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 | Hearing Aids and Implants (CG001, Ver. 13)PayerPolicy · OSCAR-CG001-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Growth Hormones (Lonapegsomatropin, Somapacitan, Somatropin, Somatrogon) (PG049, Ver. 8)PayerPolicy · OSCAR-PG049-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Glaucoma Surgery (CG034, Ver. 11)PayerPolicy · OSCAR-CG034-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Furoscix (furosemide) 8mg/1mL Solution for injection [On-Body Infusor] (PG132, Ver. 6)PayerPolicy · OSCAR-PG132-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Forzinity (elamipretide) (PG274, Ver. 1)PayerPolicy · OSCAR-PG274-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Experimental or Investigational Services, Products, Drugs, and Biologicals (CG012, Ver. 12)PayerPolicy · OSCAR-CG012-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Erectile Dysfunction (CG037, Ver. 13)PayerPolicy · OSCAR-CG037-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Enteral and Oral Nutritional Supplements (CG011, Ver. 11)PayerPolicy · OSCAR-CG011-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Elevidys (delandistrogene moxeparvovec-rokl) (PG160, Ver. 3)PayerPolicy · OSCAR-PG160-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Durysta (bimatoprost intracameral implant) (CG116, Ver. 4)PayerPolicy · OSCAR-CG116-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Dupixent (dupilumab) (PG026, Ver. 15)PayerPolicy · OSCAR-PG026-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Diagnosis and Treatment of Infertility (CG016, Ver. 14)PayerPolicy · OSCAR-CG016-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Diabetes Equipment and Supplies (CG028, Ver. 12)PayerPolicy · OSCAR-CG028-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Deep Brain Stimulation (DBS) and Responsive Neurostimulation (RNS) (CG050, Ver. 10)PayerPolicy · OSCAR-CG050-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Coronavirus Disease (COVID-19) Antibody Testing (CG077, Ver. 3)PayerPolicy · OSCAR-CG077-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Contact Lenses and Eyeglasses (CG039, Ver. 11)PayerPolicy · OSCAR-CG039-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Concomitant (Concurrent) use of Biologics (Biologic Response Modifiers Therapies) and targeted synthetic Disease-Modifying Antirheumatic Drugs (tsDMARDs) (CG064, Ver. 7)PayerPolicy · OSCAR-CG064-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Colorectal Cancer Screening (CG024, Ver. 11)PayerPolicy · OSCAR-CG024-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Collagenase Ointment (Santyl) (PG141, Ver. 4)PayerPolicy · OSCAR-PG141-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Casgevy (exagamglogene autotemcel) (CG113, Ver. 4)PayerPolicy · OSCAR-CG113-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Carvykti (ciltacabtagene autoleucel; cilta-cel) (CG067, Ver. 7)PayerPolicy · OSCAR-CG067-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Briumvi (ublituximab) (PG134, Ver. 6)PayerPolicy · OSCAR-PG134-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Breast Procedures (CG036, Ver. 12)PayerPolicy · OSCAR-CG036-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Breast Imaging (CG027, Ver. 11)PayerPolicy · OSCAR-CG027-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Botulinum Toxin (CG033, Ver. 16)PayerPolicy · OSCAR-CG033-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Bioengineered Skin and Soft Tissue Substitutes (CG030, Ver. 12)PayerPolicy · OSCAR-CG030-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Beyfortus (nirsevimab-alip) and Enflonsia (clesrovimab-cfor) (PG180, Ver. 3)PayerPolicy · OSCAR-PG180-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Benlysta (belimumab) (PG014, Ver. 9)PayerPolicy · OSCAR-PG014-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Benign Prostatic Hyperplasia Procedures (CG031, Ver. 12)PayerPolicy · OSCAR-CG031-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Bariatric Surgery and Revision of Bariatric Surgery (Adults) (CG008, Ver. 12)PayerPolicy · OSCAR-CG008-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Bariatric Surgery and Revision of Bariatric Surgery (Adolescents: Ages 13-17) (CG009, Ver. 12)PayerPolicy · OSCAR-CG009-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Balloon Ostial Dilation (CG018, Ver. 11)PayerPolicy · OSCAR-CG018-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Autonomic Testing (CG026, Ver. 11)PayerPolicy · OSCAR-CG026-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Authorization Duration Exception-REG (PG269, Ver. 2)PayerPolicy · OSCAR-PG269-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Approved and Accepted Off-label Medical Necessity Criteria for Products, Drugs and Biologicals (PG136, Ver. 4)PayerPolicy · OSCAR-PG136-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Anti-migraine Agents: Calcitonin Gene-Related Peptide (CGRP) Antagonists and Serotonin Receptor 5-HT1F Agonists (PG008, Ver. 10)PayerPolicy · OSCAR-PG008-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Anesthesia and Sedation in Endoscopic Procedures (CG041, Ver. 11)PayerPolicy · OSCAR-CG041-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Amvuttra (vutrisiran) (PG264, Ver. 3)PayerPolicy · OSCAR-PG264-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Ambulatory Cardiac Event Monitoring (CG032, Ver. 11)PayerPolicy · OSCAR-CG032-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Ambulance Services (CG057, Ver. 8)PayerPolicy · OSCAR-CG057-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Allergy (Allergen) Immunotherapy (CG059, Ver. 7)PayerPolicy · OSCAR-CG059-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Adakveo (crizanlizumab) (PG193, Ver. 3)PayerPolicy · OSCAR-PG193-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | Acupuncture (CG013, Ver. 12)PayerPolicy · OSCAR-CG013-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | (Commercial) Preferred Physician-Administered Specialty Drugs (CG052, Ver. 35)PayerPolicy · OSCAR-CG052-MEDICAL | New policy |
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| Aug 2, 2026 | Oscar Health | The World Professional Association for Transgender Health Standards of CarePayerPolicy · OSCAR-THE-WORLD-PROFESSIONAL-ASSOCIATION-FOR-TRANSG-ADOPTED | New policy |
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| Aug 2, 2026 | Oscar Health | ProgenyPayerPolicy · OSCAR-PROGENY-ADOPTED | New policy |
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| Aug 2, 2026 | Oscar Health | Optum Behavioral Health Clinical CriteriaPayerPolicy · OSCAR-OPTUM-BEHAVIORAL-HEALTH-CLINICAL-CRITERIA-ADOPTED | New policy |
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| Aug 2, 2026 | Oscar Health | MCG GuidelinesPayerPolicy · OSCAR-MCG-GUIDELINES-ADOPTED | New policy |
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| Aug 2, 2026 | Oscar Health | Level of Care Utilization System for Psychiatric and Addiction Services (LOCUS)PayerPolicy · OSCAR-LEVEL-OF-CARE-UTILIZATION-SYSTEM-FOR-PSYCHIAT-ADOPTED | New policy |
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| Aug 2, 2026 | Oscar Health | EvicorePayerPolicy · OSCAR-EVICORE-ADOPTED | New policy |
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