (lecanemab-irmb) (PG138, Ver. 5)PayerPolicy · OSCAR-PG138-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Lenmeldy (atidarsagene autotemcel) (CG117, Ver. 3)PayerPolicy · OSCAR-CG117-PHARMACY | New policy |
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| Aug 2, 2026 | Oscar Health | Lemtrada (Alemtuzumab) (PG226, Ver. 4)PayerPolicy · OSCAR-PG226-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Lasix ONYU (furosemide injection) (PG282, Ver. 1)PayerPolicy · OSCAR-PG282-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Lantidra (donislecel-jujn) (PG167, Ver. 4)PayerPolicy · OSCAR-PG167-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Lamzede (velmanase alfa-tycv) (PG146, Ver. 3)PayerPolicy · OSCAR-PG146-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Kymriah (tisagenlecleucel) (CG058, Ver. 9)PayerPolicy · OSCAR-CG058-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Kisunla (donanemab-azbt) (PG238, Ver. 2)PayerPolicy · OSCAR-PG238-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Kebilidi (eladocagene exuparvovec-tneq) (PG259, Ver. 2)PayerPolicy · OSCAR-PG259-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Izervay (avancincaptad pegol) (PG168, Ver. 4)PayerPolicy · OSCAR-PG168-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Intravitreal Corticosteroid Injections or Implants (PG271, Ver. 1)PayerPolicy · OSCAR-PG271-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Intraoperative Neuromonitoring (CG045, Ver. 10)PayerPolicy · OSCAR-CG045-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Insulin Delivery Systems and Continuous Glucose Monitoring (CG029, Ver. 17)PayerPolicy · OSCAR-CG029-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Injectable Iron Supplements (PG196, Ver. 5)PayerPolicy · OSCAR-PG196-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Infertility Injectable Agents (PG119, Ver. 5)PayerPolicy · OSCAR-PG119-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Immune Globulin Weight-Based Dosing Criteria (PG256, Ver. 2)PayerPolicy · OSCAR-PG256-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Ilumya (tildrakizumab-asmn) (CG053, Ver. 9)PayerPolicy · OSCAR-CG053-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Ilaris (canakinumab) (PG185, Ver. 3)PayerPolicy · OSCAR-PG185-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Hypoglossal Nerve Stimulation (CG065, Ver. 6)PayerPolicy · OSCAR-CG065-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Hyperbaric Oxygen Therapy (CG014, Ver. 11)PayerPolicy · OSCAR-CG014-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Hospital Beds and Accessories (CG006, Ver. 13)PayerPolicy · OSCAR-CG006-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Home Care - Speech-Language Pathology (SLP) Services (CG023, Ver. 12)PayerPolicy · OSCAR-CG023-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Home Care - Skilled Nursing Care (RN, LVN/LPN) (CG020, Ver. 12)PayerPolicy · OSCAR-CG020-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Home Care - Physical Therapy (PT) and Occupational Therapy (OT) (CG021, Ver. 12)PayerPolicy · OSCAR-CG021-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Home Care - Home Health Aides (HHA) (CG022, Ver. 12)PayerPolicy · OSCAR-CG022-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Home Births and Birth Centers (CG038 Ver. 11)PayerPolicy · OSCAR-CG038-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Hemgenix (etranacogene dezaparvovec) (CG075, Ver. 5)PayerPolicy · OSCAR-CG075-MEDICAL | New policy |
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